Prognostic factors for pain chronicity in low back pain: a systematic review

Nieminen, Linda Karoliina; Pyysalo, Liisa; Kankaanpää, Markku

doi:10.1097/pr9.0000000000000919

Cited by 155 publications

(109 citation statements)

References 138 publications

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“…This review has identified poor postural ergonomics, prolonged standing, prolonged sitting, whole body vibration, repetitive bending and twisting movements and lifting heavy objects as the most important biomechanical risk factors for CLBP. This result is in line with reviews from high income countries [ 56 , 57 , 58 ]. In order to mitigate the risk of CLBP due to occupational biomechanical stressors, proper workplace risk assessment by a qualified professional should be made mandatory and measures should be taken to ensure adherence to proper office ergonomic set-ups, no lifting policy, health education and promotion at workplace should be implemented.…”

Section: Discussionsupporting

confidence: 92%

A Scoping Review on the Epidemiology of Chronic Low Back Pain among Adults in Sub-Saharan Africa

Kahere

Hlongwa

Ginindza

2022

IJERPH

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Background: The global burden of chronic low back pain (CLBP) is a major concern in public health. Several CLBP epidemiological studies have been conducted in high-income-countries (HICs) with little known in low-and-middle-income-countries (LMICs) due to other competing priorities of communicable diseases. The extrapolation of results of studies from HICs for use in LMICs is difficult due to differences in social norms, healthcare systems, and legislations, yet there is urgent need to address this growing burden. It is against this backdrop that we conducted this review to map the current evidence on the distribution of CLBP in Sub-Saharan Africa (SSA). Methods: A comprehensive literature search was conducted from the following databases: PubMed, Google Scholar, Science Direct databases, World Health Organizations library databases, EMBASE, EBSCOhost by searching the following databases within the platform; academic search complete, CINAHL with full text, health sources: nursing/academic and MEDLINE. The title, abstract and the full text screening phases were performed by two independent reviewers with the third reviewer employed to adjudicate discrepancies. The reference list of all included articles was also searched for eligible articles. This scoping review was reported in accordance with the PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation, as well as guided by Arksey and O’Malley’s scoping review framework. A thematic content analysis was used to give a narrative account of the review. Results: The electronic search strategy retrieved 21,189 articles. Title/abstract and full text screening only identified 11 articles, which were included in this review. The prevalence of CLBP among the general population ranged from 18.1% to 28.2% and from 22.2% to 59.1% among LBP patients. The prevalence of occupation based CLBP ranged from 30.1% to 55.5%. Identified risk factors for CLBP are multifactorial and included biomechanical, psychological, socioeconomic and lifestyle factors, with psychosocial factors playing a significant role. Hypertension, diabetes mellitus, peptic ulcer disease were the most common comorbidities identified. CLBP disability was significantly associated with psychosocial factors. The management of CLBP in primary care follows the traditional biomedical paradigm and primarily involves pain medication and inconsistent with guidelines. Conclusions: There are limited epidemiological data on CLBP in SSA, however, this study concluded that the prevalence and risk factors of CLBP in SSA are comparable to reports in HICs. Considering the projected increase in the burden of CLBP in LMICs extensive research effort is needed to close this knowledge gap.

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Section: Discussionsupporting

confidence: 92%

A Scoping Review on the Epidemiology of Chronic Low Back Pain among Adults in Sub-Saharan Africa

Kahere

Hlongwa

Ginindza

2022

IJERPH

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“…regarding impact of pain on psychological and mood variables, especially anxiety, are consistent with data from other chronic pain conditions. 23,24 It might also be expected that USS severity would be related to sleep disturbance based on interruptions from nighttime frequency and urge, but the finding of USS-gp being most associated with increased sensory sensitivity and decreased physical well-being suggest a broader sensory-alteration phenotype may be underlying increased urinary frequency and urgency. PPS and USS both showed significant and independent associations with severity of nonpelvic pain, fatigue and depression but not number of nonpelvic pain locations.…”

