COPCORD, standing for the Community Oriented Program for Control of Rheumatic Diseases. COPCORD is primarily an ILAR (International League of Associations for Rheumatology) initiative which was launched in collaboration with WHO (World Health Organization) in late 1980s. The program was created for the recognition, prevention and control of rheumatic disorders in developing countries. The program was meant to measure and evaluate ‘pain and disability’ in rheumatic disorders. The active and enthusiastic participation of community and its health care providers to complete COPCORD surveys has been overwhelmingly satisfactory and endearing.
In the parent COPCORD model , population data (Stage I) was collected through three successive phases- house to house survey by a local health worker to identify cases (Phase I), interview based questionnaires by paramedics to capture pain and disability (Phase II), and a standard medical evaluation by a doctor with some training in rheumatology (Phase III). COPCORD also advocates education of the community and health care providers and identification of risk factors (Stage II). Based on community data, it also encourages investigators to plan, execute, and maintain improved health care through preventive and control strategies (Stage III). A validated core questionnaire (CCQ), developed initially by ILAR could be modified to suit the local requirements as far as the principle questions on pain and disability were unchanged.
Prof Davatchi from our country have played critical COPCORD roles. Prof Davatchi is the current APLAR COPCORD coordinator.
A pilot COPCORD study started in Iran on 3 October 2003. The first real COPCORD study started in Tehran (stage I, urban study) on 27 February 2004. On 27 February 2007, the next study, a rural study (stage I), started in the northwest of Iran, in five villages and done in 2009. The third study was done in the southeast of Iran, in the city of Zahedan (stage I, urban study) in 2009. The fourth study was done in Sanandaj, in the northwest of Iran (stage I, urban study) in 2012. The fifth study was finished in 2016, in the Center of Iran.
Nasrin Moghimi, Fereydoun Davatchi, Ezat Rahimi, Afshin Saidi, Naser Rashadmanesh, Solmaz Moghimi, Hoshyar Ghafori, Peiman Zandi, Negin Ahmadi, Hamed Ghafori, Mohsen Moghimi, Marjan hajiheshmati. WHO-ILAR COPCORD study (stage 1, urban study) in Sanandaj, Iran. Clinical Rheumatology . 2015;34(3)535-43. doi: 10.1007/s10067-013-2430-0.
Mahnaz SANDOUGHI, Zahra ZAKERI, Arash TEHRANI BANIHASHEMI, Fereydoun DAVATCHI, Behzad NAROUIE, Abdolsamad SHIKHZADEH, Mahdi MOHAMMADI, Mehdi JAHANTIGH, Mansoor SHAKIBA, Nezar Ali MOULAEI, Shahaboddin YOUSEFI, Behzad REZAZEHI, Eghbal SHIRZAEI SANI, Abolfazl EMAMDADI, Mohammad HOSEYNIAN, Sedighe MASOODIAN and Sogol SHAHBAKHSH. Prevalence of musculoskeletal disorders in southeastern Iran: a WHO‐ILAR COPCORD study (stage 1, urban study). International Journal of Rheumatic Diseases. 2013;16(5)509-17. doi: 10.1111/1756-185X.12110.
Sadeghi-Abdollahi B, Eshaghi A, Hosseini SN, Ghahremani M, Davatchi F. The efficacy of Back School on chronic low back pain of workers of a pharmaceutical company in a Tehran Suburb. COPCORD stage II study.. International Journal of Rheumatic Diseases. 2011;15(2)144-53. doi: 10.1111/j.1756-185X.2011.01660. x.
M Mirmohammadkhani, A Rahimi Foroushani, F Davatchi, K Mohammad, A Jamshidi, A Tehrani Banihashemi, K Holakouie Naieni. Multiple Imputation to Deal with Missing Clinical Data in Rheumatologic Surveys: an Application in the WHO-ILAR COPCORD Study in Iran. Iranian Journal of Public Health . 2012;41(1)87-95. doi: 23113127.
Syed Atiqul Haq, Fereydoun Davatchi, Saeideh Dahaghin, Nazrul Islam, Aniruddha Ghose, John Darmawan, Arvind Chopra, Zeng Quing Yu,5 and I Dans. Johannes J. Rasker. Development of a Questionnaire for Identification of the Risk Factors for steoarthritis of the Knees, in developing countries. A pilot study in Iran and Bangladesh. An ILARCOPCORD phase III study. International Journal of Rheumatic Diseases. 2011;13(3)203-14. doi: 10.1111/j.1756-185X.2010.01529.x.
Davatchi F, Jamshidi AR, Tehrani Banihashemi A, Gholami J, Hossein Forouzanfar M, Akhlaghi M, Barghamdi M, Noorolahzadeh E, Khabazi AR, Salesi M, Salari AH, Karimifar M, Essalat-Manesh K, Hajialiloo M, Soroosh M, Farzad F, Moussavi HR, Samadi F, Ghaznavi K, Asgharifard H, Zangiabadi AH, Shahram F, Nadji A, Akbarian M, Gharibdoost F, Rasker JJ.. Effect of Ethnic Origin (Caucasians versus Turks) on the Prevalence of Rheumatic Diseases: a WHO-ILAR COPCORD Urban Study in Iran. Clinical Rheumatology . 2009;28(11)1275-82. doi: 10.1007/s10067-009-1235-7.
F. Davatchi, A. Tehrani Banihashemi, J. Gholami, T.h Faezi, MH. Forouzanfar, M. Salesi, M. Karimifar, K. Essalatmanesh, M. Barghamdi, E. Noorolahzadeh, S. Dahaghin and Johannes J Rasker. The prevalence of musculoskeletal complaints in a rural area in Iran A WHO-ILAR COPCORD STUDY (Stage 1, rural study) in IRAN. Clinical Rheumatology. 2009;28(11)1267-74. doi: 10.1007/s10067-009-1234-8.
Dahaghin S, Jamshidi AR, Tehrani Banihashemi A, Gholami J, Forouzanfar MH, Akhlaghi M, Khabazi AR, Noorolahzadeh E, Barghamdi M, Arabzadeh B, Davatchi F. The prevalence of symptomatic hand osteoarthritis in Tehran: Community-oriented program for Control of Rheumatic Diseases- COPCORD. Tehran University Medical Journal . 2009;67(6)9. doi: .