The burden of low back pain in Brazil: estimates from the Global Burden of Disease 2017 Study.
The burden of low back pain in Brazil: estimates from the Global Burden of Disease 2017 Study.
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DOI：
10.1186/s12963-020-00205-4
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发表时间：
2020-09-30
影响因子：
3.3
通讯作者：
Cousin E
中科院分区：
文献类型：
--
作者：
de David CN;Deligne LMC;da Silva RS;Malta DC;Duncan BB;Passos VMA;Cousin E
肌肉骨骼（MSK）疾病的患病率和负担在世界各地都在增长，而腰痛（LBP）是全球疾病负担（GBD）研究中五种定义的MSK疾病中最重要的。在过去的三十年里，LBP一直是非致命健康损失的主要原因。本研究的目的是根据GBD 2017研究中的信息描述巴西LBP负担的现状和趋势。我们估计了1990年至2017年期间巴西联邦单位，性别，年龄组和年龄标准化的LBP患病率和残疾年数（YLD），并对归因于总人口增长和人口老龄化的年龄和性别特异性YLD率的变化进行了分解分析，以了解巴西LBP YLD率变化的驱动因素。此外，我们还分析了在此期间这种疾病的残疾调整生命年（DADs）排名的变化。结果显示巴西LBP的高患病率和负担。从1990年到2017年，LBP患病率增加了26.83%（95% UI 23.08至30.41）。这种MSK状况是巴西YLD的最重要原因，其中负担的增加主要与人口规模和老龄化的增加有关。巴西各联邦单位之间的低血压年龄标准化YLD率相似。在巴西，LBP是导致糖尿病的三大原因之一，尽管它并不导致死亡。这项研究的结果表明，LBP是YLD的最重要原因，也是巴西DALLS的第三大原因。巴西人口正在老龄化，该国正在经历快速的流行病转变，这导致越来越多的人需要长期护理。在这种情况下，应更多地关注非致命性健康状况的负担。
The prevalence and burden of musculoskeletal (MSK) conditions are growing around the world, and low back pain (LBP) is the most significant of the five defined MSK disorders in the Global Burden of Disease (GBD) study. LBP has been the leading cause of non-fatal health loss for the last three decades. The objective of this study is to describe the current status and trends of the burden due to LBP in Brazil based on information drawn from the GBD 2017 study. We estimated prevalence and years lived with disability (YLDs) for LBP by Brazilian federative units, sex, age group, and age-standardized between 1990 and 2017 and conducted a decomposition analysis of changes in age- and sex-specific YLD rates attributable to total population growth and population ageing for the purpose of understanding the drivers of changes in LBP YLDs rates in Brazil. Furthermore, we analyzed the changes in disability-adjusted life years (DALYs) rankings for this disease over the period. The results show high prevalence and burden of LBP in Brazil. LBP prevalence increased 26.83% (95% UI 23.08 to 30.41) from 1990 to 2017. This MSK condition represents the most important cause of YLDs in Brazil, where the increase in burden is mainly related to increase in population size and ageing. The LBP age-standardized YLDs rate are similar among Brazilian federative units. LBP ranks in the top three causes of DALYs in Brazil, even though it does not contribute to mortality. Findings from this study show LBP to be the most important cause of YLDs and the 3rd leading cause of DALYs in Brazil. The Brazilian population is ageing, and the country has been experiencing a rapid epidemiological transition, which generates an increasing number of people who need chronic care. In this scenario, more attention should be paid to the burden of non-fatal health conditions.
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DOI：
10.1016/s0140-6736(18)32203-7
发表时间：
2018-11-10
期刊：
Lancet (London, England)
影响因子：
--
作者：
GBD 2017 Causes of Death Collaborators
通讯作者：
GBD 2017 Causes of Death Collaborators
影响因子：
4.8
作者：
Duncan BB;Schmidt MI;Ewerton Cousin;Moradi-Lakeh M;Passos VMA;França EB;Marinho F;Mokdad AH
通讯作者：
Mokdad AH
影响因子：
34.3
作者：
Salomon, Joshua A.;Haagsma, Juanita A.;Vos, Theo
通讯作者：
Vos, Theo
DOI：
10.1590/s1413-81232011001000012
发表时间：
2011-09-01
期刊：
Ciência & Saúde Coletiva
影响因子：
--
作者：
Barros, Marilisa Berti de Azevedo;Francisco, Priscila Maria Stolses Bergamo;César, Chester Luiz Galvão
通讯作者：
César, Chester Luiz Galvão
影响因子：
--
作者：
Hoy, Damian;Bain, Christopher;Buchbinder, Rachelle
通讯作者：
Buchbinder, Rachelle