Evidence map›Paper›PMID 34615678›Full record

ArticleBMJ open2021

Prevalence and factors associated with joint pain in Nepal: findings from a countrywide cross-sectional STEPS survey.

Anil Poudyal, Bihungum Bista, Pradip Gyanwali, Shristi Karki, Saroj Bhattarai, Sweekriti Sharma, Meghnath Dhimal

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Anil PoudyalNepal Health Research Council, Kathmandu, Nepal poudyalanil123@gmail.com.ORCID 0000-0003-2687-2993
Bihungum BistaNepal Health Research Council, Kathmandu, Nepal.
Pradip GyanwaliNepal Health Research Council, Kathmandu, Nepal.
Shristi KarkiNepal Health Research Council, Kathmandu, Nepal.
Saroj BhattaraiNepal Health Research Council, Kathmandu, Nepal.
Sweekriti SharmaInstitute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, New South Wales, Australia.ORCID 0000-0002-0919-8813
Meghnath DhimalNepal Health Research Council, Kathmandu, Nepal.ORCID 0000-0001-7176-7821
Nepal Health Research Council · NPThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to determine the prevalence of joint pain and its association with demographic, socioeconomic and behavioural factors in Nepal.

designThe study was a national cross-sectional population-based study.

settingWe used the most recent nationally representative population-based cross-sectional health survey, The WHO STEPwise approach to surveillance (STEPS) survey, 2019 from all seven provinces of Nepal including both urban and rural areas.

participantsThe participants were men and women aged 15-69 years, who were usual residents of the households for at least 6 months and have stayed the night before the survey. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcome in this study was prevalence of joint pain. The secondary outcome measure was factors associated with joint pain in Nepal. Joint pain in our study was based on any self-reported symptoms of joint pain, stiffness and swelling lasting for more than 1 month in the past 12 months. Data were weighted to generate national estimates.

resultsThe prevalence of self-reported joint pain in Nepal was 17% (95% CI 14.3% to 20.2%) with higher prevalence for older adults, females, ever married, none/less than primary education, smoker, lowest wealth quintile, homemaker, those with sufficient physical activity and those living in the Karnali province of Nepal. In multivariable analysis self-reported joint pain was found to be associated with advanced age (adjusted OR (AOR)=2.36; 95% CI 1.56 to 3.55), sex (AOR=1.47; 95% CI 1.19 to 1.82) and sufficient physical activity (AOR=0.40; 95% CI 0.25 to 0.65).

conclusionsThe results showed a high prevalence of joint pain in Nepal. Considering the process of ageing and rapid growth in non-communicable disease, this study warrants the need for health policies directed to prevention, treatment and rehabilitation for people affected by chronic musculoskeletal conditions addressing related disabilities and loss of work in Nepal.

Indexed as

ArthralgiaAgedCross-Sectional StudiesFemaleHumansMaleNepalPrevalenceRisk FactorsSocioeconomic Factorsback painmusculoskeletal disordersneurological painneuromuscular diseaserheumatology

Identifiers

PMID34615678
PMCPMC8496397
OpenAlexW3202415169

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.