Section: Discussionmentioning

confidence: 99%

Reliability and Validity of Pain and Urinary Symptom Severity Assessment in Urological Chronic Pelvic Pain: A MAPP Network Analysis

et al. 2022

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Purpose: We assessed the reliability and validity of an efficient severity assessment for pelvic pain and urinary symptoms in urological chronic pelvic pain syndrome, which consists of interstitial cystitis/bladder pain syndrome and chronic prostatitis/chronic pelvic pain syndrome. Materials and Methods: A total of 578 patients were assessed using brief, empirically derived self-report scales for pelvic pain severity (PPS) and urinary symptom severity (USS) 4 times during a 1-month period and baseline clinic visit that included urological, pain and illness-impact measures. Mild, moderate and severe categories on each dimension were examined for measurement stability and construct validity. Results: PPS and USS severity categories had adequate reliability and both discriminant validity (differential relationships with specific clinical and selfreport measures) and convergent validity (common association with nonurological somatic symptoms). For example, increasing PPS was associated with pelvic tenderness and widespread pelvic pain, whereas USS was associated with

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“…With 32% of workers not back at work after 1 month, it has been suggested that interventions targeting individual-level risk factors should be implemented soon after injury to prevent long-term work absence [ 36 ]. The transition rate from acute to chronic LBP is significantly higher in obese adults, smokers, those with severe and very severe baseline disability and in adults diagnosed depression/anxiety, with biomechanical, psychological and psychosocial factors identified as prognostic factors for the development of chronic back pain [ 37 ]. In particular, depressive symptoms are a significant risk factor for the report of future back pain in older adults [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Disability burden due to musculoskeletal conditions and low back pain in Australia: findings from GBD 2019

et al. 2022

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Background To report the national prevalence, years lived with disability (YLDs) and attributable risk factors for all musculoskeletal conditions and separately for low back pain (LBP), as well as compare the disability burden related to musculoskeletal with other health conditions in Australia in 2019. Methods Global Burden of Disease (GBD) 2019 study meta-data on all musculoskeletal conditions and LBP specifically were accessed and aggregated. Counts and age-standardised rates, for both sexes and across all ages, for prevalence, YLDs and attributable risk factors are reported. Results In 2019, musculoskeletal conditions were estimated to be the leading cause of YLDs in Australia (20.1%). There were 7,219,894.5 (95% UI: 6,847,113–7,616,567) prevalent cases of musculoskeletal conditions and 685,363 (95% UI: 487,722–921,471) YLDs due to musculoskeletal conditions. There were 2,676,192 (95% UI: 2,339,327–3,061,066) prevalent cases of LBP and 298,624 (95% UI: 209,364–402,395) YLDs due to LBP. LBP was attributed to 44% of YLDs due to musculoskeletal conditions. In 2019, 22.3% and 39.8% of YLDs due to musculoskeletal conditions and LBP, respectively, were attributed to modifiable GBD risk factors. Conclusions The ongoing high burden due to musculoskeletal conditions impacts Australians across the life course, and in particular females and older Australians. Strategies for integrative and organisational interventions in the Australian healthcare system should support high-value care and address key modifiable risk factors for disability such as smoking, occupational ergonomic factors and obesity.

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Prognostic factors for pain chronicity in low back pain: a systematic review

Abstract: Supplemental Digital Content is Available in the Text. Several prognostic factors are related to low back pain chronicity, and these should be taken into account when planning more comprehensive models in its prevention.

Cited by 155 publications

References 138 publications

A Scoping Review on the Epidemiology of Chronic Low Back Pain among Adults in Sub-Saharan Africa

A Scoping Review on the Epidemiology of Chronic Low Back Pain among Adults in Sub-Saharan Africa

Reliability and Validity of Pain and Urinary Symptom Severity Assessment in Urological Chronic Pelvic Pain: A MAPP Network Analysis

Disability burden due to musculoskeletal conditions and low back pain in Australia: findings from GBD 2019

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