{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T22:47:30Z","timestamp":1788475650581,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Musculoskeletal problems occupy an important place among outpatient clinical applications. The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD\u201010), has facilitated the understanding of disease diagnoses in a common language worldwide and the processing of data. However, studies examining all orthopedic diagnoses in a large population are limited. In this study, we analyzed over 1.2 million ICD\u201010\u2010coded orthopedic visits over 15 years in a secondary\u2010level hospital located in a low\u2010income, working\u2010class district of T\u00fcrkiye, providing a regional diagnostic overview and a basis for global comparison.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The distribution of 1,242,058 applications to the orthopedics and traumatology polyclinic of a regional hospital serving a population of approximately 500,000 between 01 January, 2010, and 31 December, 2024, was according to body parts based on ICD\u201010 diagnosis codes. Trauma\u2010 and nontrauma\u2010related diagnoses were also evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the total applications, 43.8% were trauma\u2010related. Sprain and strain of the ankle, fracture of the lower end of the radius, and sprain and strain of the wrist were the most common diagnoses. In terms of sex, there was a 60.7% female predominance in the distribution of the applications. Further, 996,011 applications included an expression wherein the anatomical region in the ICD\u201010 diagnosis code was specified. The most common diagnosis among the nontrauma\u2010related cases was primary gonarthrosis. The most common regions in the upper extremities for which diagnoses were recorded were the hands and wrists. On the other hand, the most common regions in the lower extremities for which diagnoses were recorded were the knees, feet, and ankles. The most common diagnosis involving the spine was low back pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In the context of musculoskeletal disorders, which occupy a large part of the outpatient health services, it is important to know the number of diagnoses and their regional distribution to estimate the level of need for health services and determine the necessary number of healthcare personnel, service buildings, and examination devices. Understanding the prevalence of these diseases will help determine the curriculum for training orthopedic and traumatology assistants. Our findings may also serve as a reference point for musculoskeletal health planning in similar low\u2010 to middle\u2010income settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.70230","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T11:10:23Z","timestamp":1753960223000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Epidemiologic Patterns of Musculoskeletal Disorders by Body Region Across 1.2 Million Orthopedic Visits: A 15\u2010Year Experience From a Middle\u2010Income Country"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0301-3432","authenticated-orcid":false,"given":"Nuri Koray","family":"\u00dclgen","sequence":"first","affiliation":[{"name":"University of Health Sciences, Sincan Training and Research Hospital, Orthopaedics and Traumatology Clinic Ankara Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3451-3691","authenticated-orcid":false,"given":"Ali Said","family":"Nazl\u0131g\u00fcl","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Sincan Training and Research Hospital, Orthopaedics and Traumatology Clinic Ankara Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8670-5484","authenticated-orcid":false,"given":"Nihat","family":"Yi\u011fit","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Sincan Training and Research Hospital, Orthopaedics and Traumatology Clinic Ankara Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4146-8318","authenticated-orcid":false,"given":"Sad\u0131k Emre","family":"Ergino\u011flu","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Sincan Training and Research Hospital, Orthopaedics and Traumatology Clinic Ankara Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4935-0143","authenticated-orcid":false,"given":"Mehmet Or\u00e7un","family":"Akkurt","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Sincan Training and Research Hospital, Orthopaedics and Traumatology Clinic Ankara Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32154-2"},{"key":"e_1_2_13_2_2","doi-asserted-by":"crossref","unstructured":"Erratum in: Lancet. 2017 Oct 28;390(10106):e38. doi: 10.1016\/S0140\u20106736(17)32647\u20108.","DOI":"10.1016\/S0140-6736(17)32650-8"},{"issue":"534","key":"e_1_2_13_3_1","first-page":"7","article-title":"Measuring Disease Prevalence: A Comparison of Musculoskeletal Disease Using Four General Practice Consultation Databases","volume":"57","author":"Jordan K.","year":"2007","journal-title":"British Journal of General Practice: The Journal of the Royal College of General Practitioners"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2012.08.020"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-018-0577-5"},{"key":"e_1_2_13_6_1","unstructured":"World Health Organization International Classification of Diseases (ICD) [Internet](WHO July2025) http:\/\/www.who.int\/classifications\/icd\/en\/."},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518790507"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.3171\/2023.4.SPINE23135"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2023.05.002"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2021.10.005"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2023.08.022"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-019-2568-2"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.2340\/17453674.2025.43188"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.26444\/aaem\/158872"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41393-022-00761-6"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2025.102943"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.55095\/achot2022\/041"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2006.06.006"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usad462"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-023-06634-0"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13010259"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2021.101603"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0065560"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0244291"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-7568(21)00172-0"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40279-013-0102-5"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-015-0536-z"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2012-202634"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-9-56"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.32176"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-11-144"}],"container-title":["Journal of Evaluation in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70230","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T11:06:40Z","timestamp":1758884800000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jep.70230"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,31]]},"references-count":31,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1111\/jep.70230"],"URL":"https:\/\/doi.org\/10.1111\/jep.70230","archive":["Portico"],"relation":{},"ISSN":["1356-1294","1365-2753"],"issn-type":[{"value":"1356-1294","type":"print"},{"value":"1365-2753","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,31]]},"assertion":[{"value":"2025-06-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70230"}}