Regional morbidity profile of the Sumy region population by diseases of the musculoskeletal system and connective tissue

Keywords: primary morbidity, prevalence of diseases, prevalence of diseases diseases of the connective tissue, Sumy region


Analyzed the level of primary morbidity of population and prevalence of the osteo-muscular system diseases and of the connective tissue diseases among the residents of the Sumy region. It is established that nosologies of this class are occupy a prominent place in the overall structure of disease's prevalence among the inhabitants of the Sumy region. The percentage of above mentioned nosologies in total structure of Sumy region population morbidity has been exceed 5 %. The dynamics of primary morbidity and prevalence of diseases was separately examined during 2005–2016. Moreover, it was revealed that the situation with the morbidity by nosologies of this group during 2005–2016 has been deteriorating. For example, the primary morbidity of population of the Sumy region by diseases of osteomuscular system and of the connective tissue decreased by 6.5 %, but the prevalence of orthopedics pathologies among inhabitants ofthe Sumy region for the above indicated period increased by 11.0 %. It is established that in the structure of prevalence of the osteomuscular system diseases and of the connective tissue diseases on the first place are arthrosis diseases, which demonstrated the high levels of primary morbidity's growth during 2005–2016, which in some regions exceed 50–80 %. The morbidity of population by the arthritis diseases in the Sumy region for the same period increased by 30.8 %, and their prevalence by 34.4 %, but the highest tempo of growth in the rates of primary morbidity and prevalence are characteristic for saline arthropathies – 25.7 % and 12.0 % respectively. The benefit of this study is analyses of the geographical patterns of morbidity of the population as well as prevalence of the osteomuscular system diseases and of the connective tissue diseases among the inhabitants of the region.With help the quantitative analysis methods, the groups of districts with different rates of morbidity of population, prevalence of diseases of the skeleton/muscular apparatus and connective tissue and different level of provision of the Sumy region population by medical institutions and specialists of the appropriate profile were identified. The geographical discrepancies between the level of the morbidity of population and the level of specialized medical-orthopedically care is revealed. It has been established that in many administrative districts of the region there are no orthopedist at all among the specialists providing medical assistance, and beds for orthopedic patients (or both) are absent in medical and preventive institutions. Consequently the population is not provided with the proper level of orthopedic care.

Author Biographies

O. H. Kornus
Sumy State Pedagogical University named after A. S. Makarenko
A. O. Kornus
Sumy State Pedagogical University named after A. S. Makarenko
V. D. Shyshchuk
Sumy State University
N. M. Nurein
Star Hospital, Malindi, Kenya Sumy State University, Ukraine


