Real-world incidence and prevalence of low back pain using routinely collected data

Abstract

Low back pain (LBP) is a common health problem among adults of working age population, and its prevalence or incidence increases with increasing in age. The purpose of this review was to examine the real-world prevalence or incidence of LBP. A systematic review of the literature was conducted in accordance to the PRISMA guideline. Allied and Complementary Medicine Database, Cumulative Index of Nursing and Allied Health Literature, MEDLINE, SportDiscuss and Scopus electronic databases were searched using specifically developed search strategies to identify studies using patients' electronic medical records published in English up to February 2019. The quality of the included studies was assessed using a tool that consists of ten items addressing a risk of bias. The search yielded 756 published studies, of which 13 were deemed relevant and were included in this review. The included studies reported incidence or prevalence data from Canada, United States of America (USA), Sweden, Belgium, Finland, Israel, and Netherlands. All the included studies were assessed to be methodologically sound (low risk of bias). The prevalence and incidence of LBP ranged from 1.4 to 20.0% and 0.024-7.0%, respectively. Three studies reported that the Odds of LBP in male patient was higher than their female counterparts (odds ratio > 1; range 1.11-17.29). Nine studies identified the risk factors of LBP to be age, sex, and race. The remaining four studies also listed high intensity of physical activity, high spinal load, lifting, bending, and twisting as the risk factors for LBP. The results of this study highlighted there is a substantial difference within studies that estimated the prevalence and incidence of LBP. This finding could inform healthcare policy makers to critically examine the data sources of prevalence and incidence studies; this in return might help for resource allocation to manage the condition. PROSPERO registration number: CRD42017078598, https ://www.crd.york.ac.uk/prosp ero/.

<p>A Review of Scientific Evidence for THC:CBD Oromucosal Spray (Nabiximols) in the Management of Chronic Pain</p>

“…6,7 Although estimates for chronic pain prevalence vary according to its definition, the population analyzed, and the method used to collect data, the burden is sizeable, affecting more than 20% of people globally irrespective of world region. [8][9][10][11][12][13][14] By interfering with daily activities, employment status and the ability to work effectively, chronic pain can profoundly impair the general well-being of sufferers. Chronic pain is frequently accompanied by depression, anxiety and sleeping difficulties which combine to further reduce health-related quality of life (HR-QoL).…”

Compression fractures of the spine in children: isn’t it time to change something?

“…На примере 23 пациентов, получивших повреждение позвоночника в 16-18 лет, авторы продемонстрировали, что, несмотря на то что ни в одном случае не было отмечено восстановления формы и высоты тела позвонка, 18 (78 %) из 23 пациентов не имели никаких жалоб на функцию позвоночника, а значения шкалы Oswestry составили 2,5 ± 6,3. Стоит оговориться, что средняя частота возникновения боли в спине среди взрослого населения достигает 20 % [32]. Таким образом, продемонстрировано, что форма позвонка и его функция не всегда прямо коррелируют, а полное восстановление высоты тела поврежденного сегмента, очевидно, не должно являться конечной целью проводимого лечения.…”

Better muscle strength can decrease the risk of arthralgia and back &amp; joint stiffness in Kurdish men; a cross-sectional study using data from RaNCD cohort study

“…Results from a systematic review and meta-analysis on 41 studies have shown that the incidence of low back pain is about 25% among people who have experienced for the rst time, without considering community or occupation [4]. In another systematic review and meta-analysis by Fatoye in 2019 on routinely collected data, the incidence range of low back pain has been reported 0.024%-7.0% [5].…”