The prevalence and years lived with disability caused by low back pain in China, 1990 to 2016: findings from the global burden of disease study 2016

Wu, Ai-Min; Dong, Wenlan; Liu, Shiwei; Cheung, Jason Pui Yin; Kwan, Kenny; Zeng, Xinying; Zhang, Kai; Sun, Zhenyu; Wang, Xiangyang; Cheung, Kenneth Man Chee; Zhou, Maigeng; Zhao, Jie

doi:10.1097/j.pain.0000000000001396

Cited by 73 publications

(54 citation statements)

References 39 publications

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“…Our study has several limitations. It has been described previously how the limitations of the GBD methodology affect associated studies [ 6 , 7 , 9 , 32 ]. Among the most important, the first is that the most recent changes in health status cannot be captured by the GBD study, because of the time lags in the reporting of health information by national authorities.…”

Section: Discussionmentioning

confidence: 99%

Burden of valvular heart disease, 1990-2017: Results from the Global Burden of Disease Study 2017

Chen

Xiang

2020

Journal of Global Health

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Background Valvular heart disease (VHD) is expected to cause an increase in public-health problems in the coming years, especially in elderly populations. We aim to estimate the incidence, mortality, and burden of VHD, by age, from 1990 to 2017 in 195 countries and territories. Methods We estimated the incidence, mortality, and burden of VHD based on the Global Burden of Disease Study 2017. All metrics are presented with their 95% uncertainty intervals (UIs). The Socio-demographic Index was used to identify whether developmental status correlates with health outcomes. Results The global incidence of rheumatic heart disease (RHD) decreased by 8.67% between 1990 and 2017, while that of non-rheumatic VHD (NRVHD) increased by 45.10%. There was a 54.00% decrease in age-standardized death rate (ASDR) for RHD, but a small and non-significant decrease (-3.00%) in the ASDR for NRVHD. The global age-standardized disability-adjusted life years (DALY) rate of RHD decreased by 53.52%, while there was a 12.62% reduction in the age-standardized DALY rate of NRVHD. Conclusions The burden from different VHDs demonstrated a diverse change at a global level between 1990 and 2017. Although RHD burden has an obvious means of mitigation, a substantially high incidence of NRVHD was observed over this time period, especially in the elderly, which may lead to high health care costs and signify the potential for even higher costs in the future.

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Section: Discussionmentioning

confidence: 99%

Burden of valvular heart disease, 1990-2017: Results from the Global Burden of Disease Study 2017

Chen

Xiang

2020

Journal of Global Health

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“…YLD is a measure of the burden of diseases indicating the prevalence of a disorder by loss of health associated with that disability. LBP is the foremost reason for YLD and the second most common cause of hospital visits with the associated direct expenditure of $1.2 billion in Australia, exceeding $100 billion in the US annually [ 6 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Advanced Strategies for the Regeneration of Lumbar Disc Annulus Fibrosus

Tavakoli

Diwan

Tipper

2020

IJMS

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Damage to the annulus fibrosus (AF), the outer region of the intervertebral disc (IVD), results in an undesirable condition that may accelerate IVD degeneration causing low back pain. Despite intense research interest, attempts to regenerate the IVD have failed so far and no effective strategy has translated into a successful clinical outcome. Of particular significance, the failure of strategies to repair the AF has been a major drawback in the regeneration of IVD and nucleus replacement. It is unlikely to secure regenerative mediators (cells, genes, and biomolecules) and artificial nucleus materials after injection with an unsealed AF, as IVD is exposed to significant load and large deformation during daily activities. The AF defects strongly change the mechanical properties of the IVD and activate catabolic routes that are responsible for accelerating IVD degeneration. Therefore, there is a strong need to develop effective therapeutic strategies to prevent or reconstruct AF damage to support operational IVD regenerative strategies and nucleus replacement. By the way of this review, repair and regenerative strategies for AF reconstruction, their current status, challenges ahead, and future outlooks were discussed.

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“…Low back pain (LBP) is a common and disabling disorder, ranked as the leading cause of Years Lived with Disability (YLDs) worldwide [ 1 , 2 ]. In China, a country with a population of 1.4 billion people [ 3 ], LBP was estimated to impact 67.3 million people in 2016 with an increase of 19% since 1990 [ 4 ], and is ranked as the second highest reason for health burden [ 4 ]. The annual prevalence of LBP varies between different occupations [ 5 – 8 ] ranging from 40% in teachers [ 5 ] to 74% in garment workers [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

How do people in China think about causes of their back pain? A predominantly qualitative cross-sectional survey

Coppieters

Setchell

et al. 2020

BMC Musculoskelet Disord

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Background: Low back pain (LBP) is the second highest cause of health burden in China. Delayed recovery, poor clinical outcomes and persistence of LBP are associated with negative pain beliefs about LBP. Chinese philosophies are nested into the daily life of people in China, which is likely to influence pain beliefs. However, there is lack of knowledge about people's discourses regarding their LBP in China. The primary aim of this study was to explore the discourses underlying the beliefs of people in China about what causes their persistent or recurrent LBP. The secondary aim was to investigate the sources of these pain beliefs. Methods: People (n = 152) from South Central, East and North Mainland China with LBP completed an online survey about what they believed caused their persistent or recurrent LBP and where these understandings came from. Potential causes of persistent or recurrent LBP were explored qualitatively using discourse analysis. The sources of these discourses were assessed by descriptive statistics with conventional content analysis. Results: Five discourses were identified to underpin participants' beliefs about what caused their persistent or recurrent LBP, namely: (1) biomedical problems (66.4%), (2) unbalanced lifestyle (48.7%), (3) menstruation and 'kidney' status (9.2%), (4) the 'Five Elements' imbalance (7.9%), and (5) energy status (5.9%). Most participants responded that their pain beliefs were based on information derived from healthcare professionals (59.2%), followed by the internet (24.3%) and family (23.0%). Conclusions: People from moderately and well-developed parts of Mainland China think predominantly in line with a Western biomedical viewpoint about their LBP. Traditional Chinese medicine related pain beliefs mainly to the concept of 'balance' were evident on contemporary Chinese society's understandings of LBP. These cultural beliefs could be relevant to consider in LBP management and involve healthcare professionals, family and patient in this process.

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The prevalence and years lived with disability caused by low back pain in China, 1990 to 2016: findings from the global burden of disease study 2016

Abstract: Supplemental Digital Content is Available in the Text.The China data of GBD 2016 found that 6.73 × 107 individuals had low back pain, and the prevalence was 4.2%. The years lived with disability were 7.7 million and years lived with disability rate was 481.9/100,000.

Cited by 73 publications

References 39 publications

Burden of valvular heart disease, 1990-2017: Results from the Global Burden of Disease Study 2017

Burden of valvular heart disease, 1990-2017: Results from the Global Burden of Disease Study 2017

Advanced Strategies for the Regeneration of Lumbar Disc Annulus Fibrosus

How do people in China think about causes of their back pain? A predominantly qualitative cross-sectional survey

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