The burden of low back pain in Brazil: estimates from the Global Burden of Disease 2017 Study

Population Health Metrics

Deborah Carvalho Malta¹  Valéria Maria de Azeredo Passos²  Lucas de Melo Castro Deligne²  Ewerton Cousin³  Caroline Nespolo de David⁴  Bruce B. Duncan⁴  Rodolfo Souza da Silva⁵ 

[1] Department of Maternal and Child Nursing and Public Health, Nursing School, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil;Faculdade Ciências Médicas de Minas Gerais, Belo Horizonte, Brazil;Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2600 Sala 414, Bairro Santa Cecilia, 90035-003, Porto Alegre, Brazil;Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2600 Sala 414, Bairro Santa Cecilia, 90035-003, Porto Alegre, Brazil;Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil;Postgraduate Program in Epidemiology, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2600 Sala 414, Bairro Santa Cecilia, 90035-003, Porto Alegre, Brazil;Telehealth Centre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil;

关键词: Low back pain;    Burden of disease;    Prevalence;    Years lived with disability;    Disability-adjusted life years;   

DOI  :  10.1186/s12963-020-00205-4

来源: Springer

【 摘 要 】

BackgroundThe prevalence and burden of musculoskeletal (MSK) conditions are growing around the world, and low back pain (LBP) is the most significant of the five defined MSK disorders in the Global Burden of Disease (GBD) study. LBP has been the leading cause of non-fatal health loss for the last three decades. The objective of this study is to describe the current status and trends of the burden due to LBP in Brazil based on information drawn from the GBD 2017 study.MethodsWe estimated prevalence and years lived with disability (YLDs) for LBP by Brazilian federative units, sex, age group, and age-standardized between 1990 and 2017 and conducted a decomposition analysis of changes in age- and sex-specific YLD rates attributable to total population growth and population ageing for the purpose of understanding the drivers of changes in LBP YLDs rates in Brazil. Furthermore, we analyzed the changes in disability-adjusted life years (DALYs) rankings for this disease over the period.ResultsThe results show high prevalence and burden of LBP in Brazil. LBP prevalence increased 26.83% (95% UI 23.08 to 30.41) from 1990 to 2017. This MSK condition represents the most important cause of YLDs in Brazil, where the increase in burden is mainly related to increase in population size and ageing. The LBP age-standardized YLDs rate are similar among Brazilian federative units. LBP ranks in the top three causes of DALYs in Brazil, even though it does not contribute to mortality.ConclusionsFindings from this study show LBP to be the most important cause of YLDs and the 3rd leading cause of DALYs in Brazil. The Brazilian population is ageing, and the country has been experiencing a rapid epidemiological transition, which generates an increasing number of people who need chronic care. In this scenario, more attention should be paid to the burden of non-fatal health conditions.

【 授权许可】

CC BY