Comparison of a 30-year trend of incidence, prevalence, and DALY due to low back pain in Iran with Low- and High-SDI countries; Based on GBD study 2019 Data
Archives of Academic Emergency Medicine,
Vol. 12 No. 1 (2024),
1 January 2024
,
Page e39
https://doi.org/10.22037/aaem.v12i1.2257
Abstract
Introduction: Low back pain (LBP) represents the leading cause of disability worldwide and is a major economic and welfare problem. This study aimed to report incidence, prevalence, and disability-adjusted life years (DALY) rates of LBP in Iran by gender and different sociodemographic index (SDI) countries from 1990 to 2019.
Methods: The age-standardized LBP and incidence, prevalence, and DALY were extracted based on the Global Burden of Disease (GBD) 2019 in Iran for males and females, and low- and high-SDI countries during 1990- 2019.
Results: GBD 2019 data for LBP in Iran indicate a significant downward trend of incidence and prevalence from 1993 to 2019 in males, females, and both, except during the 1999-2002 period for females. A sharp reduction is seen in LBP incidence and prevalence from 1996 to 1999. Gender is not a determining factor in the LBP prevalence in Iran. Regarding the SDI categories, Iran had the highest incidence rate compared to countries with low- and high SDIs. High-SDI countries had the highest prevalence and DALY compared with Iran and low-SDI countries.
Conclusion: The age-standardized incidence and prevalence of LBP in Iran showed a downward trend, from 1993 to 2019, especially from 1996 to 1999. Comparing Iran with low- and high-SDI countries, a heavier incidence of LBP was observed in Iran and heavier prevalence and DALY were seen in high-SDI countries. Therefore, more therapeutic healthcare interventions are required to reduce the LBP burden more effectively.
- Low back pain
- Global Burden of Disease
- Incidence
- Prevalence
- Disability adjusted life years
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References
Buchbinder R, Blyth FM, March LM, Brooks P, Woolf AD, Hoy DG. Placing the global burden of low back pain in context. Best Pract Res Clin Rheumatol. 2013;27(5):575-89.
Hoy D, Brooks P, Blyth F, Buchbinder R. The epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010;24(6):769-81.
Vos T, Lim SS, Abbafati C, Abbas KM, Abbasi M, Abbasifard M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet. 2020;396(10258):1204-22.
Manchikanti L. Epidemiology of low back pain. Pain physician. 2000;3(2):167-92.
Punnett L, Prüss‐Ütün A, Nelson DI, Fingerhut MA, Leigh J, Tak S, et al. Estimating the global burden of low back pain attributable to combined occupational exposures. Am J Ind Med. 2005;48(6):459-69.
Cuschieri S, Wyper G, Calleja N, Gorasso V, Devleesschauwer B. Measuring disability-adjusted life years (DALYs) due to low back pain in Malta. Arch Public Health. 2020;78(1):1-7.
Foster NE, Anema JR, Cherkin D, Chou R, Cohen SP, Gross DP, et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. The Lancet. 2018;391(10137):2368-83.
Chen S, Chen M, Wu X, Lin S, Tao C, Cao H, et al. Global, regional and national burden of low back pain 1990–2019: a systematic analysis of the Global Burden of Disease study 2019. JOT. 2022;32:49-58.
Safiri S, Nejadghaderi SA, Noori M, Sullman MJ, Collins GS, Kaufman JS, et al. The burden of low back pain and its association with socio-demographic variables in the Middle East and North Africa region, 1990–2019. BMC Musculoskelet Disord. 2023;24(1):1-11.
Hoy D, March L, Brooks P, Blyth F, Woolf A, Bain C, et al. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis. 2014;73(6):968-74.
Wu A, March L, Zheng X, Huang J, Wang X, Zhao J, et al. Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017. Ann Transl Med. 2020;8(6):299.
Rafiei M, Ezzatian R, Farshad A, Sokooti M, Tabibi R, Colosio C. Occupational health services integrated in primary health care in Iran. Ann Glob Health. 2015;81(4):561-7.
Pourmalek F, Abolhassani F, Naghavi M, Mohammad K, Majdzadeh R, Naeini KH, et al. Direct estimation of life expectancy in the Islamic Republic of Iran in 2003. East Mediterr Health J, 15 (1), 76-84, 2009. 2009;15(1):76-84.
