Global, regional and national burden of low back pain 1990-2019: A systematic analysis of the Global Burden of Disease study 2019.

Global, regional and national burden of low back pain 1990-2019: A systematic analysis of the Global Burden of Disease study 2019.
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1990-2019 年全球、区域和国家腰痛负担:2019 年全球疾病负担研究的系统分析

DOI:
10.1016/j.jot.2021.07.005
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发表时间:
2022-01
影响因子:
6.6
通讯作者:
Xiao G
Xiao G
中科院分区:
医学2区
文献类型:
--
作者:
Chen S;Chen M;Wu X;Lin S;Tao C;Cao H;Shao Z;Xiao G

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按年龄、性别和社会人口指数(SDI)综合分析1990年至2019年全球腰痛(LBP)患病率、发病率和残疾生活年限(YLDs)的水平和趋势。从2019年全球疾病负担(GBD)研究中获得公开可用的建模数据和方法,并通过系统分析用于评估LBP的全球负担。从全球范围来看,1990 - 2019年LBP的年龄标准化患病率、发病率和YLDs率略有下降,但流行病例数、发病率和YLDs数均大幅增加,2019年LBP仍是全球YLDs的主要原因。流行病例数随年龄增长而增加,男女均在45-54岁达到高峰;全球女性患病率高于男性,且随年龄增长而上升,2019年男女患病率在80-84岁达到高峰。总体而言,在过去的30年里,年龄标准化的YLD率和SDI之间存在正相关。在全国范围内,美国、丹麦和瑞士的年龄标准化患病率最高,而赞比亚、津巴布韦和加拿大在1990年至2019年期间的年龄标准化患病率增幅最高。腰痛是一个全球性的重大公共卫生问题,其负担仍然很高。需要提高人们对其危险因素和预防措施的认识,以减轻这种疾病的未来负担。由于LBP在全球范围内的高流行率和沉重负担,更新其流行病学数据具有重要意义。该系统分析为研究人员和卫生保健政策制定者提供了关于全球腰痛负担的最新、全面和可比较的信息,具有临床转化意义。
To comprehensively analyze the global level and trends of prevalence, incidence and years lived with disability (YLDs) for low back pain (LBP) from 1990 to 2019 by age, sex and sociodemographic index (SDI). Publicly available modelled data and methods were obtained from the Global Burden of Diseases (GBD) study 2019, and used to evaluate the global burden of LBP through a systematic analysis. Globally, the age-standardized prevalence, incidence and YLDs rate of LBP were slightly decreased from 1990 to 2019, but the number of the prevalent cases, incident cases and YLDs had substantially increased, and LBP remains the leading cause of YLDs in 2019 worldwide. The number of prevalent cases was increased with age and peaked at the age of 45–54 years for both sexes, and the global prevalence rate was higher in females than in males and increased with age, peaking at the 80–84 age group in both sexes in 2019. Overall, a positive association between the age-standardized YLD rate and SDI was observed over the past thirty years. At the national revel, the United States, Denmark and Switzerland had the three highest levels of age-standardized prevalence, while Zambia, Zimbabwe and Canada showed the highest increase in the age-standardized prevalence during 1990–2019. LBP is a major public health issue globally, and its burden remains high. Increasing population awareness about its risk factors and preventive measures for LBP are needed to reduce the future burden of this condition. Due to the high prevalence and heavy burden of LBP globally, it is important to update its epidemiological data. This systematic analysis provides researchers and healthcare policy makers with up-to-date, comprehensive and comparable information on global LBP burden, which is of clinical translational significance.
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发表时间: 2020-09-30
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de David CN;Deligne LMC;da Silva RS;Malta DC;Duncan BB;Passos VMA;Cousin E
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