The rising prevalence of chronic low back pain.
The rising prevalence of chronic low back pain.
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DOI：
10.1001/archinternmed.2008.543
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发表时间：
2009-02-09
影响因子：
--
通讯作者：
Carey, Timothy S.
中科院分区：
文献类型：
--
作者：
Freburger, Janet K.;Holmes, George M.;Agans, Robert P.;Jackman, Anne M.;Darter, Jane D.;Wallace, Andrea S.;Castel, Liana D.;Kalsbeek, William D.;Carey, Timothy S.
缺乏国家或州一级对慢性腰痛（LBP）患病率趋势的估计。这项研究的目的是确定慢性LBP的患病率，以及患有这种疾病的个人的人口统计学，健康相关和寻求护理的特征在过去14年中是否发生了变化。1992年对北卡罗来纳州（NC）家庭进行了一项横断面电话调查，并于2006年重复进行。1992年联系了4 437户家庭，2006年联系了5 357户家庭，以确定21岁及以上的非住院成年人患有慢性损害（疼痛>3个月，限制日常活动）。这些人接受了更详细的采访，了解他们的健康和寻求护理。慢性、损害性LBP的患病率在14年期间显著上升，从1992年的3.9%（95%CI：3.4-4.4）上升至2006年的10.2%（95%CI：9.3-11.0）。在所有成年年龄层、男性和女性以及白色和黑人中均观察到增加。这两年的症状严重程度和一般健康状况相似。在过去一年中，向医疗保健提供者寻求护理的个人比例从73.1%（95% CI：65.2-79.8）增加到84.0%（95% CI：80.8-86.8），而所有提供者的平均就诊次数相似（19.5 vs 19.4）。慢性，损害性LBP的患病率显着上升，在NC，残疾和护理利用率持续高水平。在过去的二十年里，LBP护理费用的增加很大一部分可能与这种不断上升的患病率有关。
National or state-level estimates on trends in the prevalence of chronic low back pain (LBP) are lacking. The objective of this study was to determine whether the prevalence of chronic LBP, and the demographic, health-related, and care-seeking characteristics of individuals with the condition have changed over the past 14 years. A cross-sectional, telephone survey of a representative sample of North Carolina (NC) households was conducted in 1992 and repeated in 2006. 4,437 households were contacted in 1992 and 5,357 households were contacted in 2006 to identify noninstitutionalized, adults 21 years and older with chronic, impairing (pain>3 months that limits daily activities). These individuals were interviewed in more detail about their health and care-seeking. The prevalence of chronic, impairing LBP rose significantly over the 14 year interval, from 3.9% (95% CI:3.4–4.4) in 1992 to 10.2% (95% CI:9.3–11.0) in 2006. Increases were seen for all adult age strata, in males and females, and in white and black races. Symptom severity and general health were similar for both years. The proportion of individuals who sought care from a health care provider in the past year increased from 73.1% (95% CI:65.2–79.8) to 84.0% (95% CI:80.8–86.8), while mean number of visits to all providers were similar (19.5 vs 19.4). The prevalence of chronic, impairing LBP has risen significantly in NC, with continuing high levels of disability and care utilization. A substantial portion of the rise in LBP care costs over the past two decades may be related to this rising prevalence..
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影响因子：
3
作者：
DEYO, RA
通讯作者：
DEYO, RA
影响因子：
19.7
作者：
Carrino, JA;Morrison, WB;Sunshine, JH
通讯作者：
Sunshine, JH
DOI：
10.1097/01.blo.0000198726.62514.75
发表时间：
2006-02-01
影响因子：
4.2
作者：
Deyo, Richard A.;Mirza, Sohail K.
通讯作者：
Mirza, Sohail K.
影响因子：
3
作者：
Deyo, RA;Gray, DT;Martin, BI
通讯作者：
Martin, BI
DOI：
10.1016/j.spinee.2003.08.003
发表时间：
2004-01-01
期刊：
The spine journal : official journal of the North American Spine Society
影响因子：
--
作者：
Feuerstein, Michael;Marcus, Steven C;Huang, Grant D
通讯作者：
Huang, Grant D