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Epidemiological differences between localized and non-localized low back pain

Epidemiological differences between localized and non-localized low back pain
Epidemiological differences between localized and non-localized low back pain
Study Design. A cross-sectional survey with a longitudinal follow-up.

Objectives. The aim of this study was to test the hypothesis that pain, which is localized to the low back, differs epidemiologically from that which occurs simultaneously or close in time to pain at other anatomical sites

Summary of Background Data. Low back pain (LBP) often occurs in combination with other regional pain, with which it shares similar psychological and psychosocial risk factors. However, few previous epidemiological studies of LBP have distinguished pain that is confined to the low back from that which occurs as part of a wider distribution of pain.

Methods. We analyzed data from CUPID, a cohort study that used baseline and follow-up questionnaires to collect information about musculoskeletal pain, associated disability, and potential risk factors, in 47 occupational groups (office workers, nurses, and others) from 18 countries.

Results. Among 12,197 subjects at baseline, 609 (4.9%) reported localized LBP in the past month, and 3820 (31.3%) nonlocalized LBP. Nonlocalized LBP was more frequently associated with sciatica in the past month (48.1% vs. 30.0% of cases), occurred on more days in the past month and past year, was more often disabling for everyday activities (64.1% vs. 47.3% of cases), and had more frequently led to medical consultation and sickness absence from work. It was also more often persistent when participants were followed up after a mean of 14 months (65.6% vs. 54.1% of cases). In adjusted Poisson regression analyses, nonlocalized LBP was differentially associated with risk factors, particularly female sex, older age, and somatizing tendency. There were also marked differences in the relative prevalence of localized and nonlocalized LBP by occupational group.

Conclusion. Future epidemiological studies should distinguish where possible between pain that is limited to the low back and LBP that occurs in association with pain at other anatomical locations.

Level of Evidence: 2
0362-2436
740-747
Coggon, David
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Ntani, Georgia
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Walker-Bone, Karen
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Palmer, Keith
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Felli, Vanda E.
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Harari, Raul
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Barrero, Lope H.
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Felknor, Sarah A.
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Gimeno, David
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Cattrell, Anna
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Vargas-Prada, Sergio
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Bonzini, Matteo
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Solidaki, Eleni
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Merisalu, Eda
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Habib, Rima R.
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Sadeghian, Farideh
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Kadir, M. Masood
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Warnakulasuriya, Sudath S.P.
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Matsudaira, Ko
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Nyantumbu, Busisiwe
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Sim, Malcolm R.
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Harcombe, Helen
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Cox, Kenneth
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Sarquis, Leila M.
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Marziale, Maria H.
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Harari, Florencia
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Coggon, David
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Ntani, Georgia
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Walker-Bone, Karen
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Palmer, Keith
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Felli, Vanda E.
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Harari, Raul
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Barrero, Lope H.
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Felknor, Sarah A.
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Gimeno, David
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Cattrell, Anna
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Vargas-Prada, Sergio
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Bonzini, Matteo
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Solidaki, Eleni
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Merisalu, Eda
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Habib, Rima R.
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Sadeghian, Farideh
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Kadir, M. Masood
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Warnakulasuriya, Sudath S.P.
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Matsudaira, Ko
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Nyantumbu, Busisiwe
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Sim, Malcolm R.
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Harcombe, Helen
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Cox, Kenneth
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Sarquis, Leila M.
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Marziale, Maria H.
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Harari, Florencia
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Coggon, David, Ntani, Georgia, Walker-Bone, Karen, Palmer, Keith, Felli, Vanda E., Harari, Raul, Barrero, Lope H., Felknor, Sarah A., Gimeno, David, Cattrell, Anna, Vargas-Prada, Sergio, Bonzini, Matteo, Solidaki, Eleni, Merisalu, Eda, Habib, Rima R., Sadeghian, Farideh, Kadir, M. Masood, Warnakulasuriya, Sudath S.P., Matsudaira, Ko, Nyantumbu, Busisiwe, Sim, Malcolm R., Harcombe, Helen, Cox, Kenneth, Sarquis, Leila M., Marziale, Maria H. and Harari, Florencia (2017) Epidemiological differences between localized and non-localized low back pain. Spine, 42 (10), 740-747. (doi:10.1097/BRS.0000000000001956).

