Epidemiological Differences Between Localized and Nonlocalized Low Back Pain

  • David Coggon
    Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK
  • Georgia Ntani
    Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK
  • Karen Walker-Bone
    Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK
  • Keith T. Palmer
    Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK
  • Vanda E. Felli
    School of Nursing, University of São Paulo, São Paulo, Brazil
  • Raul Harari
    Corporación para el Desarrollo de la Producción y el Medio Ambiente Laboral – IFA (Institute for the Development of Production and the Work Environment), Quito, Ecuador
  • Lope H. Barrero
    Department of Industrial Engineering, School of Engineering, Pontificia Universidad Javeriana, Bogotá, Colombia
  • Sarah A. Felknor
    Southwest Center for Occupational and Environmental Health, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX
  • David Gimeno
    Southwest Center for Occupational and Environmental Health, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX
  • Anna Cattrell
    North East London NHS Foundation Trust, Goodmayes Hospital, Ilford, Essex, UK
  • Sergio Vargas-Prada
    Center for Research in Occupational Health (CiSAL), Universitat Pompeu Fabra, Barcelona, Spain
  • Matteo Bonzini
    Epidemiology and Preventive Medicine Research Centre, Department of Clinical and Experimental Medicine, University of Insubria, Varese, Italy
  • Eleni Solidaki
    Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece
  • Eda Merisalu
    Institute of Technology, Estonian University of Life Sciences, Tartu, Estonia
  • Rima R. Habib
    Department of Environmental Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
  • Farideh Sadeghian
    Department of Occupational Health, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran
  • M. Masood Kadir
    Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan
  • Sudath SP Warnakulasuriya
    Department of Allied Health Sciences, Faculty of Medical Sciences, University of Sri Jayawardenepura, Gangodawila, Nugegoda, Sri Lanka
  • Ko Matsudaira
    Department for Medical Research and Management for Musculoskeletal Pain, 22Century Medical and Research Center, Faculty of Medicine, The University of Tokyo Hospital, Tokyo, Japan
  • Busisiwe Nyantumbu
    National Institute for Occupational Health, National Health Laboratory Service, Johannesburg, South Africa
  • Malcolm R. Sim
    Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
  • Helen Harcombe
    Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand
  • Ken Cox
    Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK
  • Leila M.M. Sarquis
    Federal University of Paraná, Curitiba-PR, Brazil
  • Maria H. Marziale
    School of Nursing of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
  • Florencia Harari
    Corporación para el Desarrollo de la Producción y el Medio Ambiente Laboral – IFA (Institute for the Development of Production and the Work Environment), Quito, Ecuador
  • Rocio Freire
    Corporación para el Desarrollo de la Producción y el Medio Ambiente Laboral – IFA (Institute for the Development of Production and the Work Environment), Quito, Ecuador
  • Natalia Harari
    Corporación para el Desarrollo de la Producción y el Medio Ambiente Laboral – IFA (Institute for the Development of Production and the Work Environment), Quito, Ecuador
  • Magda V. Monroy
    Department of Industrial Engineering, School of Engineering, Pontificia Universidad Javeriana, Bogotá, Colombia
  • Leonardo A. Quintana
    Department of Industrial Engineering, School of Engineering, Pontificia Universidad Javeriana, Bogotá, Colombia
  • Marianela Rojas
    Program Health, Work and Environment in Central America, Institute for Studies on Toxic Substances (IRET), National University of Costa Rica, Heredia, Costa Rica
  • Elizabeth Clare Harris
    Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK
  • Consol Serra
    Center for Research in Occupational Health (CiSAL), Universitat Pompeu Fabra, Barcelona, Spain
  • José Miguel Martinez
    Servicio de Investigación y Análisis IT/EP, Departamento de Investigación y Análisis de Prestaciones, MC Mutual, Barcelona, Spain
  • George Delclos
    Southwest Center for Occupational and Environmental Health, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX
  • Fernando G. Benavides
    Center for Research in Occupational Health (CiSAL), Universitat Pompeu Fabra, Barcelona, Spain
  • Michele Carugno
    Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy
  • Marco M. Ferrario
    Epidemiology and Preventive Medicine Research Centre, Department of Clinical and Experimental Medicine, University of Insubria, Varese, Italy
  • Angela C. Pesatori
    Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy
  • Leda Chatzi
    Department of Social Medicine, Medical School, University of Crete, Heraklion, Greece
  • Panos Bitsios
    Department of Psychiatry, Medical School, University of Crete, Heraklion, Greece
  • Manolis Kogevinas
    CIBER of Epidemiology and Public Health, Barcelona, Spain
  • Kristel Oha
    North Estonia Medical Centre, Tallinn, Estonia
  • Tiina Freimann
    Tartu University Hospital, Tartu, Estonia
  • Ali Sadeghian
    Klinikum Leverkusen, Leverkusen, Germany
  • Roshini J. Peiris-John
    Department of Physiology, Faculty of Medical Sciences, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri Lanka
  • Nalini Sathiakumar
    Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL
  • A. Rajitha Wickremasinghe
    Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka
  • Noriko Yoshimura
    Department of Joint Disease Research, 22Century Medical and Research Center, University of Tokyo, Tokyo, Japan
  • Helen L. Kelsall
    Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
  • Victor C.W. Hoe
    Centre for Occupational and Environmental Health, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
  • Donna M. Urquhart
    Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
  • Sarah Derrett
    Injury Prevention Research Unit, Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand
  • David McBride
    Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand
  • Peter Herbison
    Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand
  • Andrew Gray
    Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand
  • Eduardo J. Salazar Vega
    Health Safety and Environment Department, AkzoNobel, Houston, TX.

抄録

<jats:sec> <jats:title>Study Design.</jats:title> <jats:p>A cross-sectional survey with a longitudinal follow-up.</jats:p> </jats:sec> <jats:sec> <jats:title>Objectives.</jats:title> <jats:p>The aim of this study was to test the hypothesis that pain, which is localized to the low back, differs epidemiologically from that which occurs simultaneously or close in time to pain at other anatomical sites</jats:p> </jats:sec> <jats:sec> <jats:title>Summary of Background Data.</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods.</jats:title> <jats:p>We analyzed 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.</jats:p> </jats:sec> <jats:sec> <jats:title>Results.</jats:title> <jats:p>Among 12,197 subjects at baseline, 609 (4.9%) reported localized LBP in the past month, and 3820 (31.3%) nonlocalized LBP. Nonlocalized LBP was more frequently associated with sciatica in the past month (48.1% <jats:italic toggle="yes">vs</jats:italic>. 30.0% of cases), occurred on more days in the past month and past year, was more often disabling for everyday activities (64.1% <jats:italic toggle="yes">vs</jats:italic>. 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% <jats:italic toggle="yes">vs</jats:italic>. 54.1% of cases). In adjusted Poisson regression analyses, nonlocalized LBP was differentially associated with risk factors, particularly female sex, older age, and somatizing tendency. There were also marked differences in the relative prevalence of localized and nonlocalized LBP by occupational group.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion.</jats:title> <jats:p>Future epidemiological studies should distinguish where possible between pain that is limited to the low back and LBP that occurs in association with pain at other anatomical locations.</jats:p> <jats:p> <jats:bold>Level of Evidence:</jats:bold> 2</jats:p> </jats:sec>

収録刊行物

  • Spine

    Spine 42 (10), 740-747, 2017-05-15

    Ovid Technologies (Wolters Kluwer Health)

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