TY - JOUR
T1 - What low back pain is and why we need to pay attention
AU - Hartvigsen, Jan
AU - Hancock, Mark J.
AU - Kongsted, Alice
AU - Louw, Quinette
AU - Ferreira, Manuela L.
AU - Genevay, Stephane
AU - Hoy, Damian
AU - Karppinen, Jaro
AU - Pransky, Glenn
AU - Sieper, Joachim
AU - Smeets, Rob J.
AU - Underwood, Martin
AU - Lancet Low Back Pain Series Workin
PY - 2018/6/9
Y1 - 2018/6/9
N2 - Low back pain is a very common symptom. It occurs in high-income, middle-income, and low-income countries and all age groups from children to the elderly population. Globally, years lived with disability caused by low back pain increased by 54% between 1990 and 2015, mainly because of population increase and ageing, with the biggest increase seen in low-income and middle-income countries. Low back pain is now the leading cause of disability worldwide. For nearly all people with low back pain, it is not possible to identify a specific nociceptive cause. Only a small proportion of people have a well understood pathological cause-eg, a vertebral fracture, malignancy, or infection. People with physically demanding jobs, physical and mental comorbidities, smokers, and obese individuals are at greatest risk of reporting low back pain. Disabling low back pain is over-represented among people with low socioeconomic status. Most people with new episodes of low back pain recover quickly; however, recurrence is common and in a small proportion of people, low back pain becomes persistent and disabling. Initial high pain intensity, psychological distress, and accompanying pain at multiple body sites increases the risk of persistent disabling low back pain. Increasing evidence shows that central pain-modulating mechanisms and pain cognitions have important roles in the development of persistent disabling low back pain. Cost, health-care use, and disability from low back pain vary substantially between countries and are influenced by local culture and social systems, as well as by beliefs about cause and effect. Disability and costs attributed to low back pain are projected to increase in coming decades, in particular in low-income and middle-income countries, where health and other systems are often fragile and not equipped to cope with this growing burden. Intensified research efforts and global initiatives are clearly needed to address the burden of low back pain as a public health problem.
AB - Low back pain is a very common symptom. It occurs in high-income, middle-income, and low-income countries and all age groups from children to the elderly population. Globally, years lived with disability caused by low back pain increased by 54% between 1990 and 2015, mainly because of population increase and ageing, with the biggest increase seen in low-income and middle-income countries. Low back pain is now the leading cause of disability worldwide. For nearly all people with low back pain, it is not possible to identify a specific nociceptive cause. Only a small proportion of people have a well understood pathological cause-eg, a vertebral fracture, malignancy, or infection. People with physically demanding jobs, physical and mental comorbidities, smokers, and obese individuals are at greatest risk of reporting low back pain. Disabling low back pain is over-represented among people with low socioeconomic status. Most people with new episodes of low back pain recover quickly; however, recurrence is common and in a small proportion of people, low back pain becomes persistent and disabling. Initial high pain intensity, psychological distress, and accompanying pain at multiple body sites increases the risk of persistent disabling low back pain. Increasing evidence shows that central pain-modulating mechanisms and pain cognitions have important roles in the development of persistent disabling low back pain. Cost, health-care use, and disability from low back pain vary substantially between countries and are influenced by local culture and social systems, as well as by beliefs about cause and effect. Disability and costs attributed to low back pain are projected to increase in coming decades, in particular in low-income and middle-income countries, where health and other systems are often fragile and not equipped to cope with this growing burden. Intensified research efforts and global initiatives are clearly needed to address the burden of low back pain as a public health problem.
KW - LUMBAR SPINAL STENOSIS
KW - PRIMARY-CARE
KW - AXIAL SPONDYLOARTHRITIS
KW - GLOBAL BURDEN
KW - OLDER-ADULTS
KW - MUSCULOSKELETAL CONDITIONS
KW - PYOGENIC SPONDYLODISCITIS
KW - PROSPECTIVE COHORT
KW - CLINICAL-FEATURES
KW - PHYSICAL-ACTIVITY
U2 - 10.1016/S0140-6736(18)30480-X
DO - 10.1016/S0140-6736(18)30480-X
M3 - Article
SN - 0140-6736
VL - 391
SP - 2356
EP - 2367
JO - Lancet
JF - Lancet
IS - 10137
ER -