Mazloumi A, Kazemi Z, Mehrdad R, Vahedi Z, Hajizadeh L. Risk factors of low Back pain in Iranian workers during 2000-2015: a systematic review. Int J Occup Hyg. 2020;12(3):239-55.
Parvar SY, Mojgani P, Lankarani KB, Poursaeed F, Mohamadi Jahromi LS, Mishra V, et al. Barriers and facilitators to reducing low-value care for the management of low back pain in Iran: a qualitative multi-professional study. BMC Public Health. 2024;24(1):204.
Eshghi F, Nikfarid L, Zareiyan A. An integrative review of defining characteristic of the nursing diagnosis "spiritual distress". Nurs Open. 2023;10(5):2831-41.
Kim HJ, Fay MP, Yu B, Barrett MJ, Feuer EJ. Comparability of segmented line regression models. Biometrics. 2004;60(4):1005-14.
Herman PM, Qureshi N, Arick SD, Edelen MO, Hays RD, Rodriguez A, et al. Definitions of chronic low back pain from a scoping review, and analyses of narratives and self-reported health of adults with low back pain. J Pain. 2023;24(3):403-12.
Schuttert I, Timmerman H, Petersen KK, McPhee ME, Arendt-Nielsen L, Reneman MF, et al. The definition, assessment, and prevalence of (human assumed) central sensitisation in patients with chronic low back pain: a systematic review. J Clin Med. 2021;10(24):5931.
Davis KG, Heaney CA. The relationship between psychosocial work characteristics and low back pain: underlying methodological issues. Clin Biomech. 2000;15(6):389-406.
Lis AM, Black KM, Korn H, Nordin M. Association between sitting and occupational LBP. Eur Spine J. 2007;16(2):283-98.
Inoue G, Uchida K, Miyagi M, Saito W, Nakazawa T, Imura T, et al. Occupational characteristics of low back pain among standing workers in a Japanese manufacturing company. Workplace Health Saf. 2020;68(1):13-23.
Jia N, Zhang M, Zhang H, Ling R, Liu Y, Li G, et al. Prevalence and risk factors analysis for low back pain among occupational groups in key industries of China. BMC Public Health. 2022;22(1):1493.
Afshar H. Women and work in Iran. Pol Stud. 1997;45(4):755-67.
Moghadam VM. Women, work, and economic reform in the Middle East and North Africa: Lynne Rienner Publishers; 1997.
Carayon P, Smith MJ, Haims MC. Work organization, job stress, and work-related musculoskeletal disorders. Human factors. 1999;41(4):644-63.
Mousavi SJ, Akbari ME, Mehdian H, Mobini B, Montazeri A, Akbarnia B, et al. Low back pain in Iran: a growing need to adapt and implement evidence-based practice in developing countries. Spine. 2011;36(10):E638-E46.
Cuschieri S, Wyper GM, Calleja N, Gorasso V, Devleesschauwer B. Measuring disability-adjusted life years (DALYs) due to low back pain in Malta. Arch Public Health. 2020;78:1-7.
Safiri S, Kolahi AA, Cross M, Hill C, Smith E, Carson‐Chahhoud K, et al. Prevalence, deaths, and disability‐adjusted life years due to musculoskeletal disorders for 195 countries and territories 1990–2017. Arthritis Rheumatol. 2021;73(4):702-14.
Ferreira ML, de Luca K, Haile LM, Steinmetz JD, Culbreth GT, Cross M, et al. Global, regional, and national burden of low back pain, 1990–2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. Lancet Rheumatol. 2023;5(6):e316-e29.
Wang L, Ye H, Li Z, Lu C, Ye J, Liao M, et al. Epidemiological trends of low back pain at the global, regional, and national levels. Eur Spine J. 2022;31(4):953-62.
Chang AY, Skirbekk VF, Tyrovolas S, Kassebaum NJ, Dieleman JL. Measuring population ageing: an analysis of the Global Burden of Disease Study 2017. Lancet Public Health. 2019;4(3):e159-e67.
Karran EL, Grant AR, Moseley GL. Low back pain and the social determinants of health: a systematic review and narrative synthesis. Pain. 2020;161(11):2476-93.
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