What low back pain is and why we need to pay attention

Lancet Low Back Pain Series Working Group

Publikation: Bidrag til tidsskriftReviewForskningpeer review

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Resumé

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.

OriginalsprogEngelsk
TidsskriftLancet Oncology
Vol/bind391
Udgave nummer10137
Sider (fra-til)2356-2367
ISSN1470-2045
DOI
StatusUdgivet - 9. jun. 2018

Fingeraftryk

Low Back Pain
Cognition
Population
Comorbidity
Public Health
Age Groups

Citer dette

Lancet Low Back Pain Series Working Group (2018). What low back pain is and why we need to pay attention. Lancet Oncology, 391(10137), 2356-2367. https://doi.org/10.1016/S0140-6736(18)30480-X
Lancet Low Back Pain Series Working Group. / What low back pain is and why we need to pay attention. I: Lancet Oncology. 2018 ; Bind 391, Nr. 10137. s. 2356-2367.
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abstract = "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.",
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Lancet Low Back Pain Series Working Group 2018, 'What low back pain is and why we need to pay attention', Lancet Oncology, bind 391, nr. 10137, s. 2356-2367. https://doi.org/10.1016/S0140-6736(18)30480-X

What low back pain is and why we need to pay attention. / Lancet Low Back Pain Series Working Group.

I: Lancet Oncology, Bind 391, Nr. 10137, 09.06.2018, s. 2356-2367.

Publikation: Bidrag til tidsskriftReviewForskningpeer review

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, Stéphane

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 Working Group

N1 - Copyright © 2018 Elsevier Ltd. All rights reserved.

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 - Adult

KW - Aged

KW - Attention

KW - Cost of Illness

KW - Cost-Benefit Analysis/methods

KW - Delivery of Health Care/economics

KW - Disabled Persons/psychology

KW - Female

KW - Humans

KW - Low Back Pain/complications

KW - Male

KW - Middle Aged

KW - Recurrence

KW - Social Class

U2 - 10.1016/S0140-6736(18)30480-X

DO - 10.1016/S0140-6736(18)30480-X

M3 - Review

C2 - 29573870

VL - 391

SP - 2356

EP - 2367

JO - The Lancet Oncology

JF - The Lancet Oncology

SN - 1470-2045

IS - 10137

ER -

Lancet Low Back Pain Series Working Group. What low back pain is and why we need to pay attention. Lancet Oncology. 2018 jun 9;391(10137):2356-2367. https://doi.org/10.1016/S0140-6736(18)30480-X