Online citations, reference lists, and bibliographies.

The Rising Prevalence Of Chronic Low Back Pain.

Janet K. Freburger, George M. Holmes, R. Agans, Anne M. Jackman, Jane D. Darter, Andrea S. Wallace, Liana D. Castel, William D. Kalsbeek, T. Carey
Published 2009 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
BACKGROUND National or state-level estimates on trends in the prevalence of chronic low back pain (LBP) are lacking. The objective of this study was to determine whether the prevalence of chronic LBP and the demographic, health-related, and health care-seeking characteristics of individuals with the condition have changed over the last 14 years. METHODS A cross-sectional, telephone survey of a representative sample of North Carolina households was conducted in 1992 and repeated in 2006. A total of 4437 households were contacted in 1992 and 5357 households in 2006 to identify noninstitutionalized adults 21 years or older with chronic (>3 months), impairing LBP or neck pain that limits daily activities. These individuals were interviewed in more detail about their health and health care seeking. RESULTS The prevalence of chronic, impairing LBP rose significantly over the 14-year interval, from 3.9% (95% confidence interval [CI], 3.4%-4.4%) in 1992 to 10.2% (95% CI, 9.3%-11.0%) in 2006. Increases were seen for all adult age strata, in men and women, and in white and black races. Symptom severity and general health were similar for both years. The proportion of individuals who sought care from a health care provider in the past year increased from 73.1% (95% CI, 65.2%-79.8%) to 84.0% (95% CI, 80.8%-86.8%), while the mean number of visits to all health care providers were similar (19.5 [1992] vs 19.4 [2006]). CONCLUSIONS The prevalence of chronic, impairing LBP has risen significantly in North Carolina, with continuing high levels of disability and health care use. A substantial portion of the rise in LBP care costs over the past 2 decades may be related to this rising prevalence.
This paper references
Occupational Health Trends in North Carolina. Raleigh, NC: NC Department of Health and Human Services, Occupational and Environmental Epidemiology
KB Herrin (2006)
10.1097/00007632-198611000-00017
Comparative Validity of the Sickness Impact Profile and Shorter Scales for Functional Assessment in Low-Back Pain
R. Deyo (1986)
10.1097/BRS.0b013e3181604572
Spine Update: The Biopsychosocial Model and Spine Care
B. Weiner (2008)
10.1001/jama.299.6.656
Expenditures and health status among adults with back and neck problems.
B. Martin (2008)
10.1111/j.1532-5415.2005.53254.x
The Effect of Surgical and Nonsurgical Treatment on Longitudinal Outcomes of Lumbar Spinal Stenosis Over 10 Years
Y. Chang (2005)
The out(REPRINTED) ARCH INTERN MED/ VOL 169 (NO
TS Carey (2009)
10.1056/NEJMSB031771
Spinal-fusion surgery - the case for restraint.
R. Deyo (2004)
10.1097/00007632-199907150-00012
Smoking and low back pain. A systematic literature review of 41 journal articles reporting 47 epidemiologic studies.
C. Leboeuf–Yde (1999)
10.1097/00007632-199512150-00015
Psychologic Distress and Low Back Pain: Evidence From a Prospective Study in the General Population
P. Croft (1995)
10.1227/01.NEU.0000219836.54861.CD
Changes in the utilization of spinal fusion in the United States.
J. Cowan (2006)
10.2105/AJPH.91.7.1069
Biomechanical and psychosocial risk factors for low back pain at work.
M. S. Kerr (2001)
10.1136/bmj.320.7249.1577
Back pain in Britain: comparison of two prevalence surveys at an interval of 10 years
K. Palmer (2000)
GENESYS-IDplus
GENESYS Sampling Services (2008)
10.1097/01.brs.0000249521.61813.aa
Back Pain Exacerbations and Lost Productive Time Costs in United States Workers
J. Ricci (2006)
10.2106/JBJS.E.01273
Lumbar disc disorders and low-back pain: socioeconomic factors and consequences.
