The prevalence and management of low back pain across adulthood: Results from a population-based cross-sectional study (the MUSICIAN study)
Amongst the oldest old, severe back pain (but not back pain overall) is most common, and primary care consultation is more likely to result in pharmacological-only management. The aim of the current study was to determine: the prevalence of low back pain (LBP) and associated disability; the frequenc...
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| Veröffentlicht in: | Pain (Amsterdam) 2012, Vol.153 (1), p.27-32 |
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| creator | Macfarlane, Gary J. Beasley, Marcus Jones, Elizabeth A. Prescott, Gordon J. Docking, Rachael Keeley, Philip McBeth, John Jones, Gareth T. |
| description | Amongst the oldest old, severe back pain (but not back pain overall) is most common, and primary care consultation is more likely to result in pharmacological-only management.
The aim of the current study was to determine: the prevalence of low back pain (LBP) and associated disability; the frequency of consultation to general practice; whether there were differences in management by age. We conducted a cross-sectional population study in Aberdeen city and Cheshire County, UK. Participants were 15,272 persons aged 25
years and older. The 1-month period prevalence of LBP was 28.5%. It peaked at age 41–50
years, but at ages over 80
years was reported by 1 in 4 persons. Older persons were more likely to consult, and the prevalence of severe LBP continued to increase with age. Management by general practitioners differed by age of the patient. Older persons (>70 vs ⩽40
years) were more likely to only have been prescribed painkillers (odds ratio [OR] 1.74, 95% confidence interval [CI] 1.28–2.35) or only pain killers with other medications (OR 1.45, 95% CI 1.07–1.98). They were less likely to be prescribed physiotherapy or exercise (OR 0.63, 95% CI 0.46–0.85) or to be referred to a specialist (OR 0.77, 95% CI 0.57–1.04). Older persons were more likely to have previously received exercise therapy for pain, were less likely to be enthusiastic about receiving it now (
P
<
0.0001), and were less likely to think it would result in improved symptoms (
P
<
0.0001). It is important that older persons, who have the highest prevalence of LBP with disability and are most likely to consult, are receiving optimal pharmacological and nonpharmacological management. |
| doi_str_mv | 10.1016/j.pain.2011.08.005 |
| format | Article |
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The aim of the current study was to determine: the prevalence of low back pain (LBP) and associated disability; the frequency of consultation to general practice; whether there were differences in management by age. We conducted a cross-sectional population study in Aberdeen city and Cheshire County, UK. Participants were 15,272 persons aged 25
years and older. The 1-month period prevalence of LBP was 28.5%. It peaked at age 41–50
years, but at ages over 80
years was reported by 1 in 4 persons. Older persons were more likely to consult, and the prevalence of severe LBP continued to increase with age. Management by general practitioners differed by age of the patient. Older persons (>70 vs ⩽40
years) were more likely to only have been prescribed painkillers (odds ratio [OR] 1.74, 95% confidence interval [CI] 1.28–2.35) or only pain killers with other medications (OR 1.45, 95% CI 1.07–1.98). They were less likely to be prescribed physiotherapy or exercise (OR 0.63, 95% CI 0.46–0.85) or to be referred to a specialist (OR 0.77, 95% CI 0.57–1.04). Older persons were more likely to have previously received exercise therapy for pain, were less likely to be enthusiastic about receiving it now (
P
<
0.0001), and were less likely to think it would result in improved symptoms (
P
<
0.0001). It is important that older persons, who have the highest prevalence of LBP with disability and are most likely to consult, are receiving optimal pharmacological and nonpharmacological management.