What low back pain is and why we need to pay attention

Lancet Low Back Pain Series Working Group

Research output: Contribution to journalReview article

246 Citations (Scopus)

Abstract

Low back pain is a very common symptom. It occurs in high-income, middle-income, and low-income countries and all age groups from children to the elderly population. Globally, years lived with disability caused by low back pain increased by 54% between 1990 and 2015, mainly because of population increase and ageing, with the biggest increase seen in low-income and middle-income countries. Low back pain is now the leading cause of disability worldwide. For nearly all people with low back pain, it is not possible to identify a specific nociceptive cause. Only a small proportion of people have a well understood pathological cause—eg, a vertebral fracture, malignancy, or infection. People with physically demanding jobs, physical and mental comorbidities, smokers, and obese individuals are at greatest risk of reporting low back pain. Disabling low back pain is over-represented among people with low socioeconomic status. Most people with new episodes of low back pain recover quickly; however, recurrence is common and in a small proportion of people, low back pain becomes persistent and disabling. Initial high pain intensity, psychological distress, and accompanying pain at multiple body sites increases the risk of persistent disabling low back pain. Increasing evidence shows that central pain-modulating mechanisms and pain cognitions have important roles in the development of persistent disabling low back pain. Cost, health-care use, and disability from low back pain vary substantially between countries and are influenced by local culture and social systems, as well as by beliefs about cause and effect. Disability and costs attributed to low back pain are projected to increase in coming decades, in particular in low-income and middle-income countries, where health and other systems are often fragile and not equipped to cope with this growing burden. Intensified research efforts and global initiatives are clearly needed to address the burden of low back pain as a public health problem.

Original languageEnglish (US)
Pages (from-to)2356-2367
Number of pages12
JournalThe Lancet
Volume391
Issue number10137
DOIs
StatePublished - Jun 1 2018

Fingerprint

Low Back Pain
Pain
Social Class
Health Care Costs
Cognition
Population
Comorbidity
Public Health
Age Groups
Psychology

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Lancet Low Back Pain Series Working Group (2018). What low back pain is and why we need to pay attention. The Lancet, 391(10137), 2356-2367. https://doi.org/10.1016/S0140-6736(18)30480-X

What low back pain is and why we need to pay attention. / Lancet Low Back Pain Series Working Group.

In: The Lancet, Vol. 391, No. 10137, 01.06.2018, p. 2356-2367.

Research output: Contribution to journalReview article

Lancet Low Back Pain Series Working Group 2018, 'What low back pain is and why we need to pay attention', The Lancet, vol. 391, no. 10137, pp. 2356-2367. https://doi.org/10.1016/S0140-6736(18)30480-X
Lancet Low Back Pain Series Working Group. What low back pain is and why we need to pay attention. The Lancet. 2018 Jun 1;391(10137):2356-2367. https://doi.org/10.1016/S0140-6736(18)30480-X
Lancet Low Back Pain Series Working Group. / What low back pain is and why we need to pay attention. In: The Lancet. 2018 ; Vol. 391, No. 10137. pp. 2356-2367.
@article{b260625ad9244a8cb89da9af7db090d8,
title = "What low back pain is and why we need to pay attention",
abstract = "Low back pain is a very common symptom. It occurs in high-income, middle-income, and low-income countries and all age groups from children to the elderly population. Globally, years lived with disability caused by low back pain increased by 54{\%} between 1990 and 2015, mainly because of population increase and ageing, with the biggest increase seen in low-income and middle-income countries. Low back pain is now the leading cause of disability worldwide. For nearly all people with low back pain, it is not possible to identify a specific nociceptive cause. Only a small proportion of people have a well understood pathological cause—eg, a vertebral fracture, malignancy, or infection. People with physically demanding jobs, physical and mental comorbidities, smokers, and obese individuals are at greatest risk of reporting low back pain. Disabling low back pain is over-represented among people with low socioeconomic status. Most people with new episodes of low back pain recover quickly; however, recurrence is common and in a small proportion of people, low back pain becomes persistent and disabling. Initial high pain intensity, psychological distress, and accompanying pain at multiple body sites increases the risk of persistent disabling low back pain. Increasing evidence shows that central pain-modulating mechanisms and pain cognitions have important roles in the development of persistent disabling low back pain. Cost, health-care use, and disability from low back pain vary substantially between countries and are influenced by local culture and social systems, as well as by beliefs about cause and effect. Disability and costs attributed to low back pain are projected to increase in coming decades, in particular in low-income and middle-income countries, where health and other systems are often fragile and not equipped to cope with this growing burden. Intensified research efforts and global initiatives are clearly needed to address the burden of low back pain as a public health problem.",
author = "{Lancet Low Back Pain Series Working Group} and Jan Hartvigsen and Hancock, {Mark J.} and Alice Kongsted and Quinette Louw and Ferreira, {Manuela L.} and St{\'e}phane Genevay and Damian Hoy and Jaro Karppinen and Glenn Pransky and Joachim Sieper and Smeets, {Rob J.} and Martin Underwood and Rachelle Buchbinder and Dan Cherkin and Foster, {Nadine E.} and Maher, {Chris G.} and {van Tulder}, Maurits and Anema, {Johannes R.} and Roger Chou and Cohen, {Stephen P.} and {Menezes Costa}, Luc{\'i}ola and Peter Croft and Manuela Ferreira and Ferreira, {Paulo H.} and Fritz, {Julie M.} and Gross, {Douglas P.} and Koes, {Bart W.} and Birgitta {\"O}berg and Peul, {Wilco C.} and Mark Schoene and Turner, {Judith A.} and Anthony Woolf",
year = "2018",
month = "6",
day = "1",
doi = "10.1016/S0140-6736(18)30480-X",
language = "English (US)",
volume = "391",
pages = "2356--2367",
journal = "The Lancet",
issn = "0140-6736",
publisher = "Elsevier Limited",
number = "10137",