J. Katz (2006)
10.1080/01621459.1978.10479995
Sampling Methods for Random Digit Dialing
J. Waksberg (1978)
10.1093/RHEUMATOLOGY/KEH599
Is musculoskeletal pain more common now than 40 years ago?: Two population-based cross-sectional studies.
E. Harkness (2005)
10.7326/0003-4819-135-4-200108210-00011
Long-Term Trends in the Use of Complementary and Alternative Medical Therapies in the United States
R. Kessler (2001)
Spinal injection procedures: volume, provider distribution, and reimbursement in the US Medicare population
JA Carrino (1993)
10.1097/01.BRS.0000244618.06877.CD
Back Pain Prevalence and Visit Rates: Estimates From U.S. National Surveys, 2002
R. Deyo (2006)
10.1097/00002517-200006000-00003
The prevalence of low back pain: a systematic review of the literature from 1966 to 1998.
B. Walker (2000)
10.1097/01.brs.0000229148.63418.c1
Population-Based Trends in Volumes and Rates of Ambulatory Lumbar Spine Surgery
D. Gray (2006)
10.1093/IJE/DYM220
Back pain, a communicable disease?
H. Raspe (2008)
10.1097/01.BRS.0000127188.58944.1E
Patterns of Care for Low Back Pain in a Working Population
W. IJzelenberg (2004)
10.2105/AJPH.89.7.1029
Back pain prevalence in US industry and estimates of lost workdays.
H. Guo (1999)
10.1093/AJE/148.7.671
Trends of back pain in eastern Finland, 1972-1992, in relation to socioeconomic status and behavioral risk factors.
S. Heistaro (1998)
10.1001/jama.285.12.1571
Prevalence of disabilities and associated health conditions among adults--United States, 1999.
(2001)
10.1136/BMJ.320.7249.1552
Is life becoming more of a pain?
P. Croft (2000)
10.1111/J.1526-4637.2006.00112.X
Low back pain in older adults: are we utilizing healthcare resources wisely?
D. Weiner (2006)
10.1097/01.brs.0000248132.15231.fe
United States’ Trends and Regional Variations in Lumbar Spine Surgery: 1992–2003
J. Weinstein (2006)
10.2105/AJPH.88.5.771
Use of chiropractic services from 1985 through 1991 in the United States and Canada.
E. Hurwitz (1998)
GENESYS Sampling Services . GENESYS - IDplus
J Waksberg (2006)
10.1016/S0895-4356(99)00155-9
Back pain and obesity in the 1958 British birth cohort. cause or effect?
J. Lake (2000)
Body weight and low back pain. A systematic literature review of 56 journal articles reporting on 65 epidemiologic studies.
Christian C. Yde (2000)
10.1097/00007632-200004150-00016
A Review of the Association Between Cigarette Smoking and the Development of Nonspecific Back Pain and Related Outcomes
M. Goldberg (2000)
10.1093/EURPUB/CKL231
Is the occurrence of back pain in Germany decreasing? Two regional postal surveys a decade apart.
A. Hueppe (2007)
10.1016/J.SPINEE.2003.08.003
National trends in nonoperative care for nonspecific back pain.
M. Feuerstein (2004)
10.1080/14034940210134086
To seek or not to seek? Care-seeking behaviour among people with low-back pain
M. Mortimer (2003)
10.1097/AJP.0b013e31804ac020
Frequency and Priority of Pain Patients' Health Care Use
M. V. Von Korff (2007)
10.1046/j.1532-5415.2002.50517.x
Management of Nonmalignant Pain in Home‐Dwelling Older People: A Population‐Based Survey
K. Pitkala (2002)
Low back pain in older adults: are we utilizing healthcare resources wisely? Pain Med
DK Weiner (2006)
10.1016/J.NCL.2007.01.004
Epidemiology and risk factors for spine pain.
D. Rubin (2007)
10.3109/03009749409103728
Is back pain increasing? Results from national surveys in Finland during 1978/9-1992.
P. I. Leino (1994)
10.1002/art.23176
Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II.
R. Lawrence (2008)
10.1097/BRS.0b013e3180b9f96e
Increases in Lumbosacral Injections in the Medicare Population: 1994 to 2001
J. Friedly (2007)
10.1017/S0033291705004952
More data on major depression as an antecedent risk factor for first onset of chronic back pain.
