MSGID: 1:317/3 646d92f4   
   PID: hpt/lnx 1.9.0-cur 2019-01-08   
   TID: hpt/lnx 1.9.0-cur 2019-01-08   
    In 2050, over 800 million people globally estimated to be living with   
   back pain    
    Analysis also dispels common back pain myth    
      
     Date:   
         May 23, 2023   
     Source:   
         University of Sydney   
     Summary:   
         Study estimates there will be over 800 million cases of low back   
         pain in 2050, a 36 percent increase from 2020. With an aging   
         population, researchers say we must 'put the brakes' on low back   
         pain cases before the burden becomes too great for our healthcare   
         system.   
      
      
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   FULL STORY   
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   Analysis of over 30 years of data has shown the number of cases of low   
   back pain is growing, with modelling suggesting by 2050, 843 million   
   people will be affected by the condition largely due to population   
   increases and ageing of populations.   
      
   The continued lack of a consistent approach on back pain treatment,   
   and limited treatment options have researchers concerned that this will   
   lead to a healthcare crisis, as low back pain is the leading cause of   
   disability in the world.   
      
   In Australia, there will be a nearly 50 percent increase in cases by   
   2050. The landscape of back pain cases is set to shift, with the biggest   
   increases in back pain cases to be in Asia and Africa.   
      
   The findings are published in Lancet Rheumatology today, and is the new   
   Global Burden of Disease (GBD) 2021 study.   
      
   "Our analysis paints a picture of growing low back pain cases globally,   
   putting enormous pressure on our healthcare system. We need to establish a   
   national, consistent approach to managing low back pain that is informed   
   by research," says lead author, Professor Manuela Ferreira from Sydney   
   Musculoskeletal Health, an initiative of the University of Sydney,   
   Sydney Local Health District and Northern Sydney Local Health District.   
      
   "Currently, how we have been responding to back pain has been reactive.   
      
   Australia is a global leader in back pain research; we can be proactive   
   and lead by example on back pain prevention," said Professor Ferreira   
   who is based at Sydney's Kolling Institute.   
      
   The study reveals several milestones in back pain cases. Since 2017,   
   the number of low back pain cases has ticked over to more than half a   
   billion people.   
      
   In 2020, there were approximately 619 million cases of back pain.   
      
   At least one third of the disability burden associated with backpain   
   was attributable to occupational factors, smoking and being overweight.   
      
   A widespread misconception is that low back pain mostly affects adults   
   of working age. But researchers say this study has confirmed that low   
   back pain is more common among older people. Low back pain cases were   
   also higher among females compared to males.   
      
   This is the most comprehensive and up-to-date available data that   
   includes for the first time global projections and the contribution of   
   GBD risk factors to low back pain. The work was made possible by the   
   joint efforts of The University of Sydney, the Institute for Health   
   Metrics and Evaluation (IHME) at the University of Washington's School   
   of Medicine, IHME's international collaborators, and the Global Alliance   
   for Musculoskeletal Health.   
      
   "We also know that most available data come from high-income countries,   
   making it sometimes hard to interpret these results for low to mid-income   
   countries.   
      
   We urgently need more population-based back pain and musculoskeletal   
   data from countries of low to mid-income," said senior author Professor   
   Lyn March from Sydney Musculoskeletal Health and the Kolling Institute.   
      
   The study analysed GBD data from 1990 to 2020 from over 204 countries   
   and territories to map the landscape of back pain cases over time. The   
   GBD is the most comprehensive picture of mortality and disability across   
   countries, time, age, and It is also the first study to be used for   
   modelling the future prevalence of back pain cases.   
      
   "Health systems need to respond to this enormous and rising burden of   
   low back pain that is affecting people globally. Much more needs to be   
   done to prevent low back pain and ensure timely access to care, as there   
   are effective ways of helping people in pain" said Prof Anthony Woolf,   
   co-chair of the Global Alliance for Musculoskeletal Health which is   
   calling for priority to be given to addressing the growing burden of   
   musculoskeletal conditions.   
      
   "Ministries of health cannot continue ignoring the high prevalence of   
   musculoskeletal conditions including low back pain. These conditions   
   have important social and economic consequences, especially considering   
   the cost of care. Now is the time to learn about effective strategies   
   to address the high burden and to act" said Dr Alarcos Cieza, Unit Head,   
   World Health Organization, Headquarters, Geneva.   
      
   National guidelines will form basis of back pain prevention In 2018,   
   experts (independent to this study) voiced their concerns in The Lancetand   
   gave recommendations, especially regarding exercise and education, about   
   the need for a change in global policy on the best way to prevent and   
   manage low back pain to stop the rise of inappropriate treatments.   
      
   However, since then, there has been little change. Common treatments   
   recommended for low back pain have been found to have unknown   
   effectiveness or to be ineffective -- this includes some surgeries   
   and opioids.   
      
   Professor Ferreira says there is a lack of consistency in how health   
   professionals manage back pain cases and how the healthcare system needs   
   to adapt.   
      
