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Early intervention to restore function and maintain healthy trajectory.

Juan Jover1, Lydia Abasolo2

  • 1Rheumatology Unit, Hospital Clínico San Carlos, Madrid, Spain; Medicine Department, Universidad Complutense, Madrid, Spain.

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Summary

Global populations are aging, leading to increased chronic conditions and disability. Addressing musculoskeletal (MSK) diseases through early intervention is crucial for improving health outcomes and reducing societal costs.

Keywords:
DisabilityElderlyIntervention programMusculoskeletal disordersQuality of life

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Area of Science:

  • Global health
  • Epidemiology
  • Public health policy

Background:

  • Global populations are aging, with increased life expectancy and a rise in chronic conditions.
  • Disease burden is shifting towards disability rather than premature mortality, particularly in aging populations.
  • Musculoskeletal (MSK) diseases are a growing global health concern, disproportionately affecting older adults and females.

Purpose of the Study:

  • To highlight the increasing burden of musculoskeletal (MSK) diseases globally.
  • To emphasize the need for health policies recognizing disability's impact on well-being and economic prosperity.
  • To advocate for a healthcare systems response enabling early intervention for MSK disorders, especially in older adults.

Main Methods:

  • Review of epidemiological evidence on the increasing prevalence of MSK disorders with age.
  • Analysis of global population trends, including aging and sedentary lifestyles.
  • Examination of healthcare system models for managing chronic conditions.

Main Results:

  • MSK disorders show a dramatic age-related increase worldwide, particularly in females.
  • Current healthcare systems require adaptation to effectively manage the growing burden of disability.
  • Early intervention strategies are identified as effective for reducing MSK disease impact.

Conclusions:

  • A multi-system response is needed to address the health crisis driven by population aging and chronic conditions.
  • Integrating public health, primary care, and specialized services is essential for reducing disability.
  • Implementing early intervention within healthcare systems can improve patient outcomes, population health, and reduce societal costs, aligning with the 'triple aim' goals.