THE PREVALENCE OF LOW-BACK-PAIN IN THE LITERATURE - A STRUCTURED REVIEW OF 26 NORDIC STUDIES FROM 1954 TO 1993
THE PREVALENCE OF LOW-BACK-PAIN IN THE LITERATURE - A STRUCTURED REVIEW OF 26 NORDIC STUDIES FROM 1954 TO 1993
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DOI：
10.1097/00007632-199510000-00009
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发表时间：
1995-10-01
期刊：
影响因子：
3
通讯作者：
LAURITSEN, JM
中科院分区：
文献类型：
--
作者：
LEBOEUFYDE, C;LAURITSEN, JM
研究设计。对1954年至1992年间北欧人群中腰痛的所有患病率研究进行了系统回顾。调查数据的同质性。背景资料摘要：腰痛造成的费用正在稳步增加，但尚不清楚这是由医疗保健行为的改变引起的，还是普通人群中腰痛发生率的潜在增加。在过去的40年里，腰痛的患病率一直在不断地被估计，但这些研究是否足够均匀，可以汇集数据？方法。对北欧国家26项以人群为基础的腰痛发生流行病学调查进行了以下标准评估：根据与研究样本代表性、数据质量和腰痛定义相关的清单评估报告的质量；研究设计（研究人群、腰痛的定义和回忆期）；数据的汇集性，考虑到报告的质量、腰痛的定义、人群类型、年龄和性别。结果：只有10项研究满足了至少75%的方法学标准。各研究之间在研究设计上存在较大差异，且数据汇集性仅限于少数研究，没有一项研究满足上述所有标准。需要一个更严格、系统和统一的方法来研究背痛的患病率（或发病率）。
Study Design. A systematic review was done for all prevalence studies on low back pain in the Nordic population between 1954 and 1992 that could be identified.Objective. To investigate the homogeneity of data.Summary of Background Date, Costs resulting from low back pain are steadily increasing, but it is not known whether this has been caused by changes in healthcare behavior or whether there is an underlying increase in the occurrence of low back pain in the general population. The prevalence rate of low back pain has been continually estimated over the last 40 years, but are the studies sufficiently homogeneous to allow pooling of data?Methods. Twenty-six population-based epidemiologic surveys on the occurrence of low back pain in the Nordic countries were assessed for the following criteria: quality of the report according to a checklist related to the representativeness of the study sample, quality of data, and definition of low back pain; study design (study population, definition of low back pain, and recall periods); poolability of data, taking into account the quality of the report, the definition of low back pain, type of population, age, and sex.Results, Only 10 studies fulfilled a minimum of 75% of the methodologic criteria. There were large differences between studies regarding study design, and the poolability of data was limited to a few studies, none of which fulfilled all of the above criteria.Conclusion. A more stringent, systematic, and uniform methodologic approach to studying the prevalence (or incidence) of back pain is needed.