1. Chystyk, Т., 2017. Osteoartroz: lechenie s pozicij dokazatel'noj mediciny [Osteoarthrosis: treatment from the perspective of evidence-based medicine]. Pain. Joints. Spine. Vol. 2, № 7.Retrieved from URL: (in Russian).
2. Classification of Diseases (ICD), 2018.Retrieved from URL:
3. Dolynska, M., 2015. Pozalegenevyj tuberkul'oz [Extrapulmonary tuberculosis]. USAID project «Strengthening control over tuberculosis in Ukraine» Retrieved from URL: _tb_akusheri_ginekologi_urologi.pdf (in Ukrainian).
4. Dorsopatija: shho ce take? Vydy zahvorjuvannja ta pryncypy likuvannja, 2018 [Dorsopathy: what is this? Types of disease and treatment principles]. Retrieved from URL: Ukrainian).
5. Dovidnyk pokaznykiv diialnosti ustanov okhorony zdorovia Sumskoi oblasti za 2016 rik, 2017. [Directory of indicators of the health care institutions activities of the Sumy region 2016]. Regional Information and Analytical Center for Medical Statistics. Sumy (in Ukrainian).
6. Global Health Observatory Data Repository, 2017. World Health Organisation. Retrieved from URL:
7. Golka, G. G. at al., 2014. Diagnostyka kistkovosuglobovogo tuberkul'ozu na suchasnomu etapi rozvytku medycyny (ogljad literatury) [Diagnosis of osteoarticular tuberculosis at the present stage of medicine development (literature review)]. Trauma. Vol. 14, №1. Retrieved from URL: (in
8. Golka, G. G., 2005. Suchasni pidhody do diagnostyky ta likuvannja tuberkul'oznogo spondylitu [Modern approaches to the diagnosis and treatment of tuberculosis spondylitis]. The dissertation for PhD in medical sciences, specialty 4.01.21 – traumatology and orthopedics. Institute of Spine and Joint Pathology named after prof. M.I. Sitenko. Kharkiv (in Ukrainian).
9. Karasevska,Т.A. at al., 2015. Osoblyvosti perebigu podagry v zhinok: ogljad literatury ta vlasni sposterezhennja [Peculiarity of gout course in female: literature review and own research].Ukrainian Rheumatology Journal. № 62(4), 73–76 (in Ukrainian).
10. Kornus, А.О., Kornus, O.Н., Shyshchuk, V.D., 2017. Regional issues on road accidents and traffic injury in Ukraine. Human Geographies. №11(2), 197–212. DOI: 10.5719/hgeo.2017.112.5
11. Kornus, O.H., Kornus, A.O., Shyshchuk, V.D., 2015. Terytorialno-nozolohichna struktura zakhvoriuvanosti naselennia Sumskoi oblasti [Territorialnosological structure of population morbidity of the Sumy region]. Sumy State Pedagogical University named after A.S. Makarenko. Sumy (in Ukrainian).
12. Kovalenko, V.N. at al., 2009. Rekomendacii' z diagnostyky, profilaktyky ta likuvannja systemnogo osteoporozu u zhinok v postmenopauzal'nomu periodi [Guidance for diagnostic, prevention and management of osteoporosis in postmenopausal women].Ukrainian Rheumatology Journal. № 3(37), 23-29 (in Ukrainian).
13. Kovalenko, V.N. at al., 2010. Systemnyj chervonyj vovchak: patogenetychni osoblyvosti klinichnoi' symptomatyky, suchasna diagnostychna i terapevtychna taktyky vedennja hvoryh [Systemic lupus erythematosus: pathogenetic characteristic of clinical manifestations, current diagnostic and therapeutic strategy]. Ukrainian Rheumatology Journal. № 1 (39), 13–23 (in Ukrainian).
14. Kuprinenko, N., 2015. Bone and joint diseases and age: principal study outlines (the symposium review). Pain. Joints. Spine. № 2 (18), 5–16.
15. Mezentseva, N.I. &Batychenko, S.P., 2009. Suspilnogeografichnyj analiz zakhvoryuvanosti naselennya regioniv Ukrayiny [Humangeographical analysis of the population morbidity in Ukrainian regions]. Human Geography Journal. Issue 7(2), 130–134. (in Ukrainian).
16. Mikhailiv, L.M., 2016. Suchasnyj stan problemy rann'oi' diagnostyky ta adekvatnogo likuvannja podagry [State of the problem of early diagnosis and adequate treatment of gout]. Problems of osteology. Vol. 19, № 2, 8-14 (in Ukrainian).
17. Neyko, Ye.M. Yatsyshyn, R.I., Shtefiuk, O.V., 2009. Revmatoi'dnyj artryt: suchasnyj pogljad na problemu [Rheumatoid Arthritis is a modern view on the problem]. Ukrainian Rheumatology Journal. № 2(36), 35–39 (in Ukrainian).
18. Osteoartroz – deformivnyj artroz, 2011 [Osteoarthrosis – deforming arthrosis]. Medical portal. Retrieved from URL: (in Ukrainian).
19. Podagra: suchasnyj stan problemy, pidhody do diagnostyky ta shljahy korekcii', 2015.[Gout: the current state of the problem, approaches to diagnosis and ways of correction]. Medical portal «Health of Ukraine». Retrieved from URL: (in Ukrainian).
20. Pogrebskyi, T., 2014. Osoblyvosti zahvorjuvanosti ta smertnosti naselennja Ukrai'ny [The features of morbidity and mortality of Ukrainian population]. Human Geography Journal. Issue 16(1), 170–174. (in Ukrainian).
21. Revmatoidnyj artrit. Diagnostika i lechenie, 2001. [Rheumatoid arthritis. Diagnosis and treatment].Ed. byV.N. Коvalenkо. Morion. Кyiv(in Russian).
22. Shafranskyi, V.V. ed. by, 2016. Shchorichna dopovid pro stan zdorovia naselennia, sanitarnoepidemichnu sytuatsiiu ta rezultaty diialnosti systemy okhorony zdorovia Ukrainy. 2015 rik [Annual report about the public health state, sanitary-epidemiological situation and the activity results of the health care system of Ukraine. 2015].
Ministry of health care of Ukraine, Ukrainian institute for strategic studies of the Ministry of health care of Ukraine. Кyiv (in Ukrainian).
23. Shyshchuk, V.D. at al.,2013. Typologija rajoniv Sums'koi' oblasti za rivnem zahvorjuvanosti dytjachogo naselennja na ortopedotravmatologichni patologii' [The typification of the Sumy region districts based on the level of the morbidity of children’s population with orthopedic and traumatologic pathology]. Buk. Med. Herald. Vol. 17, № 1(65), 178–185(in Ukrainian).
24. Shyschuk, V.D at al., 2016. Dorozhnij travmatyzm ta regional'na systema travmatologichnoi' dopomogy: medychnyj ta terytorial'nyj aspekty (na prykladi Sums'koi' oblasti) [Road traffic injuries and regional system of trauma care: medical and territorial aspects (case study of Sumy region)]. Journal of Education, Health and Sport. № 6(9), 460–470. DOI: 10.5281/zenodo.154277 (in Ukrainian).
25. Sonko, S., Shiyan D., 2015. The study of population morbidity based on the spatial diffuse models in old industrial region of Krivbass. Human Geography Journal. Issue 18(1), 63–69.
26. Svyrydova, N.K. at al., 2015. Degeneratyvnodystrofichni zahvorjuvannja hrebta: osoblyvosti diagnostyky ta likuvannja [Degenerative and dystrophic diseases of the spine: features of diagnosis and treatment]. East European journal of neurology. № 2, 14–26 (in Ukrainian).
27. Zaklady ohorony zdorov’ja ta zahvorjuvanist' naselennja Ukrai'ny u 2016 roci, 2017.[Institutions of health and morbidity of the population of Ukraine in 2016]. Statistical bulletin.State Statistic Service of Ukraine. Кyiv (in Ukrainian).
How to Cite
Kornus, O., Kornus, A., Shyshchuk, V., & Nurein, N. (2019). Regional morbidity profile of the Sumy region population by diseases of the musculoskeletal system and connective tissue. Journal of Geology, Geography and Geoecology, 27(3), 431-443.