   "It may come as a surprise to some that current clinical guidelines for   
   back pain treatment and management do not provide specific recommendations   
   for older people."  "Older people have more complex medical histories and   
   are more likely to be prescribed strong medication, including opioids for   
   back pain management, compared to younger adults. But this is not ideal   
   and can have a negative impact on their function and quality of life,   
   especially as these analgesics may interfere with their other existing   
   medications. This is just one example of why we need to update clinical   
   guidelines to support our health professionals."  Co-author Dr Katie   
   de Luca, from CQUniversity, said if the right action is not taken, low   
   back pain can become a precursor to chronic health conditions such as   
   diabetes, cardiovascular disease and mental health conditions, invasive   
   medical procedures, and significant disability.   
      
   "Low back pain continues to be the greatest cause of disability burden   
   worldwide. There are substantial socio-economic consequences of this   
   condition, and the physical and personal impact directly threatens   
   healthy ageing."   
       * RELATED_TOPICS   
             o Health_&_Medicine   
                   # Back_and_Neck_Pain # Pain_Control # Workplace_Health   
                   # Fibromyalgia # Joint_Health # Joint_Pain #   
                   Today's_Healthcare # Medical_Topics   
       * RELATED_TERMS   
             o Back_pain o Gate_control_theory_of_pain o Pain o Acupuncture   
             o Chronic_pain o Nociceptor o Osteoarthritis o Headache   
      
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   Story Source: Materials provided by University_of_Sydney. Note: Content   
   may be edited for style and length.   
      
