{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T16:47:34Z","timestamp":1782233254663,"version":"3.54.5"},"reference-count":22,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,9,4]],"date-time":"2018-09-04T00:00:00Z","timestamp":1536019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001411","name":"Indian Council of Medical Research","doi-asserted-by":"publisher","award":["5\/4\u20105\/3 Ortho\/2001\u2010NCD\u2010I"],"award-info":[{"award-number":["5\/4\u20105\/3 Ortho\/2001\u2010NCD\u2010I"]}],"id":[{"id":"10.13039\/501100001411","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To study the distribution of various rheumatological diseases in rural and urban areas of Lucknow, India.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A study using adapted a Community Oriented Program for the Control of Rheumatic Diseases scheme was carried out in a cluster of rural (n\u00a0=\u00a05118) and urban (n\u00a0=\u00a05053) communities through a door\u2010to\u2010door survey. Trained community volunteers completed the questionnaires. Patients with musculoskeletal pain (<jats:styled-content style=\"fixed-case\">MSK<\/jats:styled-content> pain) were clinically evaluated by a physician. X\u2010ray examinations and blood investigations were also done. Diagnosis was made according to International Classification of Diseases\u20109 classification system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among persons reporting <jats:styled-content style=\"fixed-case\">MSK<\/jats:styled-content> pain in rural areas, high prevalence of osteoarthritis (<jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content>) knee (35%) was observed followed by fibromyalgia (32.1%), backache (28.4%), non\u2010specific pain (<jats:styled-content style=\"fixed-case\">NSP<\/jats:styled-content>) (20.7%) and rheumatoid arthritis (<jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content>) (1.2%). In urban area, <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> knee (36.3%) and backache (36.6%) were found highly prevalent, followed by fibromyalgia (11.1%), <jats:styled-content style=\"fixed-case\">NSP<\/jats:styled-content> (10.9%) and neck pain (7.4%). In urban areas among <jats:styled-content style=\"fixed-case\">MSK<\/jats:styled-content> pain patients, prevalence of <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content> was only 1.6%. Age\u2010adjusted analysis among urban people showed backache complaints begin early (&gt;20\u00a0years) than rural people. Significantly higher numbers of Knee <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> complaints emerged among urban people than rural in the age group 21\u201060\u00a0years. Projected population prevalence of knee <jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> was 44.9 and 106.07\/1000 in rural and urban areas, respectively. Further projected population prevalences of fibromyalgia, backache, <jats:styled-content style=\"fixed-case\">RA<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">NSP<\/jats:styled-content> in rural and urban areas are 41.2 and 32.4, 36.5 and 106.6, 1.56 and 4.74, 26.0 and 32.0 per 1000, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">OA<\/jats:styled-content> knee, fibromyalgia, backache and <jats:styled-content style=\"fixed-case\">NSP<\/jats:styled-content> are predominant health problems of both areas. Female preponderance was observed in all rheumatological diseases in both the areas.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.13382","type":"journal-article","created":{"date-parts":[[2018,9,4]],"date-time":"2018-09-04T07:18:27Z","timestamp":1536045507000},"page":"1894-1899","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Distribution of rheumatological diseases in rural and urban areas: An adapted <scp>COPCORD<\/scp> Stage I Phase <scp>III<\/scp> survey of Lucknow district in north India"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4780-2583","authenticated-orcid":false,"given":"Puneet","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Rheumatology King Georg's Medical University Lucknow UP India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ragini","family":"Alok","sequence":"additional","affiliation":[{"name":"Department of Rheumatology King Georg's Medical University Lucknow UP India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3885-0866","authenticated-orcid":false,"given":"Siddharth K.","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Rheumatology King Georg's Medical University Lucknow UP India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ragini","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Department of Rheumatology King Georg's Medical University Lucknow UP India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Girdhar G.","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Statistics Lucknow University Lucknow UP India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,9,4]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"MurrayJL LopezAD eds.The global burden of disease: a comprehensive assessment of mortality and disability from diseases injuries and risk factors in 1990 and projected to 2020.1996; Harvard school of public health on behalf of World Health Organization and The World Bank. 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