S. Currie (2005)
10.1682/JRRD.2006.06.0060
Overview of the relationship between pain and obesity: What do we know? Where do we go next?
E. Janke (2007)
Back pain and obesity
JK Lake (1958)
10.1097/00007632-199602010-00018
Acute Severe Low Back Pain: A Population-based Study of Prevalence and Care-seeking
T. Carey (1996)
10.1002/AJIM.1099
Factors associated with medical care-seeking due to low-back pain in scaffolders.
S. M. Molano (2001)
10.1377/HLTHAFF.W4.437
Which medical conditions account for the rise in health care spending?
K. Thorpe (2004)
10.1176/AJP.2006.163.12.2141
Changes in the prevalence of major depression and comorbid substance use disorders in the United States between 1991-1992 and 2001-2002.
W. Compton (2006)
10.1056/NEJM199510053331406
The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons. The North Carolina Back Pain Project.
T. Carey (1995)
10.1097/01.BLO.0000198726.62514.75
Trends and variations in the use of spine surgery.
R. Deyo (2006)
American community survey 2005—public use file
US Census Bureau (2008)
The growth in the Social Security Disability rolls: a fiscal crisis unfolding
DH Autor (2006)
10.1097/01.brs.0000166503.37969.8a
United States Trends in Lumbar Fusion Surgery for Degenerative Conditions
R. Deyo (2005)
10.1001/JAMA.290.18.2443
Lost productive time and cost due to common pain conditions in the US workforce.
W. Stewart (2003)
10.1097/00007632-200404150-00012
Patterns and Trends in Opioid Use among Individuals with Back Pain in the United States
Xuemei Luo (2004)
American community survey 2005 — public use file State and County Quick Facts 2006
RA Deyo (1982)
10.1148/RADIOL.2253011401
Spinal injection procedures: volume, provider distribution, and reimbursement in the U.S. medicare population from 1993 to 1999.
J. Carrino (2002)
10.1097/00007632-199502000-00009
Care‐Seeking Among Individuals With Chronic Low Back Pain
T. Carey (1995)
State and County Quick Facts 2006
US Census Bureau (2008)
The prevalence of low back pain: a systematic review of the literature
BF Walker (1966)
10.1017/S0033291703001041
Depressive disorder as a long-term antecedent risk factor for incident back pain: a 13-year follow-up study from the Baltimore Epidemiological Catchment Area sample.
S. Larson (2004)
10.1111/j.1532-5415.1996.tb00915.x
An Assessment of Surgery for Spinal Stenosis: Time Trends, Geographic Variations, Complications, and Reoperations
M. Ciol (1996)



This paper is referenced by
10.9740/mhc.2020.07.215
Does early physical therapy intervention reduce opioid burden and improve functionality in the management of chronic lower back pain?
Shedrick Martin (2020)
10.1016/j.ejpain.2011.08.005
Widespread pain and medically certified disability pension in the Hordaland Health Study
S. Øverland (2012)
10.1136/bmjopen-2015-009524
Using an internet intervention to support self-management of low back pain in primary care: protocol for a randomised controlled feasibility trial (SupportBack)
Adam W A Geraghty (2015)
10.1097/BRS.0b013e31819792b0
A Long Way to Go: Practice Patterns and Evidence in Chronic Low Back Pain Care
T. Carey (2009)
Description of documentation in the management of chronic spinal pain.
L. Manchikanti (2009)
10.1186/1471-2253-12-26
Cost effectiveness of epidural steroid injections to manage chronic lower back pain
D. Whynes (2012)
10.1186/1745-6215-14-18
Collaborative Care for Older Adults with low back pain by family medicine physicians and doctors of chiropractic (COCOA): study protocol for a randomized controlled trial
C. Goertz (2013)
Percutaneous lumbar laser disc decompression: an update of current evidence.
V. Singh (2013)
10.1519/SSC.0b013e31829d125a
Low Back Pain: Movement Considerations for Exercise and Training
William J. Hanney (2013)
10.1016/j.math.2014.04.016
Effects of external pelvic compression on trunk and hip muscle EMG activity during prone hip extension in females with chronic low back pain.
