The Epidemiology of low back pain
The Epidemiology of low back pain
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DOI：
10.1016/j.berh.2010.10.002
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发表时间：
2010-12-01
影响因子：
5.2
通讯作者：
Buchbinder, R.
中科院分区：
文献类型：
--
作者：
Hoy, D.;Brooks, P.;Buchbinder, R.
下背痛是一个非常常见的问题，大多数人在生活中的某个时候都会遇到。虽然腰背痛流行病学研究之间存在大量异质性，限制了比较和汇总数据的能力，但首次腰背痛发作的1年发生率估计值范围在6.3%至15.4%之间，而任何腰背痛发作的1年发生率估计值范围在1.5%至36%之间。在基于医疗机构或临床的研究中，1年时的发作缓解率范围为54%-90%;然而，大多数研究并未表明基线和随访时间点之间的发作是否连续。大多数经历活动限制性腰痛的人都会反复发作。1年时的复发率估计值范围为24%至80%。鉴于缓解和复发定义的变化，需要进一步的基于人群的研究来评估超过1年或更长时间的腰痛发作的日常模式。有大量关于腰痛患病率的信息，点患病率估计值范围为1.0%-58.1%（平均值：18.1%;中位数：15.0%），1年患病率范围为0.8%-82.5%（平均值：38.1%;中位数：37.4%）。由于数据的异质性，需要谨慎解释平均估计值。许多环境和个人因素影响腰痛的发作和病程。研究发现，腰痛的发病率在第三个十年最高，总体患病率随着年龄的增长而增加，直到60-65岁年龄组，然后逐渐下降。其他常见的风险因素包括教育水平低，压力，焦虑，抑郁，工作不满，工作场所的社会支持水平低和全身振动。腰痛对全世界的个人、家庭、社区、政府和企业都有巨大的影响。2005年全球疾病负担研究（GBD 2005）目前正在评估与损伤和活动受限相关的腰痛全球负担。结果将于2011年公布。需要进一步的研究来帮助我们更多地了解腰痛的更广泛的结果和影响。(C)2010爱思唯尔有限公司保留所有权利。
Low back pain is an extremely common problem that most people experience at some point in their life. While substantial heterogeneity exists among low back pain epidemiological studies limiting the ability to compare and pool data, estimates of the 1 year incidence of a first-ever episode of low back pain range between 6.3% and 15.4%, while estimates of the 1 year incidence of any episode of low back pain range between 1.5% and 36%. In health facility- or clinic-based studies, episode remission at 1 year ranges from 54% to 90%; however, most studies do not indicate whether the episode was continuous between the baseline and follow-up time point(s). Most people who experience activity-limiting low back pain go on to have recurrent episodes. Estimates of recurrence at 1 year range from 24% to 80%. Given the variation in definitions of remission and recurrence, further population-based research is needed to assess the daily patterns of low back pain episodes over 1 year and longer. There is substantial information on low back pain prevalence and estimates of the point prevalence range from 1.0% to 58.1% (mean: 18.1%; median: 15.0%), and 1 year prevalence from 0.8% to 82.5% (mean: 38.1%; median: 37.4%). Due to the heterogeneity of the data, mean estimates need to be interpreted with caution. Many environmental and personal factors influence the onset and course of low back pain. Studies have found the incidence of low back pain is highest in the third decade, and overall prevalence increases with age until the 60-65 year age group and then gradually declines. Other commonly reported risk factors include low educational status, stress, anxiety, depression, job dissatisfaction, low levels of social support in the workplace and whole-body vibration. Low back pain has an enormous impact on individuals, families, communities, governments and businesses throughout the world. The Global Burden of Disease 2005 Study (GBD 2005) is currently making estimates of the global burden of low back pain in relation to impairment and activity limitation. Results will be available in 2011. Further research is needed to help us understand more about the broader outcomes and impacts from low back pain. (C) 2010 Elsevier Ltd. All rights reserved.