Epidemiological Differences Between Localized and Nonlocalized Low Back Pain.
Epidemiological Differences Between Localized and Nonlocalized Low Back Pain.
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DOI：
10.1097/brs.0000000000001956
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发表时间：
2017-05-15
期刊：
影响因子：
3
通讯作者：
Salazar Vega EJ
中科院分区：
文献类型：
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作者：
Coggon D;Ntani G;Walker-Bone K;Palmer KT;Felli VE;Harari R;Barrero LH;Felknor SA;Gimeno D;Cattrell A;Vargas-Prada S;Bonzini M;Solidaki E;Merisalu E;Habib RR;Sadeghian F;Kadir MM;Warnakulasuriya SS;Matsudaira K;Nyantumbu B;Sim MR;Harcombe H;Cox K;Sarquis LMM;Marziale MH;Harari F;Freire R;Harari N;Monroy MV;Quintana LA;Rojas M;Harris EC;Serra C;Martinez JM;Delclos G;Benavides FG;Carugno M;Ferrario MM;Pesatori AC;Chatzi L;Bitsios P;Kogevinas M;Oha K;Freimann T;Sadeghian A;Peiris-John RJ;Sathiakumar N;Wickremasinghe AR;Yoshimura N;Kelsall HL;Hoe VCW;Urquhart DM;Derrett S;McBride D;Herbison P;Gray A;Salazar Vega EJ
纵向随访的横断面调查为了验证以下假设，即腰痛与其他解剖部位疼痛同时发生或时间接近的疼痛在流行病学上不同。腰痛（LBP）通常与其他区域疼痛合并发生，与其他区域疼痛具有相似的心理和社会心理风险因素。然而，很少有以前的流行病学研究LBP区分疼痛是局限于下背部，从发生的一部分，更广泛的分布的疼痛。我们分析了CUPID的数据，CUPID是一项队列研究，使用基线和随访问卷收集来自18个国家的47个职业群体（办公室工作人员，护士和其他）的肌肉骨骼疼痛，相关残疾和潜在风险因素的信息。在基线时的12,197例受试者中，609例（4.9%）在过去一个月内报告了局部LBP，3,820例（31.3%）报告了非局部LBP。在过去一个月，非局限性LBP更常与坐骨神经痛相关（48.1%对30.0%的病例），在过去一个月和过去一年中发生的天数更多，更常导致日常活动的残疾（64.1%对47.3%的病例），更常导致医疗咨询和病假。当参与者在平均14个月后进行随访时，这种情况也更常见（65.6%对54.1%的病例）。在调整后的泊松回归分析中，非局部LBP与危险因素，特别是女性，年龄较大和躯体化倾向有差异。不同职业组别的局部及非局部腰痛的相对患病率亦有显著差异。未来的流行病学研究应尽可能区分仅限于下背部的疼痛和与其他解剖部位疼痛相关的LBP。
Cross-sectional survey with longitudinal follow-up To test the hypothesis that pain which is localised to the low back differs epidemiologically from that which occurs simultaneously or close in time to pain at other anatomical sites Low back pain (LBP) often occurs in combination with other regional pain, with which it shares similar psychological and psychosocial risk factors. However, few previous epidemiological studies of LBP have distinguished pain that is confined to the low back from that which occurs as part of a wider distribution of pain. We analysed data from CUPID, a cohort study that used baseline and follow-up questionnaires to collect information about musculoskeletal pain, associated disability and potential risk factors, in 47 occupational groups (office workers, nurses and others) from 18 countries. Among 12,197 subjects at baseline, 609 (4.9%) reported localised LBP in the past month, and 3,820 (31.3%) non-localised LBP. Non-localised LBP was more frequently associated with sciatica in the past month (48.1% vs. 30.0% of cases), occurred on more days in the past month and past year, was more often disabling for everyday activities (64.1% vs. 47.3% of cases), and had more frequently led to medical consultation and sickness absence from work. It was also more often persistent when participants were followed up after a mean of 14 months (65.6% vs. 54.1% of cases). In adjusted Poisson regression analyses, non-localised LBP was differentially associated with risk factors, particularly female sex, older age and somatising tendency. There were also marked differences in the relative prevalence of localised and non-localised LBP by occupational group. Future epidemiological studies should distinguish where possible between pain that is limited to the low back and LBP which occurs in association with pain at other anatomical locations.