2019
DOI: 10.1590/1413-812320182411.06352018
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Desigualdades e fatores associados ao tratamento do problema crônico de coluna no Brasil

Abstract: Resumo O Problema Crônico de Coluna (PCC) é uma das doenças mais prevalentes no mundo e representa uma das principais causas de anos de vida perdidos por incapacidade. Embora de grande relevância para a saúde pública, estudos sobre o acesso e a utilização dos tipos de tratamento são escassos. O objetivo deste artigo é descrever os principais tratamentos para PCC no Brasil, analisar os fatores associados à sua utilização e discutir possíveis desigualdades na utilização de fisioterapia /exercícios e a utilização… Show more

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Cited by 14 publications
(11 citation statements)
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“…Regarding the use of the treatments studied, it appears that approximately half of the individuals with back pain used medication or injections, while about a quarter of them had access to physical exercise and regular monitoring, and approximately one in ten performed physiotherapy or PICS for back pain. It is important to note that, comparing with a previous study, there was an apparent increase in the use of medication from 31.6% in 2013 to 45.3% in 2019 in Brazil, while physical therapy or PICS did not have this increase 9 . The high use of medications and injections and the low prevalence of access to non-pharmacological care services, recommended by national and international guidelines, may be related to the lack of knowledge of medical professionals about the new guidelines, lack of access and costs of services, beliefs of population on the use of medicines and also the interest of the pharmaceutical industry 18 .…”
Section: Discussioncontrasting
confidence: 51%
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“…Regarding the use of the treatments studied, it appears that approximately half of the individuals with back pain used medication or injections, while about a quarter of them had access to physical exercise and regular monitoring, and approximately one in ten performed physiotherapy or PICS for back pain. It is important to note that, comparing with a previous study, there was an apparent increase in the use of medication from 31.6% in 2013 to 45.3% in 2019 in Brazil, while physical therapy or PICS did not have this increase 9 . The high use of medications and injections and the low prevalence of access to non-pharmacological care services, recommended by national and international guidelines, may be related to the lack of knowledge of medical professionals about the new guidelines, lack of access and costs of services, beliefs of population on the use of medicines and also the interest of the pharmaceutical industry 18 .…”
Section: Discussioncontrasting
confidence: 51%
“…Figure 1 shows the prevalence of each of the outcomes studied. The most prevalent were the use of medication and injections (45.3%; CI95% 44,6-46,0), physical exercise (26.3%; CI95% 25,7-27,0), regular monitoring with a health professional (24.7%; CI95% 24,1-25,3), followed by physiotherapy (12,1%;CI95% 11,(6)(7)(8)(9)(10)(11)(12)6) and use of integrative and complementary therapies (6,8%; CI95% 6,5-7,2).…”
Section: Resultsmentioning
confidence: 99%
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“…Diabetes is a global public health problem, and its prevalence is increasing in Brazil and worldwide 41 . Chronic back problems and WMSD can affect a large portion of the population and represent one of the main causes of years of life lost due to limitation, resulting in an economic impact and on the quality of life of individuals 42,43 . Cancer and asthma were less prevalent in less educated individuals, showing an inverted gradient, which may be due to socioeconomic conditions, lower access to health services, and diagnosis among individuals with worse socioeconomic conditions 16 .…”
Section: Discussionmentioning
confidence: 99%