</description><identifier>ISSN: 0304-3959</identifier><identifier>EISSN: 1872-6623</identifier><identifier>DOI: 10.1016/j.pain.2011.08.005</identifier><identifier>PMID: 21978663</identifier><identifier>CODEN: PAINDB</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier B.V</publisher><subject>Adult ; Age Factors ; Aged ; Aged, 80 and over ; Analgesics - therapeutic use ; Biological and medical sciences ; Consultation ; Cross-Sectional Studies ; Epidemiology ; Exercise Therapy ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Illness and personality ; Illness, stress and coping ; Low Back Pain - drug therapy ; Low Back Pain - epidemiology ; Low Back Pain - therapy ; Male ; Management ; Middle Aged ; Old age ; Pain ; Preference ; Prevalence ; Psychology and medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Self Care ; Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors ; Surveys and Questionnaires ; Vertebrates: nervous system and sense organs</subject><ispartof>Pain (Amsterdam), 2012, Vol.153 (1), p.27-32</ispartof><rights>2011 International Association for the Study of Pain</rights><rights>Lippincott Williams & Wilkins, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4969-657bc163686fd0dc5528f6e7a743184bce564b1aa7e108b909ec6415c9efa9023</citedby><cites>FETCH-LOGICAL-c4969-657bc163686fd0dc5528f6e7a743184bce564b1aa7e108b909ec6415c9efa9023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25357434$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21978663$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Macfarlane, Gary J.</creatorcontrib><creatorcontrib>Beasley, Marcus</creatorcontrib><creatorcontrib>Jones, Elizabeth A.</creatorcontrib><creatorcontrib>Prescott, Gordon J.</creatorcontrib><creatorcontrib>Docking, Rachael</creatorcontrib><creatorcontrib>Keeley, Philip</creatorcontrib><creatorcontrib>McBeth, John</creatorcontrib><creatorcontrib>Jones, Gareth T.</creatorcontrib><creatorcontrib>on behalf of the MUSICIAN study team</creatorcontrib><creatorcontrib>MUSICIAN study team</creatorcontrib><title>The prevalence and management of low back pain across adulthood: Results from a population-based cross-sectional study (the MUSICIAN study)</title><title>Pain (Amsterdam)</title><addtitle>Pain</addtitle><description>Amongst the oldest old, severe back pain (but not back pain overall) is most common, and primary care consultation is more likely to result in pharmacological-only management.
The aim of the current study was to determine: the prevalence of low back pain (LBP) and associated disability; the frequency of consultation to general practice; whether there were differences in management by age. We conducted a cross-sectional population study in Aberdeen city and Cheshire County, UK. Participants were 15,272 persons aged 25
years and older. The 1-month period prevalence of LBP was 28.5%. It peaked at age 41–50
years, but at ages over 80
years was reported by 1 in 4 persons. Older persons were more likely to consult, and the prevalence of severe LBP continued to increase with age. Management by general practitioners differed by age of the patient. Older persons (>70 vs ⩽40
years) were more likely to only have been prescribed painkillers (odds ratio [OR] 1.74, 95% confidence interval [CI] 1.28–2.35) or only pain killers with other medications (OR 1.45, 95% CI 1.07–1.98). They were less likely to be prescribed physiotherapy or exercise (OR 0.63, 95% CI 0.46–0.85) or to be referred to a specialist (OR 0.77, 95% CI 0.57–1.04). Older persons were more likely to have previously received exercise therapy for pain, were less likely to be enthusiastic about receiving it now (
P
<
0.0001), and were less likely to think it would result in improved symptoms (
P
<
0.0001). It is important that older persons, who have the highest prevalence of LBP with disability and are most likely to consult, are receiving optimal pharmacological and nonpharmacological management.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analgesics - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Consultation</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology</subject><subject>Exercise Therapy</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Illness and personality</subject><subject>Illness, stress and coping</subject><subject>Low Back Pain - drug therapy</subject><subject>Low Back Pain - epidemiology</subject><subject>Low Back Pain - therapy</subject><subject>Male</subject><subject>Management</subject><subject>Middle Aged</subject><subject>Old age</subject><subject>Pain</subject><subject>Preference</subject><subject>Prevalence</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Self Care</subject><subject>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors</subject><subject>Surveys and Questionnaires</subject><subject>Vertebrates: nervous system and sense organs</subject><issn>0304-3959</issn><issn>1872-6623</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UcFu1DAQjRCIbgs_wAH5goBDFttJnLjiUq0KrFRAgvZsTewJm60TBzvpqt_AT-M0C9yQLNkzem-e570kecHomlEm3u3XA7T9mlPG1rRaU1o8SlasKnkqBM8eJyua0TzNZCFPktMQ9pRSzrl8mpxwJstKiGyV_LreIRk83oHFXiOB3pAOeviBHfYjcQ2x7kBq0LdkFiOgvQuBgJnsuHPOnJNvGOI7kMa7jgAZ3DBZGFvXpzUENOSBkAbUcw8sCeNk7smbMep-vvm-3Wwvviy9t8-SJw3YgM-P91ly8-HyevMpvfr6cbu5uEp1LoVMRVHWmolMVKIx1Oii4FUjsIQyz1iV1xoLkdcMoERGq1pSiVrkrNASG5CUZ2fJ62Xu4N3PCcOoujZotBZ6dFNQkknOK1pUEckX5MMSHhs1-LYDf68YVXMGaq9mW9ScgaKVihlE0svj-Knu0Pyl_DE9Al4dARA02MZDr9vwD1dkRVwlj7h8wR2cHdGHWzsd0KsdQvQ-SlEqMinSqB1PrNK5JSPt_ULD6OFdGxlBt3O4pvUxBWVc-7_v_waKEbVc</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>Macfarlane, Gary J.