The epidemiology, economic burden, and pharmacological treatment of chronic low back pain in France, Germany, Italy, Spain and the UK: a literature-based review

Juniper, Melissa D.; Le, Trong Kim; Mladsi, Deirdre

doi:10.1517/14656560903304063

Cited by 208 publications

(149 citation statements)

References 17 publications

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“…They were found to be 3100 Euro and 17600 Euro, respectively. In our study, the high indirect cost was consistent with data of other countries (20)(21)(22)26). Our cases were most frequently the patients of outpatient clinics of physical therapy, while the second most frequently applied outpatient clinic was neurosurgery.…”

Section: Discussionsupporting

confidence: 91%

Burden of Chronic Low Back Pain in the Turkish Population

İçağasıoğlu¹,

Yumuşakhuylu²,

Ketenci³

et al. 2015

Turk J Phys Med Rehab

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Objective: Chronic low back pain (CLBP) is a great economic burden to the society mainly in terms of the large number of the lost work days and disability, and it appears to be growing. The economic burden of LBP in Turkey is not known. This study aims to analyze the health care resource use, work and productivity loss, and health-related economics of CLBP in Turkey. Material and Methods:The study was designed as a multi-centered cross-sectional survey of patients in physical therapy and rehabilitation clinics from eight different regions of Turkey and 662 patients with CLBP over 18 years of age were included. Data on patient sociodemographics, disease-related healthcare resource use during the previous 6 months, inability to work during the last 3 months, Roland Morris Disability Index for the functional status, and psychological health with Beck Depression Scale were collected. Direct costs included medical visits, investigations, medications, hospitalizations, orthopedic aids, and physical therapy. İndirect costs were evaluated mostly with productivity loss. Results: The total annual direct costs for CLBP per patient were estimated at 1080 TL. The indirect costs were estimated at 5511 TL per patient. Direct cost was correlated with disease severity, duration, and age. Indirect cost was higher in women. Conclusion: The indirect costs for CLBP were significantly higher than the direct costs.

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Section: Discussionsupporting

confidence: 91%

Burden of Chronic Low Back Pain in the Turkish Population

İçağasıoğlu¹,

Yumuşakhuylu²,

Ketenci³

et al. 2015

Turk J Phys Med Rehab

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“…The annual direct costs of LBP in Germany are estimated over €7000 per person. Sick leave at work accounted for 75% of the total cost per patient for LBP (Juniper, 2009). Neverthe-less, other authors support the concept that treating LBP is cost-effective (Moffett, 1999).…”

Section: Introductionmentioning

confidence: 97%

“…LBP has an enormous impact on individuals, families, communities, governments and businesses throughout the world (Hoy, 2010). In Italy where this research has been carried out 8.2% of the Italian population in 1999 suffered from LBP (ISTAT, 1999) and 13.5% reported regular use of analgesics or nonsteroidal anti-inflammatory drugs (NSAIDs) in the two weeks preceding the onset of LBP (Juniper, 2009). The economic burden of LBP is of considerable relevance.…”

Section: Introductionmentioning

confidence: 99%

Return to Work and Painkiller Medication after Rehabilitation for Subacute Back Conditions—A 2-Year Follow-Up

Gison¹,

Bruti²,

Dall’Armi³

et al. 2013

AASoci

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The study was aimed at evaluating the outcome after 2 years in a population of outpatients suffering from Low Back Pain (LBP) who were treated with a multi-disciplinary approach. The end-points were: 1) the rate of return to work (RTW); 2) the frequency of painkiller medication; 3) the frequency of unavoidable surgical operation; 4) the rate of relapses. Eighty consecutive subjects (75% women) were enrolled. They were referred by general physicians and completed the rehabilitation program at our centre. We followed an open, prospective design. The main results were: RTW: 92.5% positive cases; 7.5% failure. Job cohort settlement: 93.1% the same; 6.9% change. Time interval between discharge and RTW: 76.8% few days after discharge. Painkillers: At follow-up 46 participants (57.5%) could stop the medication. Surgical operations: At admission 39 participants presented with lumbar root involvement (48.7%). Only 4 of them had a surgical intervention (10.2%). In a third of cases of the all sample relapses did not occur. In conclusion, a multi-disciplinary model of intervention led to a high rate of RTW, a reduction of painkiller medication, a low rate of surgical interventions and of relapses as well. Further controlled studies are warranted for assessing the cost/benefit ratio. The clear prevalence of LBP in women recommends measures of preventing Medicine.

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“…The highest prevalence rates can be estimated for employees in the "mid-ages". Moreover, the major economic burden results from the high disability rates and the persistent recurrence of the preliminary cervical or lumbar pain [3,4]. As a large part of these disabilities are caused by specific job demands preventive strategies have to focus on the reduction of occupational stressors to avoid chronic episodes of back pain.…”

Section: Introductionmentioning

confidence: 99%

Analysis of spine loads in dentistry—impact of an altered sitting position of the dentist

Wunderlich¹,

Eger²,

Rüther³

et al. 2010

JBiSE

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Neck and low back pain causes highest disability rates in industrialized countries. Apart from bluecollar occupations dentists and dental care personnel are also strongly affected by work related back pain. However, due to missing analysing systems spine exposure could not be adequately estimated for sitting and non load bearing tasks. Therefore, a new biomechanical measurement system was developed to analyze spine and trunk kinematics. To explore the potential kinematics impact on the spine two days of periodontology care have been examined. Moreover, to asses the influence of an altered sitting position data was collected in 9 (day 1) and 12 (day 2) o'clock position. Data were collected and analyzed by the new 3D-SpineMoveGuard. The systems analyze postures and movements of spine and trunk by ultrasound and inclinometer. Two days of routine nonsurgical periodontal treatment were recorded by a frequency of 10 Hz. Moderate awkward postures could be assessed for 90% of the treatment. Up to 85% of the working days were spent in isometric position. Movements were rare and of small amplitude. There were no relevant differences between 9 and 12 o'clock position. The frequently reported back pain in dentists is not only related to severe body postures rather than to the high amount of isometric spine loads. Moreover, an altered sitting position did not reduce this physiological stress. Therefore, dentist specific interventions concepts should pay more attention to physical training during and off work. Ergonomic investments should be carefully evaluated before implemented.

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The epidemiology, economic burden, and pharmacological treatment of chronic low back pain in France, Germany, Italy, Spain and the UK: a literature-based review

Abstract: Prevalence estimates varied, possibly owing to differences in diagnostic criteria and populations studied. Little is known about CLBP's economic burden. Treatment guidelines recommended multimodal treatment.

Cited by 208 publications

References 17 publications

Burden of Chronic Low Back Pain in the Turkish Population

Burden of Chronic Low Back Pain in the Turkish Population

Return to Work and Painkiller Medication after Rehabilitation for Subacute Back Conditions—A 2-Year Follow-Up

Analysis of spine loads in dentistry—impact of an altered sitting position of the dentist

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