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More Arthritis Funding, Research Needed

NEW YORK (Reuters Health) - Diseases of the bones and muscles such as arthritis and rheumatism are the leading causes of disability in the United States and other developed countries. Yet this category of ailments stays on the back burner when it comes to research and funding, results of a recent study suggest.

``Arthritis and other musculoskeletal problems have a major health impact on individuals, their families and the population, yet relatively little space in medical journals is directed toward these problems,'' Dr. Richard Glazier, the study's lead author, told Reuters Health.

``This finding suggests that there is inadequate research and continuing education about arthritis and other musculoskeletal problems,'' he added.

Glazier and his colleagues investigated the frequency of arthritis-related publications by performing a MEDLINE search for articles published in 1991 and 1996. MEDLINE is a national medical database that covers 4,300 journals published in the US and overseas.

In both years, musculoskeletal diseases such as arthritis ranked ninth out of 12 disease categories in the number of citations in medical literature, the authors report in the April issue of The Journal of Rheumatology. This ranking was far below that of the cancer and heart disease categories, ranked one and two respectively, the report indicates.

Yet musculoskeletal diseases were the number one cause of health professional consultations and the leading contributor to total health costs, study findings show.

``The general public, government decision makers, educators and funding agencies should re-examine the priority given to arthritis and other musculoskeletal problems,'' Glazier said.

Under the musculoskeletal subheading, bone diseases were the most commonly cited conditions, and joint diseases--including arthritis--came in second, the researchers report. Under the arthritis category, however, less than 25% of the citations were related to osteoarthritis--the leading cause of arthritis disability in the general population, the authors note.

``These findings suggest...that osteoarthritis is a relatively neglected condition within the relatively neglected realm of musculoskeletal diseases,'' Glazier and his team write.

The researcher added, ``public perceptions that joint pain is an inevitable consequence of aging and that nothing can be done about it are wrong. These perceptions affect research funders and educators and also prevent many people from receiving effective treatments for these conditions.''

SOURCE: The Journal of Rheumatology 2001;28:706-711.

Reference Source 89

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