Record type: Article

Abstract

Study Design. A cross-sectional survey with a longitudinal follow-up.

Objectives. The aim of this study was to test the hypothesis that pain, which is localized to the low back, differs epidemiologically from that which occurs simultaneously or close in time to pain at other anatomical sites

Summary of Background Data. Low back pain (LBP) often occurs in combination with other regional pain, with which it shares similar psychological and psychosocial risk factors. However, few previous epidemiological studies of LBP have distinguished pain that is confined to the low back from that which occurs as part of a wider distribution of pain.

Methods. We analyzed data from CUPID, a cohort study that used baseline and follow-up questionnaires to collect information about musculoskeletal pain, associated disability, and potential risk factors, in 47 occupational groups (office workers, nurses, and others) from 18 countries.

Results. Among 12,197 subjects at baseline, 609 (4.9%) reported localized LBP in the past month, and 3820 (31.3%) nonlocalized LBP. Nonlocalized LBP was more frequently associated with sciatica in the past month (48.1% vs. 30.0% of cases), occurred on more days in the past month and past year, was more often disabling for everyday activities (64.1% vs. 47.3% of cases), and had more frequently led to medical consultation and sickness absence from work. It was also more often persistent when participants were followed up after a mean of 14 months (65.6% vs. 54.1% of cases). In adjusted Poisson regression analyses, nonlocalized LBP was differentially associated with risk factors, particularly female sex, older age, and somatizing tendency. There were also marked differences in the relative prevalence of localized and nonlocalized LBP by occupational group.

Conclusion. Future epidemiological studies should distinguish where possible between pain that is limited to the low back and LBP that occurs in association with pain at other anatomical locations.

Level of Evidence: 2

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Localised and Non Localised LBP Paper manuscript only accepted version - Accepted Manuscript
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LLBP Title page 251115 - Accepted Manuscript
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LLBP References 251115 - Accepted Manuscript
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Tables (14.04.16) - Accepted Manuscript
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LLBP ABSTRACT 251115 - Accepted Manuscript
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LLBP KEY POINTS 251115 - Accepted Manuscript
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Localised and Non-Localised LBP Figures (1 and 2) - Accepted Manuscript
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More information

Accepted/In Press date: 31 August 2016
e-pub ahead of print date: 4 November 2016
Published date: 15 May 2017
Organisations: Medical Research Council, Human Development & Health

Identifiers

Local EPrints ID: 406726
URI: http://eprints.soton.ac.uk/id/eprint/406726
ISSN: 0362-2436
PURE UUID: 30b49599-3518-4a09-ad87-e2224a901746
ORCID for David Coggon: ORCID iD orcid.org/0000-0003-1930-3987
ORCID for Karen Walker-Bone: ORCID iD orcid.org/0000-0002-5992-1459

Catalogue record

Date deposited: 21 Mar 2017 02:03
Last modified: 16 Mar 2024 05:08

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Contributors

Author: David Coggon ORCID iD
Author: Georgia Ntani
Author: Keith Palmer
Author: Vanda E. Felli
Author: Raul Harari
Author: Lope H. Barrero
Author: Sarah A. Felknor
Author: David Gimeno
Author: Anna Cattrell
Author: Sergio Vargas-Prada
Author: Matteo Bonzini
Author: Eleni Solidaki
Author: Eda Merisalu
Author: Rima R. Habib
Author: Farideh Sadeghian
Author: M. Masood Kadir
Author: Sudath S.P. Warnakulasuriya
Author: Ko Matsudaira
Author: Busisiwe Nyantumbu
Author: Malcolm R. Sim
Author: Helen Harcombe
Author: Kenneth Cox
Author: Leila M. Sarquis
Author: Maria H. Marziale
Author: Florencia Harari

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