Article

Back pain prevalence and visit rates: Estimates from US national surveys, 2002

Department of Medicine, University of Washington, Seattle, WA, USA.
Spine (Impact Factor: 2.45). 12/2006; 31(23):2724-7. DOI: 10.1097/01.brs.0000244618.06877.cd
Source: PubMed

ABSTRACT Review and analysis of data from two U.S. national surveys in 2002.
To examine the prevalence of back pain and physician visits for back pain in the United States.
National data on the prevalence of back pain become available only intermittently.
We summarized published data from the 2002 National Health Interview Survey (NHIS) on the prevalence of back pain and compared it with earlier surveys. We also analyzed the 2002 National Ambulatory Medical Care Survey (NAMCS) to determine physician visit rates for back pain.
In the 2002 NHIS, there were 31,044 adult respondents. Low back pain lasting at least a whole day in the past 3 months was reported by 26.4% of respondents, and neck pain was reported by 13.8%. Among racial groups, American Indians and Alaska Natives had the highest prevalence of low back pain, and Asian Americans had the lowest. Prevalence generally declined with greater levels of education and increasing income. Prevalence estimates were consistent with those from previous surveys, although methodologic differences limited comparisons. NAMCS data suggested that the proportion of all physician visits attributable to low back pain (2.3% in 2002) has changed little since the early 1990s.
About one fourth of U.S. adults report low back pain in the past 3 months; the proportion of physician visits attributed to back pain has changed little in the past decade.

Download full-text

Full-text

Available from: Brook I. Martin, Jul 25, 2015
1 Follower
 · 
343 Views
  • Source
    • "Osteoarthritis (OA) can affect any joint in the body, but the medial tibiofemoral compartment is most commonly affected, and it was estimated to impact approximately 21 million Americans [2]. Low back pain (LBP) is another very prevalent problem, affecting over 30 million Americans [3] [4] [5], with the lifetime prevalence estimated at 75–85% [6]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: The effect of joint pathologies, such as unilateral knee osteoarthritis (UKOA) or low back pain (LBP), on bilateral gait symmetry has gained increased attention during the past decade. This study is the first to compare gait patterns between patients with UKOA and LBP in combination and with UKOA only. Temporal, kinematic, and kinetic variables were measured bilaterally during gait stance phase in 31 subjects with UKOA and LBP (Group I) and 11 subjects with only UKOA (Group II). Group I patients exhibited less hip rotation in the affected limb (A) than in the nonaffected (NA) limb during walking in contrast to Group II patients. Group I patients had minimal bilateral differences in hip abduction and flexion, but Group II patients displayed significantly larger values in the NA limb compared to the A limb for both parameters. Hip flexion patterns were significantly different between Groups I and II. Subjects in both groups adapted gait patterns that minimized vertical ground reaction force, knee flexion motion, and stance time on the UKOA affected limb. The distinct kinematic gait patterns that were revealed in this study may provide clinical value for assessment of patients with UKOA in conjunction with LBP.
    01/2015; 2015. DOI:10.1155/2015/142562
  • Source
    • "Additionally, the data collected to populate the M2 database include health care use while soldiers are deployed to areas such as Iraq or Afghanistan. Our interest in using a health care–seeking definition of experiencing LBP was driven by studies indicating continuing high rates of health care utilization for LBP [31] [32], with trends of greatly increasing cost, but of no obvious benefit to the population [4] [33]. In addition, the validity of self-report measures for determining LBP has been questioned for military populations [34], and use of a health care database mitigated these concerns. "
    [Show abstract] [Hide abstract]
    ABSTRACT: BACKGROUND CONTEXT: Effective strategies for preventing low back pain (LBP) have remained elusive, despite annual direct health care costs exceeding $85 billion dollars annually. In our recently completed Prevention of Low Back Pain in the Military (POLM) trial, a brief psychosocial education program (PSEP) that reduced fear and threat of LBP reduced the incidence of health care-seeking for LBP. PURPOSE: The purpose of this cost analysis was to determine if soldiers who received psychosocial education experienced lower health care costs compared with soldiers who did not receive psychosocial education. STUDY DESIGN/SETTING: The POLM trial was a cluster randomized trial with four intervention arms and a 2-year follow-up. Consecutive subjects (n=4,295) entering a 16-week training program at Fort Sam Houston, TX, to become a combat medic in the U.S. Army were considered for participation. METHODS: In addition to an assigned exercise program, soldiers were cluster randomized to receive or not receive a brief psychosocial education program delivered in a group setting. The Military Health System Management Analysis and Reporting Tool was used to extract total and LBP-related health care costs associated with LBP incidence over a 2-year follow-up period. RESULTS: After adjusting for postrandomization differences between the groups, the median total LBP-related health care costs for soldiers who received PSEP and incurred LBP-related costs during the 2-year follow-up period were $26 per soldier lower than for those who did not receive PSEP ($60 vs. $86, respectively, p=.034). The adjusted median total health care costs for soldiers who received PSEP and incurred at least some health care costs during the 2-year follow-up period were estimated at $2 per soldier lower than for those who did not receive PSEP ($2,439 vs. $2,441, respectively, p=.242). The results from this analysis demonstrate that a brief psychosocial education program was only marginally effective in reducing LBP-related health care costs and was not effective in reducing total health care costs. Had the 1,995 soldiers in the PSEP group not received PSEP, we would estimate that 16.7% of them would incur an adjusted median LBP-related health care cost of $517 compared with the current 15.0% soldiers incurring an adjusted median cost of $399, which translates into an actual LBP-related health care cost savings of $52,846 during the POLM trial. However, it is likely that the unaccounted for direct and indirect costs might erase even these small cost savings. CONCLUSION: The results of this study will help to inform policy- and decision-making regarding the feasibility of implementing psychosocial education in military training environments across the services. It would be interesting to explore in future research whether cost savings from psychosocial education could be enhanced given a more individualized delivery method tailored to an individual's specific psychosocial risk factors.
    The spine journal: official journal of the North American Spine Society 04/2013; 14(4). DOI:10.1016/j.spinee.2013.03.019 · 2.80 Impact Factor
  • Source
    • "OW back disorder (LBD) remains to be one of the most prevalent and costly injury in the United States [1]. Previous studies have identified the spinal loading at lumbosacral (L5/S1) joint as a main factor that is directly associated with the occurrence of LBD [2]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: We propose to use the Microsoft Kinect depth sensor for assessing spinal loading, and present an initial study on a public action database with 20 actions. It is built on the recent success on human skeleton extraction with depth sensor, which has been coded into the Kinect software development kit. This letter is an essential step toward a systematic evaluation in future.
    IEEE Sensors Journal 04/2013; 13(4):1139-1140. DOI:10.1109/JSEN.2012.2230252 · 1.85 Impact Factor
Show more