Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017
Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017
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DOI：
10.21037/atm.2020.02.175
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发表时间：
2020-03-01
影响因子：
--
通讯作者：
Hoy, Damian
中科院分区：
文献类型：
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作者：
Wu, Aimin;March, Lyn;Hoy, Damian
背景：腰痛（LBP）是全球常见的肌肉骨骼问题。更新LBP的患病率和负担对于研究人员和政策制定者来说非常重要。本文介绍，比较和背景下的全球患病率和残疾年（YLDs）的年龄，性别和地区，从1990年到2017年。方法：数据提取自GBD（全球疾病负担，伤害和风险因素研究）2017年研究。结果：1990年LBP的年龄标化点患病率为8.20%（95%UI：7.31-9.10%），2017年略有下降至7.50%（95%UI：6.75-8.27%）。在1990年的任何一个时间点，LBP的流行人数为3.775亿，2017年增加到5.770亿。女性的LBP标准化患病率高于男性。LBP患病率随年龄增长而增加，在80 ~ 89岁左右达到高峰，然后略有下降。1990年全球YLD为4250万（95% UI：3020万-5720万），2017年增长了52.7%至6490万（95% UI：4650万-8740万）。女性的YLD也高于男性，最初随着年龄的增长而增加;它们在1990年达到35-39岁的峰值，然后下降，而在2017年，它们在45-49岁达到峰值，然后下降。西欧有最高数量的LBP YLDs.Conclusions：在全球范围内，LBP是全球领先的YLDs的原因。迫切需要更加重视减轻这一日益沉重的负担及其对卫生和社会系统的影响。
Background: Low back pain (LBP) is a common musculoskeletal problem globally. Updating the prevalence and burden of LBP is important for researchers and policy makers. This paper presents, compares and contextualizes the global prevalence and years lived with disability (YLDs) of LBP by age, sex and region, from 1990 to 2017.Methods: Data were extracted from the GBD (the Global Burden of Disease, Injuries, and Risk Factors Study) 2017 Study. Age, sex and region-specific analyses were conducted to estimate the global prevalence and YLDs of LBP, with the uncertainty intervals (UIs).Results: The age-standardized point prevalence of LBP was 8.20% (95% UI: 7.31-9.10%) in 1990 and decreased slightly to 7.50% (95% UI: 6.75-8.27%) in 2017. The prevalent numbers of people with LBP at any one point in time in 1990 was 377.5 million, and this increased to 577.0 million in 2017. Age-standardized prevalence of LBP was higher in females than males. LBP prevalence increased with age, and peaked around the ages of 80 to 89 years, and then decreased slightly. Global YLDs were 42.5 million (95% UI: 30.2 million-57.2 million) in 1990 and increased by 52.7% to 64.9 million (95% UI: 46.5 million-87.4 million) in 2017. YLDs were also higher in females than males and increased initially with age; they peaked at 35-39 years of age in 1990, before decreasing, whereas in 2017, they peaked at 45-49 years of age, before decreasing. Western Europe had the highest number of LBP YLDs.Conclusions: Globally, LBP is the leading global cause of YLDs. Greater attention is urgently needed to mitigate this increasing burden and the impact it is having on health and social systems.