Prevalence of low back pain in Latin America: a systematic literatures review

John Jairo Hernandez Castro, Joäo Batista Santos Garcia, María del Rocío Guillén Núñez, Aziza Jreige Iskandar, Catalin Cantemir, Maria AR Pazos, Jorge O Aguirre, Wilian Delgado, Manuel Serpentegui, María del Rosario Berenguel Cook

Resultado de la investigación: Contribución a RevistaArtículo

23 Citas (Scopus)

Resumen

BACKGROUND:
Chronic low back pain is considered as a high-impact condition that affects the working population of Latin America, with long reaching social and economic repercussions. Its true frequency is unknown due to the absence of well-designed clinical trials that use standardized definitions and criteria.

OBJECTIVES:
To evaluate the prevalence of chronic non-specific low back pain among the Latin American population.

STUDY DESIGN:
A systematic review of chronic non-specific low back pain in Latin America.

SETTING:
Meeting of Change Pain Latin America, Mexico.

METHODS:
Data sources included relevant literature identified through searches of published studies between August 30, 2002, and August 30, 2012, in 7 electronic databases: Cochrane BVS, Pubmed, Medline, Lilacs, Scielo, Hinari, and MedCarib. Publications dealing with low back pain of a post-traumatic, infectious, or malignant origin were excluded. Two reviewers selected in an independent manner all eligible studies using the MOOSE checklist and extracted data on both prevalence and risk factors associated with low back pain. A narrative synthesis of the results was drafted, which was later validated by a panel of clinical experts on pain.

RESULTS:
Twenty-eight studies were included in the review, comprising a total of 20,559 subjects from 7 countries in the region. Four of these studies, with significant methodological differences between them, measured the frequency of chronic low back pain with results that varied from 4.2% to 10.1%. Four studies are part of the Community Oriented Program for Control of Rheumatic Diseases (COPCORD) program reports, and were pooled and analyzed separately because of their particular design. Their prevalence estimations varied between 1.8% and 11.3%. The remaining 20 studies evaluated a total population of 6,992 subjects, and found a prevalence of low back pain of 31.3%. Based on an epidemiological model constructed on both times to resolution and low back pain recurrence rates, the prevalence of chronic low back pain in Latin America was estimated to be around 10.5%. Some risk factors reported by the authors are long working hours with the worker in the sitting position, obesity and overweight, pregnancy, smoking, advanced age, lifting and carrying heavy loads, domestic work, sedentary lifestyles, and duration of current employment. A subgroup analysis of the population under study yielded an estimated prevalence of low back pain of 16.7% for the population exposed to a lower number of risk factors and 65% for the higher risk subgroup. In this review, we made an exhaustive search of studies evaluating the epidemiology of chronic low back pain in the Latin America region.

LIMITATIONS:
The large topographic and chronologic variability in definitions of low back pain, interviewer bias, and subject selection bias.

CONCLUSIONS:
Despite the sparse information and the methodological heterogeneity of the studies, pooled results allowed for an indirect estimation of the prevalence of low back pain in the region that was pretty consistent with the published results obtained from other settings. New studies need to be carried out to supplement and overcome the methodological weaknesses of those previously conducted.
Idioma originalEnglish (US)
Páginas (desde-hasta)379 - 391
Número de páginas12
PublicaciónPain Physician
Volumen17
N.º5
EstadoPublished - sep 2014

Huella dactilar

Latin America
Low Back Pain
Population
Sedentary Lifestyle
Pain
Selection Bias
Information Storage and Retrieval
Mexico
Rheumatic Diseases
Workload
Checklist
Posture
PubMed
Publications
Epidemiology
Obesity