      
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   Journal Reference:   
      1. Manuela L Ferreira, Katie de Luca, Lydia M Haile, Jaimie D   
      Steinmetz,   
         Garland T Culbreth, Marita Cross, Jacek A Kopec, Paulo H Ferreira,   
         Fiona M Blyth, Rachelle Buchbinder, Jan Hartvigsen, Ai-Min Wu, Saeid   
         Safiri, Anthony D Woolf, Gary S Collins, Kanyin Liane Ong, Stein   
         Emil Vollset, Amanda E Smith, Jessica A Cruz, Kai Glenn Fukutaki,   
         Semagn Mekonnen Abate, Mitra Abbasifard, Mohsen Abbasi-Kangevari,   
         Zeinab Abbasi- Kangevari, Ahmed Abdelalim, Aidin Abedi, Hassan   
         Abidi, Qorinah Estiningtyas Sakilah Adnani, Ali Ahmadi, Rufus   
         Olusola Akinyemi, Abayneh Tadesse Alamer, Adugnaw Zeleke Alem,   
         Yousef Alimohamadi, Mansour Abdullah Alshehri, Mohammed Mansour   
         Alshehri, Hosam Alzahrani, Saeed Amini, Sohrab Amiri, Hubert   
         Amu, Catalina Liliana Andrei, Tudorel Andrei, Benny Antony,   
         Jalal Arabloo, Judie Arulappan, Ashokan Arumugam, Tahira Ashraf,   
         Seyyed Shamsadin Athari, Nefsu Awoke, Sina Azadnajafabad, Till   
         Winfried Ba"rnighausen, Lope H Barrero, Amadou Barrow, Akbar   
         Barzegar, Lindsay M Bearne, Isabela M Bensenor, Alemshet Yirga   
         Berhie, Bharti Bhandari Bhandari, Vijayalakshmi S Bhojaraja,   
         Ali Bijani, Belay Boda Abule Bodicha, Srinivasa Rao Bolla, Javier   
         Brazo-Sayavera, Andrew M Briggs, Chao Cao, Periklis Charalampous,   
         Vijay Kumar Chattu, Flavia M Cicuttini, Benjamin Clarsen, Sarah   
         Cuschieri, Omid Dadras, Xiaochen Dai, Lalit Dandona, Rakhi Dandona,   
         Azizallah Dehghan, Takele Gezahegn G Demie, Edgar Denova-Gutie'rrez,   
         Syed Masudur Rahman Dewan, Samath Dhamminda Dharmaratne, Mandira   
         Lamichhane Dhimal, Meghnath Dhimal, Daniel Diaz, Mojtaba Didehdar,   
         Lankamo Ena Digesa, Mengistie Diress, Hoa Thi Do, Linh Phuong Doan,   
         Michael Ekholuenetale, Muhammed Elhadi, Sharareh Eskandarieh,   
         Shahriar Faghani, Jawad Fares, Ali Fatehizadeh, Getahun Fetensa,   
         Irina Filip, Florian Fischer, Richard Charles Franklin, Balasankar   
         Ganesan, Belete Negese Belete Gemeda, Motuma Erena Getachew,   
         Ahmad Ghashghaee, Tiffany K Gill, Mahaveer Golechha, Pouya Goleij,   
         Bhawna Gupta, Nima Hafezi-Nejad, Arvin Haj-Mirzaian, Pawan Kumar   
         Hamal, Asif Hanif, Netanja I Harlianto, Hamidreza Hasani, Simon   
         I Hay, Jeffrey J Hebert, Golnaz Heidari, Mohammad Heidari, Reza   
         Heidari-Soureshjani, Mbuzeleni Mbuzeleni Hlongwa, Mohammad-Salar   
         Hosseini, Alexander Kevin Hsiao, Ivo Iavicoli, Segun Emmanuel   
         Ibitoye, Irena M Ilic, Milena D Ilic, Sheikh Mohammed Shariful   
         Islam, Manthan Dilipkumar Janodia, Ravi Prakash Jha, Har Ashish   
         Jindal, Jost B Jonas, Gebisa Guyasa Kabito, Himal Kandel, Rimple   
         Jeet Kaur, Vikash Ranjan Keshri, Yousef Saleh Khader, Ejaz Ahmad   
         Khan, Md Jobair Khan, Moien AB Khan, Hamid Reza Khayat Kashani,   
         Jagdish Khubchandani, Yun Jin Kim, Adnan Kisa, Jitka Klugarova',   
         Ali-Asghar Kolahi, Hamid Reza Koohestani, Ai Koyanagi, G Anil   
         Kumar, Narinder Kumar, Tea Lallukka, Savita Lasrado, Wei-Chen   
         Lee, Yo Han Lee, Ata Mahmoodpoor, Jeadran N Malago'n-Rojas,   
         Mohammad-Reza Malekpour, Reza Malekzadeh, Narges Malih, Man   
         Mohan Mehndiratta, Entezar Mehrabi Nasab, Ritesh G Menezes,   
         Alexios-Fotios A Mentis, Mohamed Kamal Mesregah, Ted R Miller,   
         Mohammad Mirza-Aghazadeh-Attari, Maryam Mobarakabadi, Yousef   
         Mohammad, Esmaeil Mohammadi, Shafiu Mohammed, Ali H Mokdad, Sara   
         Momtazmanesh, Lorenzo Monasta, Mohammad Ali Moni, Ebrahim Mostafavi,   
         Christopher J L Murray, Tapas Sadasivan Nair, Javad Nazari, Seyed   
         Aria Nejadghaderi, Subas Neupane, Sandhya Neupane Kandel, Cuong Tat   
         Nguyen, Ali Nowroozi, Hassan Okati-Aliabad, Emad Omer, Abderrahim   
         Oulhaj, Mayowa O Owolabi, Songhomitra Panda-Jonas, Anamika Pandey,   
         Eun-Kee Park, Shrikant Pawar, Paolo Pedersini, Jeevan Pereira,   
         Mario F P Peres, Ionela-Roxana Petcu, Mohammadreza Pourahmadi,   
         Amir Radfar, Shahram Rahimi-Dehgolan, Vafa Rahimi-Movaghar,   
         Mosiur Rahman, Amir Masoud Rahmani, Nazanin Rajai, Chythra R   
         Rao, Vahid Rashedi, Mohammad-Mahdi Rashidi, Zubair Ahmed Ratan,   
         David Laith Rawaf, Salman Rawaf, Andre M N Renzaho, Negar Rezaei,   
         Zahed Rezaei, Leonardo Roever, Guilherme de Andrade Ruela, Basema   
         Saddik, Amirhossein Sahebkar, Sana Salehi, Francesco Sanmarchi,   
         Sadaf G Sepanlou, Saeed Shahabi, Shayan Shahrokhi, Elaheh Shaker,   
         MohammadBagher Shamsi, Mohammed Shannawaz, Saurab Sharma, Maryam   
         Shaygan, Rahim Ali Sheikhi, Jeevan K Shetty, Rahman Shiri,   
         Siddharudha Shivalli, Parnian Shobeiri, Migbar Mekonnen Sibhat,   
         Ambrish Singh, Jasvinder A Singh, Helen Slater, Marco Solmi,   
         Ranjani Somayaji, Ker-Kan Tan, Rekha Thapar, Seyed Abolfazl   
         Tohidast, Sahel Valadan Tahbaz, Rohollah Valizadeh, Tommi Juhani   
         Vasankari, Narayanaswamy Venketasubramanian, Vasily Vlassov, Bay Vo,   
         Yuan-Pang Wang, Taweewat Wiangkham, Lalit Yadav, Ali Yadollahpour,   
         Seyed Hossein Yahyazadeh Jabbari, Lin Yang, Fereshteh Yazdanpanah,   
         Naohiro Yonemoto, Mustafa Z Younis, Iman Zare, Armin Zarrintan,   
         Mohammad Zoladl, Theo Vos, Lyn M March. Global, regional, and   
         national burden of low back pain, 1990-2020, its attributable   
         risk factors, and projections to 2050: a systematic analysis of   
         the Global Burden of Disease Study 2021. The Lancet Rheumatology,   
         2023; 5 (6): e316 DOI: 10.1016/S2665-9913(23)00098-X   
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   Link to news story:   
   https://www.sciencedaily.com/releases/2023/05/230523123745.htm   
      
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