The prevalence and management of low back pain across adulthood: Results from a population-based cross-sectional study (the MUSICIAN study)
The prevalence and management of low back pain across adulthood: Results from a population-based cross-sectional study (the MUSICIAN study)
复制标题
DOI：
10.1016/j.pain.2011.08.005
复制
发表时间：
2012-01-01
期刊：
影响因子：
7.4
通讯作者：
Jones, Gareth T.
中科院分区：
文献类型：
--
作者：
Macfarlane, Gary J.;Beasley, Marcus;Jones, Gareth T.
本研究的目的是确定：下腰痛（LBP）和相关残疾的患病率;咨询全科医生的频率;是否有不同的年龄管理。我们在英国阿伯丁市和柴郡进行了一项横断面人口研究。参加者为15 272名25岁及以上的人。1个月LBP患病率为28.5%。在41-50岁时达到高峰，但在80岁以上的人中，每4人中就有1人报告。老年人更有可能进行咨询，严重LBP的患病率随着年龄的增长而继续增加。全科医生的管理因患者年龄而异。老年人（> 70岁vs 640岁）更可能仅使用止痛药（比值比[OR] 1.74，95%置信区间[CI] 1.28-2.35）或仅使用止痛药和其他药物（OR 1.45，95% CI 1.07-1.98）。他们不太可能接受物理治疗或运动（OR 0.63，95% CI 0.46-0.85）或转诊至专科医生（OR 0.77，95% CI 0.57-1.04）。老年人以前更有可能接受过疼痛运动疗法，现在不太可能热衷于接受它（P < 0.0001），并且不太可能认为它会改善症状（P < 0.0001）。重要的是，老年人，谁有最高的患病率LBP与残疾和最有可能咨询，正在接受最佳的药物和非药物管理。(C)2011年国际疼痛研究协会。由Elsevier B出版。V.保留所有权利。
The aim of the current study was to determine: the prevalence of low back pain (LBP) and associated disability; the frequency of consultation to general practice; whether there were differences in management by age. We conducted a cross-sectional population study in Aberdeen city and Cheshire County, UK. Participants were 15,272 persons aged 25 years and older. The 1-month period prevalence of LBP was 28.5%. It peaked at age 41-50 years, but at ages over 80 years was reported by 1 in 4 persons. Older persons were more likely to consult, and the prevalence of severe LBP continued to increase with age. Management by general practitioners differed by age of the patient. Older persons (> 70 vs 640 years) were more likely to only have been prescribed painkillers (odds ratio [OR] 1.74, 95% confidence interval [CI] 1.28-2.35) or only pain killers with other medications (OR 1.45, 95% CI 1.07-1.98). They were less likely to be prescribed physiotherapy or exercise (OR 0.63, 95% CI 0.46-0.85) or to be referred to a specialist (OR 0.77, 95% CI 0.57-1.04). Older persons were more likely to have previously received exercise therapy for pain, were less likely to be enthusiastic about receiving it now (P < 0.0001), and were less likely to think it would result in improved symptoms (P < 0.0001). It is important that older persons, who have the highest prevalence of LBP with disability and are most likely to consult, are receiving optimal pharmacological and nonpharmacological management. (C) 2011 International Association for the Study of Pain. Published by Elsevier B. V. All rights reserved.