Is Back Pain Increasing? Results from National Surveys in Finland during 1978/9–1992

Leino, P; Berg, Mari-Anna; Puska, Pekka

doi:10.3109/03009749409103728

Cited by 73 publications

(40 citation statements)

References 15 publications

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“…GP consultation rate data for back pain from each of the four National Morbidity Surveys [4,10,13,14] cannot be compared because they are based on different versions of the International Classification of Diseases. A Finnish study using the same method for 14 successive years did not show an increase in the prevalence of back pain [8].…”

Section: Department Of Social Security (Dss) Costsmentioning

confidence: 84%

Crisis: what crisis?

Underwood¹

1998

European Spine Journal

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There is a large economic cost associated with low back pain. In 1994 its cost to the United Kingdom (UK) was estimated by the UK Clinical Standards Advisory Group report to be nearly £6,000 million (ECU 8,350 million) annually. This principally consists of the indirect costs of lost production and disability payments rather than direct health service costs. A re-examination of the assumptions in the report shows that these costs appear to overestimate the economic cost of back pain by an unquantified, but possibly large, amount. This may restrict the benefit of introducing more effective treatments for back pain.

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Section: Department Of Social Security (Dss) Costsmentioning

confidence: 84%

Crisis: what crisis?

Underwood¹

1998

European Spine Journal

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“…Moreover, other cross-sectional studies performed among adults and adolescents confirm the beginning of lumbar pain in adolescence, particularly at the time of the pubertal growth spurt [14,32,33]. This topic was reviewed in a recent publication [63].…”

Section: Epidemiological Datamentioning

confidence: 99%

Non-specific low back pain in children and adolescents: risk factors

Balagué¹,

Troussier

Salminen

1999

European Spine Journal

338

291

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IntroductionBackache in children and adolescents has traditionally been considered a rare and serious condition, causing one to suspect an organic, infectious, inflammatory or neoplastic origin. Several surveys, however, have revealed a high prevalence of backache, and particularly of lumbar pain, in these age groups, indeed sometimes similar to that reported for adults. The purpose of this article is to review the recent literature, published since 1992 [6], on this topic. Epidemiological dataThe prevalence of back pain in children varies according to the age of the population studied and, particularly, according to the methodology of the studies themselves, viz.:1. Cross-sectional studies by means of a questionnaire, with or without the participation of an investigator, looking at subjective morbidity [4,5,8,9,13,18,26,35,41,48,50,59,62,64,69]. 2. Cross-sectional studies based on physical examination of the subjects, to evaluate the measurable morbidity [4,13,35,48,50,69]. 3. Longitudinal studies (cohort studies) to measure the yearly incidence of spinal pain [12,15].Moreover, studies differ in terms of the definition of backache selected (any localisation of spinal pain versus pain limited to the lumbar area, radicular pain), and also according to the type of prevalence studied (lifetime prevalence or point prevalence of back pain). Several approaches are used in evaluating the intensity of pain: relapsing or permanent pain, need for medical care, or disability due to pain. Furthermore, in studying risk factors, it is important from a methodological point of view to distinguish cross-sectional studies without either a control group or multiple analysis of variance [2, 9, 13, 18, 22, Abstract Low back pain (LBP) among children and adolescents has become the subject of an increasing amount of literature over the last 15 years. This topic, which was considered almost insignificant less than two decades ago, was the focus of a recent international meeting organised in Grenoble (France) in March 1999. This review paper is the result of an literature update search performed by members of three groups which have been active in this field for many years. Current epidemiological data on LBP is summarized as well as the role of the major risk factors according to studies published in the principal peer reviewed journals interested in the topic.Key words Non-specific low back pain · Schoolchildren · Risk factors · Epidemiology Eur Spine J (1999) 8 : 429-438 REVIEW

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“…This is agreement with the study conducted by Leino P et al which stated that low backache symptoms were more prevalent in females and prevalence of low backache increases with age. 8 44 females (17.6%) of total patients in our study were uneducated and unemployed. Hurwitz et al, stated in his study that age 25-64 years and uneducated and unemployed population are often at higher risk having disabling back conditions.…”

Section: Discussionmentioning

confidence: 64%