P11. Incidence and Risk Factors for Low Back Pain in Active Duty Military Over a 10 Year Period

Knox, Jeffrey B.; Orchowski, Joseph; Belmont, Philip J.; Scher, Danielle L.; Burks, Robert T.; Owens, Brett D.

doi:10.1016/j.spinee.2009.08.269

Cited by 3 publications

(8 citation statements)

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“…Rank is classified as Junior Enlisted (private to specialist/corporal), Senior Enlisted (Sergeant to Sergeant Major), Junior Officers (Second Lieutenant to Captain, and Warrant Officers), and Senior Officers (Major to Lieutenant General). Prior studies using the DMED have used rank and branch of service as proxies for activity level, with combat arms branches such as the Army and Marine Corps assumed to have higher occupational demands on average [19][20][21]. Similarly, Enlisted servicemembers are also assumed, on average, to engage in more physical occupational demands on a daily basis than are officers [21].…”

Section: Methodsmentioning

confidence: 99%

“…Prior studies using the DMED have used rank and branch of service as proxies for activity level, with combat arms branches such as the Army and Marine Corps assumed to have higher occupational demands on average [19][20][21]. Similarly, Enlisted servicemembers are also assumed, on average, to engage in more physical occupational demands on a daily basis than are officers [21]. Military rank can also be used as a proxy for socioeconomic status both within the military and before enlistment [22][23][24].…”

Section: Methodsmentioning

confidence: 99%

“…Most importantly, the DMED can be used to determine the total number of servicemembers diagnosed with any medical condition as classified by International Classification of Diseases, Ninth Revision, Clinical Modification code. The DMED has been successfully used in the past to estimate the epidemiology of traumatic [18], degenerative [19,20], and spinal conditions [21] within the population of the US military.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of cervical spine fractures in the US military

et al. 2012

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BACKGROUND CONTEXT: The epidemiology of cervical spine fractures and associated spinal cord injury (SCI) has not previously been estimated within the American population. PURPOSE: To determine the incidence of cervical spine fractures and associated SCI and identify potential risk factors for these injuries in a large multicultural military population. .0, and 806.1). The database was also used to determine the total number of servicemembers within the military during the same period. The incidence of cervical spine fractures and fractures associated with SCI was determined, and unadjusted incidence rates were calculated for the demographic characteristics of sex, race, military rank, branch of service, and age. Adjusted incidence rate ratios were then determined using multivariate Poisson regression analysis to control for other factors in the model and identify significant risk factors for cervical spine fractures and cervical injuries associated with SCI. RESULTS: From 2000 to 2009, there were 4,048 cervical spine fractures in a population at risk of 13,813,333 servicemembers. The overall incidence of cervical spine fractures was 0.29 per 1,000 person-years, and the incidence of fracture associated SCI was 70 per 1,000,000. The cohorts at highest risk of cervical spine fracture were males, whites, Enlisted personnel, those serving in the Army, Navy, or Marine Corps, and servicemembers aged 20 to 29. Risk of fractureassociated SCI was significantly increased in males, Enlisted personnel, servicemembers in the Army, Navy, or Marines, and those aged 20 to 29. CONCLUSIONS: This study is the largest population-based investigation to be conducted within the United States regarding the incidence of SCI and the only study addressing incidence and risk factors for cervical spine fractures. Male sex, white race, Enlisted military rank, service in the

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Epidemiology of cervical spine fractures in the US military

et al. 2012

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“…As such, the DMED most closely approximates the type of closed system healthcare data set encountered in countries with nationalized healthcare registries. In addition, previous research has demonstrated the efficacy of the DMED in defining the epidemiology of traumatic 15 and spinal conditions 16 among servicemembers in the American military.…”

Section: Study Populationmentioning

confidence: 99%

“…Risk factors for SCI that were felt to be represented within the model included sex, race, age, activity level/occupational demands 15,16 and socioeconomic status. Previous studies involving the DMED have used rank and branch of service as indicants of physical activity, as well as occupational demands.…”

Section: Identification Of Scimentioning

confidence: 99%