Ji-Won Kim (2014)
10.1177/0018720814547872
Arm and Neck Pain in Ultrasonographers
Frank Claes (2015)
10.1186/s12891-019-2523-2
Relationship of joint hypermobility with low Back pain and lumbar spine osteoarthritis
Adam P Goode (2019)
10.2196/jmir.7290
Digital Support Interventions for the Self-Management of Low Back Pain: A Systematic Review
B. Nicholl (2017)
10.1590/S0034-89102011000300007
Disability pension from back pain among social security beneficiaries, Brazil.
N. Meziat Filho (2011)
10.1007/s10926-014-9539-0
Cost-Effectiveness of Early Versus Delayed Functional Restoration for Chronic Disabling Occupational Musculoskeletal Disorders
Brian R. Theodore (2014)
10.1186/s12891-015-0632-0
Prediction of pain outcomes in a randomized controlled trial of dose–response of spinal manipulation for the care of chronic low back pain
Darcy A. Vavrek (2015)
10.1590/0004-282X20150049
Long-term follow-up in sacroiliac joint pain patients treated with radiofrequency ablative therapy.
F. R. Romero (2015)
10.1016/j.apmr.2016.07.027
Multifidi Muscle Characteristics and Physical Function Among Older Adults With and Without Chronic Low Back Pain.
J. Megan Sions (2017)
10.3310/hta21740
Facet-joint injections for non-specific low back pain: a feasibility RCT.
S. Snidvongs (2017)
10.1186/s13075-017-1333-x
Work outcome in yet undiagnosed patients with non-radiographic axial spondyloarthritis and ankylosing spondylitis; results of a cross-sectional study among patients with chronic low back pain
L. van Hoeven (2017)
10.1093/pm/pnx333
An E-learning Module on Chronic Low Back Pain in Older Adults: Effect on Medical Resident Attitudes, Confidence, Knowledge, and Clinical Skills
Zachary G Jacobs (2018)
10.4314/ahs.v19i1.49
Analysis of risk factors for depression among patients with chronic low back pain in an orthopaedic clinic of a Nigerian teaching hospital
N. Omoke (2019)
Health economic aspects of low back pain
Gylfi Olafsson (2019)
10.1016/j.pain.2013.12.027
Decreased food pleasure and disrupted satiety signals in chronic low back pain
P. Geha (2014)
10.25122/jml-2019-0043
Addition of dexmedetomidine and neostigmine to 1.5 % lidocaine and triamcinolone for epidural block to reduce the duration of analgesia in patients suffering from chronic low back pain
Shima Zargar (2019)
10.1111/papr.12116
Cost-effectiveness of Acupuncture for Chronic Nonspecific Low Back Pain.
Penny Taylor (2014)
Residual Block-based Multi-Label Classification and Localization Network with Integral Regression for Vertebrae Labeling
Chunli Qin (2020)
10.1101/19010462
Identifying Acute Low Back Pain Episodes in Primary Care Practice from Clinical Notes
R. Miotto (2019)
Нrushko V.V. INFLUENCE OF ADEMETIONIN ON RESTORATION OF INDICATORS OF FUNCTIONAL ACTIVITY OF IMMUNE CELLS IN ATHLETES
N. RedkinaN. (2018)
10.1097/AJP.0b013e3182400867
Pain Coping but Not Readiness to Change Is Associated With Pretreatment Pain-related Functioning
P. Finan (2012)
10.1016/j.echu.2019.08.004
Cost-Efficiency and Effectiveness of Including Doctors of Chiropractic to Offer Treatment Under Medicaid: A Critical Appraisal of Missouri Inclusion of Chiropractic Under Missouri Medicaid.
John R McGowan (2019)
10.1080/09638288.2019.1677788
Cross-cultural adaptation and validation of the back Beliefs Questionnaire to the Turkish language.
Çiğdem Arifoğlu Karaman (2019)
See more
Semantic Scholar Logo Some data provided by SemanticScholar