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Hernandez Castro, J. J., Santos Garcia, J. B., Guillén Núñez, M. D. R., Jreige Iskandar, A., Cantemir, C., Pazos, M. AR., ... Berenguel Cook, M. D. R. (2014). Prevalence of low back pain in Latin America: a systematic literatures review. Pain Physician, 17(5), 379 - 391.
Hernandez Castro, John Jairo ; Santos Garcia, Joäo Batista ; Guillén Núñez, María del Rocío ; Jreige Iskandar, Aziza ; Cantemir, Catalin ; Pazos, Maria AR ; Aguirre, Jorge O ; Delgado, Wilian ; Serpentegui, Manuel ; Berenguel Cook, María del Rosario. / Prevalence of low back pain in Latin America: a systematic literatures review. En: Pain Physician. 2014 ; Vol. 17, N.º 5. pp. 379 - 391.
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title = "Prevalence of low back pain in Latin America: a systematic literatures review",
abstract = "BACKGROUND:Chronic low back pain is considered as a high-impact condition that affects the working population of Latin America, with long reaching social and economic repercussions. Its true frequency is unknown due to the absence of well-designed clinical trials that use standardized definitions and criteria.OBJECTIVES:To evaluate the prevalence of chronic non-specific low back pain among the Latin American population.STUDY DESIGN:A systematic review of chronic non-specific low back pain in Latin America.SETTING:Meeting of Change Pain Latin America, Mexico.METHODS:Data sources included relevant literature identified through searches of published studies between August 30, 2002, and August 30, 2012, in 7 electronic databases: Cochrane BVS, Pubmed, Medline, Lilacs, Scielo, Hinari, and MedCarib. Publications dealing with low back pain of a post-traumatic, infectious, or malignant origin were excluded. Two reviewers selected in an independent manner all eligible studies using the MOOSE checklist and extracted data on both prevalence and risk factors associated with low back pain. A narrative synthesis of the results was drafted, which was later validated by a panel of clinical experts on pain.RESULTS:Twenty-eight studies were included in the review, comprising a total of 20,559 subjects from 7 countries in the region. Four of these studies, with significant methodological differences between them, measured the frequency of chronic low back pain with results that varied from 4.2{\%} to 10.1{\%}. Four studies are part of the Community Oriented Program for Control of Rheumatic Diseases (COPCORD) program reports, and were pooled and analyzed separately because of their particular design. Their prevalence estimations varied between 1.8{\%} and 11.3{\%}. The remaining 20 studies evaluated a total population of 6,992 subjects, and found a prevalence of low back pain of 31.3{\%}. Based on an epidemiological model constructed on both times to resolution and low back pain recurrence rates, the prevalence of chronic low back pain in Latin America was estimated to be around 10.5{\%}. Some risk factors reported by the authors are long working hours with the worker in the sitting position, obesity and overweight, pregnancy, smoking, advanced age, lifting and carrying heavy loads, domestic work, sedentary lifestyles, and duration of current employment. A subgroup analysis of the population under study yielded an estimated prevalence of low back pain of 16.7{\%} for the population exposed to a lower number of risk factors and 65{\%} for the higher risk subgroup. In this review, we made an exhaustive search of studies evaluating the epidemiology of chronic low back pain in the Latin America region.LIMITATIONS:The large topographic and chronologic variability in definitions of low back pain, interviewer bias, and subject selection bias.CONCLUSIONS:Despite the sparse information and the methodological heterogeneity of the studies, pooled results allowed for an indirect estimation of the prevalence of low back pain in the region that was pretty consistent with the published results obtained from other settings. New studies need to be carried out to supplement and overcome the methodological weaknesses of those previously conducted.",
author = "{Hernandez Castro}, {John Jairo} and {Santos Garcia}, {Jo{\"a}o Batista} and {Guill{\'e}n N{\'u}{\~n}ez}, {Mar{\'i}a del Roc{\'i}o} and {Jreige Iskandar}, Aziza and Catalin Cantemir and Pazos, {Maria AR} and Aguirre, {Jorge O} and Wilian Delgado and Manuel Serpentegui and {Berenguel Cook}, {Mar{\'i}a del Rosario}",
year = "2014",
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language = "English (US)",
volume = "17",
pages = "379 -- 391",
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Hernandez Castro, JJ, Santos Garcia, JB, Guillén Núñez, MDR, Jreige Iskandar, A, Cantemir, C, Pazos, MAR, Aguirre, JO, Delgado, W, Serpentegui, M & Berenguel Cook, MDR 2014, 'Prevalence of low back pain in Latin America: a systematic literatures review', Pain Physician, vol. 17, n.º 5, pp. 379 - 391.

Prevalence of low back pain in Latin America: a systematic literatures review. / Hernandez Castro, John Jairo; Santos Garcia, Joäo Batista; Guillén Núñez, María del Rocío; Jreige Iskandar, Aziza; Cantemir, Catalin; Pazos, Maria AR; Aguirre, Jorge O; Delgado, Wilian; Serpentegui, Manuel ; Berenguel Cook, María del Rosario.

En: Pain Physician, Vol. 17, N.º 5, 09.2014, p. 379 - 391.

Resultado de la investigación: Contribución a RevistaArtículo

TY - JOUR

T1 - Prevalence of low back pain in Latin America: a systematic literatures review

