Prevalence of Self-Reported Spinal Pain in Brazil: Results of the National Health Research

Santos, Luiza Gomes; Madeira, Kristian; Longen, Willians Cassiano

doi:10.1590/s1808-185120171603165890

Cited by 12 publications

(18 citation statements)

References 20 publications

(27 reference statements)

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“…We demonstrated similar findings in a study estimating healthcare expenses associated with spinal disorders [25]. Further studies demonstrated that women were more affected by LBP [22,35,36], thus resulting in higher healthcare and lost productivity costs [7]. However, we found that Brazilian male workers seems to be more affected by LBP.…”

Section: Discussionsupporting

confidence: 84%

“…There is a growing prevalence of LBP in Brazil [16], resulting in an increase of 79% in the total number of years lived with disability between 1990 and 2016 [17]. Previous findings showed a LBP prevalence ranging from 10% to 50% in different populations, such as adolescents, adults, and elderly [18][19][20][21][22]. Thus, a large share of the economic active population might be experiencing disability and functional limitations as a consequence of LBP, which leads to negative socioeconomic impacts [23,24].…”

Section: Introductionmentioning

confidence: 99%

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Low back pain should be considered a health and research priority in Brazil: Lost productivity and healthcare costs between 2012 to 2016

et al. 2020

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Background Low Back Pain (LBP) is associated with an increase in disability-adjusted life years, and increased risk of disability retirement and greater absenteeism in Brazil. Hence, evidence on healthcare and lost productivity costs due to LBP is of utmost importance to inform decision-makers. Methods Cost-of-illness study with top-down approach, and societal perspective. We extracted data from National databases, considering the period 2012-2016. Outpatient expenses included clinical, surgical, diagnosis, orthosis/prosthetics, and complementary actions. Inpatient care expenses included hospital and professional services, intensive care unit, and companion stay. For productivity losses, duration of work absence and associated information (workrelated and non-work-related; value of the sickness absence benefit; age; gender; and economic activity) were analyzed. Lost productivity costs were calculated multiplying the absence from work (days) by the daily-benefit. Results The societal costs amounted to US$ 2.2 billion, and productivity losses represented 79% of the costs. Total healthcare expenses were estimated to US$ 460 million. We found more than 880,000 diagnostic images. Individuals with LBP were in total 59 million days absent from work between 2012-2016. The mean lost days absent from work per person, for each

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Low back pain should be considered a health and research priority in Brazil: Lost productivity and healthcare costs between 2012 to 2016

et al. 2020

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“…The study by Smuck et al [38] underscores the importance of physical activity to reduce obesity and lower back pain. Caucasian respondents were 1.7% more likely to suffer spine problems than people of other races, a result consistent with that from Santos et al [39].…”

Section: Chronic Spine Problemssupporting

confidence: 89%

Cholesterol, hypertension and chronic spine problems: a logit model focusing on rural Brazilian residents in 2013

Cruz

Garcias

2020

Preprint

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Background: Over recent decades, Brazil’s health indicators have improved; however, access to the country’s health services is not homogeneous, with urban areas being better served than rural areas. The general objective of this work is to identify the influence of rural residence and other factors on the incidence of chronic spine problems, hypertension, and elevated levels of cholesterol in Brazil using the last Brazilian National Health Survey (NHS - 2013)) definitions and data. The analysis provided by this study contributes data that can be used to determine the probability of these three conditions occurring in Brazil and identifies the most vulnerable rural groups as defined by diet, physical activity, smoking, and alcohol consumption. Method: A logit model was estimated to identify the influence of the variables rural residence, sex, age, race, education, health insurance, work, Body Mass Index (BMI), consumption habits, and region of residence on the chronic conditions analyzed. Results: Results show that rural residents are 5.8% more likely to have chronic spine problems and 0.9% less likely to have hypertension than urban residents. The incidence of all conditions was lower in men than women. The Body Mass Index (BMI) value also influences the chance of having the conditions studied. Individuals with at least a secondary education were less affected by the analyzed conditions than those less educated. There were regional differences in these conditions’ incidence, mainly chronic spine problems and hypertension. Conclusions: The variables BMI, gender, and years of alcohol consumption had significance in all diseases analyzed. To correct underreporting issues, public policies should be directed to expand rural health services. Additionally, actions should be taken to raise the public's awareness of the effects of obesity and alcohol consumption on health.

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“…This condition predominantly affects females due to their anatomical and functional conditions. 7,11 Biomechanical and psychosocial parameters play an important role in the origin of low back pain in both the young and the elderly. It is very important to study the young population, because the treatment of chronic and nonspecific low back pain during this stage of life can be crucial for the prevention of recurrences.…”

Section: Discussionmentioning

confidence: 99%

“…It is very important to study the young population, because the treatment of chronic and nonspecific low back pain during this stage of life can be crucial for the prevention of recurrences. 11,12 Thus, this study targeted an audience of young adult women with a mean age of 21 years, similar lifestyles, and with nonspecific chronic low back pain.…”

Section: Discussionmentioning

confidence: 99%

Classification of Low Back Pain Into Subgroups for Diagnostic and Therapeutic Clarity

Elias

Longen

2020

Coluna/Columna

Self Cite

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Objective To establish a classification in subgroups with symptoms and functionality involving volunteers with nonspecific chronic low back pain for better clarity of functional and therapeutic diagnostic definitions. Methods Observational, quantitative, cross-sectional study with population of 62 university students between 18 and 30 years of age, with a mean age of 21.40 (± 2.40) years, presenting nonspecific lumbar pain for more than three months. Three questionnaires were used for the division into subgroups: STarT Back Screening, the Oswestry Disability Index, and FABQ-Brasil, the VAS evaluation, orthopedic tests: Lasègue’s, Slump test, de Sèze test, Valsalva maneuver, and evaluation of the pain threshold of the right and left iliocostal lumbar muscles. Results All the volunteers included in the study had chronic back pain. Most of them (50%) had normal body mass index, 54.8% were sedentary, and of those who were physically active, 14.5% did body building. The Slump test (35.5%) proved to be more reliable than Lasègue’s test (21%). In the evaluation, the volunteers reported moderate pain intensity (72.6%) and the mean pressure pain threshold was 6.37 kgf and 6.14 kgf for the right and left iliocostal muscles, respectively. In the questionnaires, 85.5% had a low-risk score, that is, a good prognosis for pain treatment, and 91.9% had minimum disability. The largest treatment hypothesis group was stabilization (29.0%). Conclusion The method of treatment subgroup classification is a guide towards better semiological perspectives and the definition of the clinically preferred physiotherapeutic treatment for each case. Level of Evidence III; Diagnostic study.

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Prevalence of Self-Reported Spinal Pain in Brazil: Results of the National Health Research

Cited by 12 publications

References 20 publications

Low back pain should be considered a health and research priority in Brazil: Lost productivity and healthcare costs between 2012 to 2016

Low back pain should be considered a health and research priority in Brazil: Lost productivity and healthcare costs between 2012 to 2016

Cholesterol, hypertension and chronic spine problems: a logit model focusing on rural Brazilian residents in 2013

Classification of Low Back Pain Into Subgroups for Diagnostic and Therapeutic Clarity

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