Incidence and prevalence of patellofemoral pain: A systematic review and meta-analysis
Patellofemoral pain is considered one of the most common forms of knee pain, affecting adults, adolescents, and physically active populations. Inconsistencies in reported incidence and prevalence exist and in relation to the allocation of healthcare and research funding, there is a clear need to acc...
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| description | Patellofemoral pain is considered one of the most common forms of knee pain, affecting adults, adolescents, and physically active populations. Inconsistencies in reported incidence and prevalence exist and in relation to the allocation of healthcare and research funding, there is a clear need to accurately understand the epidemiology of patellofemoral pain.
An electronic database search was conducted, as well as grey literature databases, from inception to June 2017. Two authors independently selected studies, extracted data and appraised methodological quality. If heterogeneous, data were analysed descriptively. Where studies were homogeneous, data were pooled through a meta-analysis.
23 studies were included. Annual prevalence for patellofemoral pain in the general population was reported as 22.7%, and adolescents as 28.9%. Incidence rates in military recruits ranged from 9.7-571.4/1,000 person-years, amateur runners in the general population at 1080.5/1,000 person-years and adolescents amateur athletes 5.1%-14.9% over 1 season. One study reported point prevalence within military populations as 13.5%. The pooled estimate for point prevalence in adolescents was 7.2% (95% Confidence Interval: 6.3%-8.3%), and in female only adolescent athletes was 22.7% (95% Confidence Interval 17.4%-28.0%).
This review demonstrates high incidence and prevalence levels for patellofemoral pain. Within the context of this, and poor long term prognosis and high disability levels, PFP should be an urgent research priority.
CRD42016038870. |
| doi_str_mv | 10.1371/journal.pone.0190892 |
| format | Article |
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An electronic database search was conducted, as well as grey literature databases, from inception to June 2017. Two authors independently selected studies, extracted data and appraised methodological quality. If heterogeneous, data were analysed descriptively. Where studies were homogeneous, data were pooled through a meta-analysis.
23 studies were included. Annual prevalence for patellofemoral pain in the general population was reported as 22.7%, and adolescents as 28.9%. Incidence rates in military recruits ranged from 9.7-571.4/1,000 person-years, amateur runners in the general population at 1080.5/1,000 person-years and adolescents amateur athletes 5.1%-14.9% over 1 season. One study reported point prevalence within military populations as 13.5%. The pooled estimate for point prevalence in adolescents was 7.2% (95% Confidence Interval: 6.3%-8.3%), and in female only adolescent athletes was 22.7% (95% Confidence Interval 17.4%-28.0%).
This review demonstrates high incidence and prevalence levels for patellofemoral pain. Within the context of this, and poor long term prognosis and high disability levels, PFP should be an urgent research priority.
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An electronic database search was conducted, as well as grey literature databases, from inception to June 2017. Two authors independently selected studies, extracted data and appraised methodological quality. If heterogeneous, data were analysed descriptively. Where studies were homogeneous, data were pooled through a meta-analysis.
23 studies were included. Annual prevalence for patellofemoral pain in the general population was reported as 22.7%, and adolescents as 28.9%. Incidence rates in military recruits ranged from 9.7-571.4/1,000 person-years, amateur runners in the general population at 1080.5/1,000 person-years and adolescents amateur athletes 5.1%-14.9% over 1 season. One study reported point prevalence within military populations as 13.5%. The pooled estimate for point prevalence in adolescents was 7.2% (95% Confidence Interval: 6.3%-8.3%), and in female only adolescent athletes was 22.7% (95% Confidence Interval 17.4%-28.0%).
This review demonstrates high incidence and prevalence levels for patellofemoral pain. Within the context of this, and poor long term prognosis and high disability levels, PFP should be an urgent research priority.
