Lumbar disc disorders and low-back pain: Socioeconomic factors and consequences

Lumbar disc disorders and low-back pain: Socioeconomic factors and consequences
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DOI:
10.2106/jbjs.e.01273
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发表时间:
2006-01-01
影响因子:
5.3
通讯作者:
Katz, JN
Katz, JN
中科院分区:
医学1区
文献类型:
--
作者:
Katz, JN

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社会经济因素是腰椎疼痛和残疾的重要危险因素。在美国,腰痛的总费用每年超过1000亿美元。其中三分之二的成本是间接的,因为工资损失和生产力下降。每年,只有不到5%的患者有腰痛发作,占总费用的75%。由于间接费用在很大程度上取决于工作状况的变化,因此很难计算许多妇女和学生以及老年人和残疾人的总费用。尽管存在这些方法学上的挑战,腰椎间盘疾病的死亡人数是巨大的,这强调了确定预防这些疾病及其后果的策略的至关重要性。
Socioeconomic factors are important risk factors for lumbar pain and disability. The total costs of low-back pain in the United States exceed $100 billion per year. Two-thirds of these costs are indirect, due to lost wages and reduced productivity. Each year, the fewer than 5% of the patients who have an episode of low-back pain account for 75% of the total costs. Because indirect costs rely heavily on changes in work status, total costs are difficult to calculate for many women and students as well as elderly and disabled patients. These methodologic challenges notwithstanding, the toll of lumbar disc disorders is enormous, underscoring the critical importance of identifying strategies to prevent these disorders and their consequences.