AU - Hernandez Castro, John Jairo

AU - Santos Garcia, Joäo Batista

AU - Guillén Núñez, María del Rocío

AU - Jreige Iskandar, Aziza

AU - Cantemir, Catalin

AU - Pazos, Maria AR

AU - Aguirre, Jorge O

AU - Delgado, Wilian

AU - Serpentegui, Manuel

AU - Berenguel Cook, María del Rosario

PY - 2014/9

Y1 - 2014/9

N2 - BACKGROUND:Chronic low back pain is considered as a high-impact condition that affects the working population of Latin America, with long reaching social and economic repercussions. Its true frequency is unknown due to the absence of well-designed clinical trials that use standardized definitions and criteria.OBJECTIVES:To evaluate the prevalence of chronic non-specific low back pain among the Latin American population.STUDY DESIGN:A systematic review of chronic non-specific low back pain in Latin America.SETTING:Meeting of Change Pain Latin America, Mexico.METHODS:Data sources included relevant literature identified through searches of published studies between August 30, 2002, and August 30, 2012, in 7 electronic databases: Cochrane BVS, Pubmed, Medline, Lilacs, Scielo, Hinari, and MedCarib. Publications dealing with low back pain of a post-traumatic, infectious, or malignant origin were excluded. Two reviewers selected in an independent manner all eligible studies using the MOOSE checklist and extracted data on both prevalence and risk factors associated with low back pain. A narrative synthesis of the results was drafted, which was later validated by a panel of clinical experts on pain.RESULTS:Twenty-eight studies were included in the review, comprising a total of 20,559 subjects from 7 countries in the region. Four of these studies, with significant methodological differences between them, measured the frequency of chronic low back pain with results that varied from 4.2% to 10.1%. Four studies are part of the Community Oriented Program for Control of Rheumatic Diseases (COPCORD) program reports, and were pooled and analyzed separately because of their particular design. Their prevalence estimations varied between 1.8% and 11.3%. The remaining 20 studies evaluated a total population of 6,992 subjects, and found a prevalence of low back pain of 31.3%. Based on an epidemiological model constructed on both times to resolution and low back pain recurrence rates, the prevalence of chronic low back pain in Latin America was estimated to be around 10.5%. Some risk factors reported by the authors are long working hours with the worker in the sitting position, obesity and overweight, pregnancy, smoking, advanced age, lifting and carrying heavy loads, domestic work, sedentary lifestyles, and duration of current employment. A subgroup analysis of the population under study yielded an estimated prevalence of low back pain of 16.7% for the population exposed to a lower number of risk factors and 65% for the higher risk subgroup. In this review, we made an exhaustive search of studies evaluating the epidemiology of chronic low back pain in the Latin America region.LIMITATIONS:The large topographic and chronologic variability in definitions of low back pain, interviewer bias, and subject selection bias.CONCLUSIONS:Despite the sparse information and the methodological heterogeneity of the studies, pooled results allowed for an indirect estimation of the prevalence of low back pain in the region that was pretty consistent with the published results obtained from other settings. New studies need to be carried out to supplement and overcome the methodological weaknesses of those previously conducted.

AB - BACKGROUND:Chronic low back pain is considered as a high-impact condition that affects the working population of Latin America, with long reaching social and economic repercussions. Its true frequency is unknown due to the absence of well-designed clinical trials that use standardized definitions and criteria.OBJECTIVES:To evaluate the prevalence of chronic non-specific low back pain among the Latin American population.STUDY DESIGN:A systematic review of chronic non-specific low back pain in Latin America.SETTING:Meeting of Change Pain Latin America, Mexico.METHODS:Data sources included relevant literature identified through searches of published studies between August 30, 2002, and August 30, 2012, in 7 electronic databases: Cochrane BVS, Pubmed, Medline, Lilacs, Scielo, Hinari, and MedCarib. Publications dealing with low back pain of a post-traumatic, infectious, or malignant origin were excluded. Two reviewers selected in an independent manner all eligible studies using the MOOSE checklist and extracted data on both prevalence and risk factors associated with low back pain. A narrative synthesis of the results was drafted, which was later validated by a panel of clinical experts on pain.RESULTS:Twenty-eight studies were included in the review, comprising a total of 20,559 subjects from 7 countries in the region. Four of these studies, with significant methodological differences between them, measured the frequency of chronic low back pain with results that varied from 4.2% to 10.1%. Four studies are part of the Community Oriented Program for Control of Rheumatic Diseases (COPCORD) program reports, and were pooled and analyzed separately because of their particular design. Their prevalence estimations varied between 1.8% and 11.3%. The remaining 20 studies evaluated a total population of 6,992 subjects, and found a prevalence of low back pain of 31.3%. Based on an epidemiological model constructed on both times to resolution and low back pain recurrence rates, the prevalence of chronic low back pain in Latin America was estimated to be around 10.5%. Some risk factors reported by the authors are long working hours with the worker in the sitting position, obesity and overweight, pregnancy, smoking, advanced age, lifting and carrying heavy loads, domestic work, sedentary lifestyles, and duration of current employment. A subgroup analysis of the population under study yielded an estimated prevalence of low back pain of 16.7% for the population exposed to a lower number of risk factors and 65% for the higher risk subgroup. In this review, we made an exhaustive search of studies evaluating the epidemiology of chronic low back pain in the Latin America region.LIMITATIONS:The large topographic and chronologic variability in definitions of low back pain, interviewer bias, and subject selection bias.CONCLUSIONS:Despite the sparse information and the methodological heterogeneity of the studies, pooled results allowed for an indirect estimation of the prevalence of low back pain in the region that was pretty consistent with the published results obtained from other settings. New studies need to be carried out to supplement and overcome the methodological weaknesses of those previously conducted.

M3 - Article

VL - 17

SP - 379

EP - 391

IS - 5

ER -

Hernandez Castro JJ, Santos Garcia JB, Guillén Núñez MDR, Jreige Iskandar A, Cantemir C, Pazos MAR y otros. Prevalence of low back pain in Latin America: a systematic literatures review. Pain Physician. 2014 sep;17(5):379 - 391.