CRD42016038870.</description><subject>Adolescents</subject><subject>Adults</subject><subject>Analysis</subject><subject>Arthralgia - epidemiology</subject><subject>Arthritis</subject><subject>Athletes</subject><subject>Back pain</subject><subject>Biology and Life Sciences</subject><subject>Clinical medicine</subject><subject>College campuses</subject><subject>Confidence intervals</subject><subject>Data processing</subject><subject>Database searching</subject><subject>Epidemiology</subject><subject>Exercise</subject><subject>Health care</subject><subject>Health sciences</subject><subject>Humans</subject><subject>Incidence</subject><subject>Internet/Web search services</subject><subject>Knee</subject><subject>Knee Joint</subject><subject>Knee pain</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Meta-analysis</subject><subject>Methods</subject><subject>Military</subject><subject>Military personnel</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Online databases</subject><subject>Online searching</subject><subject>Pain</subject><subject>Patellofemoral Pain Syndrome - epidemiology</subject><subject>People and Places</subject><subject>Population</subject><subject>Populations</subject><subject>Prevalence</subject><subject>Rehabilitation</subject><subject>Research and Analysis Methods</subject><subject>Running</subject><subject>Social Sciences</subject><subject>Studies</subject><subject>Systematic review</subject><subject>Teenagers</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNkltr2zAUx83YWLts32BshsHYHpLpYlvSHgah7BIoFHbpq5Dlo0TBtlJL7pZvPzlxSzz6MPSgy_md218nSV5itMCU4Q9b13etqhc718ICYYG4II-ScywomRcE0ccn57PkmfdbhHLKi-JpckaiIeMEnSfXq1bbCloNqWqrdNfBraoPV2fSnQpQ185A4zpVx6ttP6bL1O99gEYFq9OIW_h9cG0gqLmKFe299c-TJ0bVHl6M-yz59eXzz4tv88urr6uL5eVcF4KEORVFxlRWVpU2WmWMZorEojEvuIac85Ig0KYwleFGI-AmzznLMCpFRaOR0Vny-hh3VzsvR0m8xCL2yQhiPBKrI1E5tZW7zjaq20unrDw8uG4tVRdbqUGKvNIIUTZkyxgoTnEpBNYgFC8rpmKsT2O2vmyg0tCGqMsk6NTS2o1cu1uZsyKjUfRZ8m4M0LmbHnyQjfU6aqxacP2hblEgnLEBffMP-nB3I7WOvyZta1zMq4egcpkTkmNKGInU4gEqrgoaq-P8GBvfJw7vJw6RCfAnrFXvvVz9-P7_7NX1lH17wm5A1WHjXd0H61o_BbMjqDvnfQfmXmSM5DD-d2rIYfzlOP7R7dXpB9073c07_QvH0f_S</recordid><startdate>20180111</startdate><enddate>20180111</enddate><creator>Smith, Benjamin E</creator><creator>Selfe, James</creator><creator>Thacker, Damian</creator><creator>Hendrick, Paul</creator><creator>Bateman, Marcus</creator><creator>Moffatt, Fiona</creator><creator>Rathleff, Michael Skovdal</creator><creator>Smith, Toby O</creator><creator>Logan, Pip</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-4723-0028</orcidid></search><sort><creationdate>20180111</creationdate><title>Incidence and prevalence of patellofemoral pain: A systematic review and meta-analysis</title><author>Smith, Benjamin E ; Selfe, James ; Thacker, Damian ; Hendrick, Paul ; Bateman, Marcus ; Moffatt, Fiona ; Rathleff, Michael Skovdal ; Smith, Toby O ; Logan, Pip</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-39647a4bddcfca4734a21931868ce588b20ecf6fdf8fc0e8f5587410b9d38b273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescents</topic><topic>Adults</topic><topic>Analysis</topic><topic>Arthralgia - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Smith, Benjamin E</au><au>Selfe, James</au><au>Thacker, Damian</au><au>Hendrick, Paul</au><au>Bateman, Marcus</au><au>Moffatt, Fiona</au><au>Rathleff, Michael Skovdal</au><au>Smith, Toby O</au><au>Logan, Pip</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence and prevalence of patellofemoral pain: A systematic review and meta-analysis</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-01-11</date><risdate>2018</risdate><volume>13</volume><issue>1</issue><spage>e0190892</spage><epage>e0190892</epage><pages>e0190892-e0190892</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Patellofemoral pain is considered one of the most common forms of knee pain, affecting adults, adolescents, and physically active populations. Inconsistencies in reported incidence and prevalence exist and in relation to the allocation of healthcare and research funding, there is a clear need to accurately understand the epidemiology of patellofemoral pain.
An electronic database search was conducted, as well as grey literature databases, from inception to June 2017. Two authors independently selected studies, extracted data and appraised methodological quality. If heterogeneous, data were analysed descriptively. Where studies were homogeneous, data were pooled through a meta-analysis.
23 studies were included. Annual prevalence for patellofemoral pain in the general population was reported as 22.7%, and adolescents as 28.9%. Incidence rates in military recruits ranged from 9.7-571.4/1,000 person-years, amateur runners in the general population at 1080.5/1,000 person-years and adolescents amateur athletes 5.1%-14.9% over 1 season. One study reported point prevalence within military populations as 13.5%. The pooled estimate for point prevalence in adolescents was 7.2% (95% Confidence Interval: 6.3%-8.3%), and in female only adolescent athletes was 22.7% (95% Confidence Interval 17.4%-28.0%).
This review demonstrates high incidence and prevalence levels for patellofemoral pain. Within the context of this, and poor long term prognosis and high disability levels, PFP should be an urgent research priority.
CRD42016038870.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29324820</pmid><doi>10.1371/journal.pone.0190892</doi><tpages>e0190892</tpages><orcidid>https://orcid.org/0000-0002-4723-0028</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescents Adults Analysis Arthralgia - epidemiology Arthritis Athletes Back pain Biology and Life Sciences Clinical medicine College campuses Confidence intervals Data processing Database searching Epidemiology Exercise Health care Health sciences Humans Incidence Internet/Web search services Knee Knee Joint Knee pain Medicine Medicine and Health Sciences Meta-analysis Methods Military Military personnel NMR Nuclear magnetic resonance Online databases Online searching Pain Patellofemoral Pain Syndrome - epidemiology People and Places Population Populations Prevalence Rehabilitation Research and Analysis Methods Running Social Sciences Studies Systematic review Teenagers |
| title | Incidence and prevalence of patellofemoral pain: A systematic review and meta-analysis |
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