EPIDEMIOLOGICAL DIFFERENCES BETWEEN LOCALISED AND NON-LOCALISED LOW BACK PAIN

Coggon, David; Ntani, Georgia; Walker-Bone, Karen; Palmer, Keith T; Felli, Vanda E; Harari, Raul; Barrero, Lope H; Felknor, Sarah A.; Gimeno, David; Cattrell, Anna; Vargas-Prada, Sergio; Bonzini, Matteo; Solidaki, Eleni; Merisalu, Eda; Habib, Rima R.; Sadeghian, Farideh; Kadir, M Masood; Warnakulasuriya, Sudath SP; Matsudaira, Ko; Nyantumbu, Busisiwe; Sim, Malcolm R; Harcombe, Helen; Cox, Ken; Sarquis, Leila M M; Marziale, Maria H; Harari, Florencia; Freire, Rocio; Harari, Natalia; Monroy, Magda V; Quintana, Leonardo A; Rojas, Marianela; Harris, E Clare; Serra, Consol; Martinez, J Miguel; Delclos, George; Benavides, Fernando G; Carugno, Michele; Ferrario, Marco M; Pesatori, Angela C; Chatzi, Leda; Bitsios, Panos; Kogevinas, Manolis; Oha, Kristel; Freimann, Tiina; Sadeghian, Ali; Peiris-John, Roshini J; Sathiakumar, Nalini; Wickremasinghe, A Rajitha; Yoshimura, Noriko; Kelsall, Helen L; Hoe, Victor C W; Urquhart, Donna M; Derrett, Sarah; McBride, David; Herbison, Peter; Gray, Andrew; Salazar Vega, Eduardo J.

doi:10.1097/BRS.0000000000001956

i

EPIDEMIOLOGICAL DIFFERENCES BETWEEN LOCALISED AND NON-LOCALISED LOW BACK PAIN

Supporting Files

5 15 2017
By Coggon, David ; Ntani, Georgia ; Walker-Bone, Karen ; ...

File Language:

English

Details

Alternative Title:

Spine (Phila Pa 1976)
Personal Author:

Coggon, David ; Ntani, Georgia ; Walker-Bone, Karen ; Palmer, Keith T ; Felli, Vanda E ; Harari, Raul ; Barrero, Lope H ; Felknor, Sarah A. ; Gimeno, David ; Cattrell, Anna ; Vargas-Prada, Sergio ; Bonzini, Matteo ; Solidaki, Eleni ; Merisalu, Eda ; Habib, Rima R. ; Sadeghian, Farideh ; Kadir, M Masood ; Warnakulasuriya, Sudath SP ; Matsudaira, Ko ; Nyantumbu, Busisiwe ; Sim, Malcolm R ; Harcombe, Helen ; Cox, Ken ; Sarquis, Leila M M ; Marziale, Maria H ; Harari, Florencia ; Freire, Rocio ; Harari, Natalia ; Monroy, Magda V ; Quintana, Leonardo A ; Rojas, Marianela ; Harris, E Clare ; Serra, Consol ; Martinez, J Miguel ; Delclos, George ; Benavides, Fernando G ; Carugno, Michele ; Ferrario, Marco M ; Pesatori, Angela C ; Chatzi, Leda ; Bitsios, Panos ; Kogevinas, Manolis ; Oha, Kristel ; Freimann, Tiina ; Sadeghian, Ali ; Peiris-John, Roshini J ; Sathiakumar, Nalini ; Wickremasinghe, A Rajitha ; Yoshimura, Noriko ; Kelsall, Helen L ; Hoe, Victor C W ; Urquhart, Donna M ; Derrett, Sarah ; McBride, David ; Herbison, Peter ; Gray, Andrew ; Salazar Vega, Eduardo J.
Description:

Study design

Cross-sectional survey with longitudinal follow-up

Objectives

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

Summary of Background Data

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.

Methods

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.

Results

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.

Conclusions

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.
Subjects:

Adult Age Distribution Cohort Studies Cross-Sectional Studies Female Humans Incidence Low Back Pain Male Middle Aged Occupational Diseases Prevalence Risk Factors Sex Characteristics Surveys And Questionnaires
Source:

Spine (Phila Pa 1976). 42(10):740-747
Pubmed ID:

27820794
Pubmed Central ID:

PMC5418102
Document Type:

Journal Article
Funding:

20665/ARC_/Arthritis Research UKUnited Kingdom/ ; MC_PC_15015/MRC_/Medical Research CouncilUnited Kingdom/ ; D43 TW000644/TW/FIC NIH HHSUnited States/ ; MC_UU_12011/5/MRC_/Medical Research CouncilUnited Kingdom/ ; T42 OH008421/OH/NIOSH CDC HHSUnited States/
Volume:

42
Issue:

10
Collection(s):

CDC Public Access
Main Document Checksum:

urn:sha256:17a3529c6875c8d3e174da2b4ecfa0eed8b9039760ba01f94b12c7f36455c737
Download URL:

https://stacks.cdc.gov/view/cdc/113969/cdc_113969_DS1.pdf
File Type:

[PDF - 316.97 KB ]

File Language:

English

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