}

TY - JOUR

T1 - What low back pain is and why we need to pay attention

AU - Lancet Low Back Pain Series Working Group

AU - Hartvigsen, Jan

AU - Hancock, Mark J.

AU - Kongsted, Alice

AU - Louw, Quinette

AU - Ferreira, Manuela L.

AU - Genevay, Stéphane

AU - Hoy, Damian

AU - Karppinen, Jaro

AU - Pransky, Glenn

AU - Sieper, Joachim

AU - Smeets, Rob J.

AU - Underwood, Martin

AU - Buchbinder, Rachelle

AU - Cherkin, Dan

AU - Foster, Nadine E.

AU - Maher, Chris G.

AU - van Tulder, Maurits

AU - Anema, Johannes R.

AU - Chou, Roger

AU - Cohen, Stephen P.

AU - Menezes Costa, Lucíola

AU - Croft, Peter

AU - Ferreira, Manuela

AU - Ferreira, Paulo H.

AU - Fritz, Julie M.

AU - Gross, Douglas P.

AU - Koes, Bart W.

AU - Öberg, Birgitta

AU - Peul, Wilco C.

AU - Schoene, Mark

AU - Turner, Judith A.

AU - Woolf, Anthony

PY - 2018/6/1

Y1 - 2018/6/1

N2 - Low back pain is a very common symptom. It occurs in high-income, middle-income, and low-income countries and all age groups from children to the elderly population. Globally, years lived with disability caused by low back pain increased by 54% between 1990 and 2015, mainly because of population increase and ageing, with the biggest increase seen in low-income and middle-income countries. Low back pain is now the leading cause of disability worldwide. For nearly all people with low back pain, it is not possible to identify a specific nociceptive cause. Only a small proportion of people have a well understood pathological cause—eg, a vertebral fracture, malignancy, or infection. People with physically demanding jobs, physical and mental comorbidities, smokers, and obese individuals are at greatest risk of reporting low back pain. Disabling low back pain is over-represented among people with low socioeconomic status. Most people with new episodes of low back pain recover quickly; however, recurrence is common and in a small proportion of people, low back pain becomes persistent and disabling. Initial high pain intensity, psychological distress, and accompanying pain at multiple body sites increases the risk of persistent disabling low back pain. Increasing evidence shows that central pain-modulating mechanisms and pain cognitions have important roles in the development of persistent disabling low back pain. Cost, health-care use, and disability from low back pain vary substantially between countries and are influenced by local culture and social systems, as well as by beliefs about cause and effect. Disability and costs attributed to low back pain are projected to increase in coming decades, in particular in low-income and middle-income countries, where health and other systems are often fragile and not equipped to cope with this growing burden. Intensified research efforts and global initiatives are clearly needed to address the burden of low back pain as a public health problem.

AB - Low back pain is a very common symptom. It occurs in high-income, middle-income, and low-income countries and all age groups from children to the elderly population. Globally, years lived with disability caused by low back pain increased by 54% between 1990 and 2015, mainly because of population increase and ageing, with the biggest increase seen in low-income and middle-income countries. Low back pain is now the leading cause of disability worldwide. For nearly all people with low back pain, it is not possible to identify a specific nociceptive cause. Only a small proportion of people have a well understood pathological cause—eg, a vertebral fracture, malignancy, or infection. People with physically demanding jobs, physical and mental comorbidities, smokers, and obese individuals are at greatest risk of reporting low back pain. Disabling low back pain is over-represented among people with low socioeconomic status. Most people with new episodes of low back pain recover quickly; however, recurrence is common and in a small proportion of people, low back pain becomes persistent and disabling. Initial high pain intensity, psychological distress, and accompanying pain at multiple body sites increases the risk of persistent disabling low back pain. Increasing evidence shows that central pain-modulating mechanisms and pain cognitions have important roles in the development of persistent disabling low back pain. Cost, health-care use, and disability from low back pain vary substantially between countries and are influenced by local culture and social systems, as well as by beliefs about cause and effect. Disability and costs attributed to low back pain are projected to increase in coming decades, in particular in low-income and middle-income countries, where health and other systems are often fragile and not equipped to cope with this growing burden. Intensified research efforts and global initiatives are clearly needed to address the burden of low back pain as a public health problem.

UR - http://www.scopus.com/inward/record.url?scp=85044117669&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85044117669&partnerID=8YFLogxK

U2 - 10.1016/S0140-6736(18)30480-X

DO - 10.1016/S0140-6736(18)30480-X

M3 - Review article

C2 - 29573870

AN - SCOPUS:85044117669

VL - 391

SP - 2356

EP - 2367

JO - The Lancet

JF - The Lancet

SN - 0140-6736

IS - 10137

ER -