</creator><creator>Beasley, Marcus</creator><creator>Jones, Elizabeth A.</creator><creator>Prescott, Gordon J.</creator><creator>Docking, Rachael</creator><creator>Keeley, Philip</creator><creator>McBeth, John</creator><creator>Jones, Gareth T.</creator><general>Elsevier B.V</general><general>Lippincott Williams & Wilkins, Inc</general><general>Elsevier</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>2012</creationdate><title>The prevalence and management of low back pain across adulthood: Results from a population-based cross-sectional study (the MUSICIAN study)</title><author>Macfarlane, Gary J. ; Beasley, Marcus ; Jones, Elizabeth A. ; Prescott, Gordon J. ; Docking, Rachael ; Keeley, Philip ; McBeth, John ; Jones, Gareth T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4969-657bc163686fd0dc5528f6e7a743184bce564b1aa7e108b909ec6415c9efa9023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analgesics - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Consultation</topic><topic>Cross-Sectional Studies</topic><topic>Epidemiology</topic><topic>Exercise Therapy</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Illness and personality</topic><topic>Illness, stress and coping</topic><topic>Low Back Pain - drug therapy</topic><topic>Low Back Pain - epidemiology</topic><topic>Low Back Pain - therapy</topic><topic>Male</topic><topic>Management</topic><topic>Middle Aged</topic><topic>Old age</topic><topic>Pain</topic><topic>Preference</topic><topic>Prevalence</topic><topic>Psychology and medicine</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Self Care</topic><topic>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors</topic><topic>Surveys and Questionnaires</topic><topic>Vertebrates: nervous system and sense organs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Macfarlane, Gary J.</creatorcontrib><creatorcontrib>Beasley, Marcus</creatorcontrib><creatorcontrib>Jones, Elizabeth A.</creatorcontrib><creatorcontrib>Prescott, Gordon J.</creatorcontrib><creatorcontrib>Docking, Rachael</creatorcontrib><creatorcontrib>Keeley, Philip</creatorcontrib><creatorcontrib>McBeth, John</creatorcontrib><creatorcontrib>Jones, Gareth T.</creatorcontrib><creatorcontrib>on behalf of the MUSICIAN study team</creatorcontrib><creatorcontrib>MUSICIAN study team</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pain (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Macfarlane, Gary J.</au><au>Beasley, Marcus</au><au>Jones, Elizabeth A.</au><au>Prescott, Gordon J.</au><au>Docking, Rachael</au><au>Keeley, Philip</au><au>McBeth, John</au><au>Jones, Gareth T.</au><aucorp>on behalf of the MUSICIAN study team</aucorp><aucorp>MUSICIAN study team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The prevalence and management of low back pain across adulthood: Results from a population-based cross-sectional study (the MUSICIAN study)</atitle><jtitle>Pain (Amsterdam)</jtitle><addtitle>Pain</addtitle><date>2012</date><risdate>2012</risdate><volume>153</volume><issue>1</issue><spage>27</spage><epage>32</epage><pages>27-32</pages><issn>0304-3959</issn><eissn>1872-6623</eissn><coden>PAINDB</coden><abstract>Amongst the oldest old, severe back pain (but not back pain overall) is most common, and primary care consultation is more likely to result in pharmacological-only management.
The aim of the current study was to determine: the prevalence of low back pain (LBP) and associated disability; the frequency of consultation to general practice; whether there were differences in management by age. We conducted a cross-sectional population study in Aberdeen city and Cheshire County, UK. Participants were 15,272 persons aged 25
years and older. The 1-month period prevalence of LBP was 28.5%. It peaked at age 41–50
years, but at ages over 80
years was reported by 1 in 4 persons. Older persons were more likely to consult, and the prevalence of severe LBP continued to increase with age. Management by general practitioners differed by age of the patient. Older persons (>70 vs ⩽40
years) were more likely to only have been prescribed painkillers (odds ratio [OR] 1.74, 95% confidence interval [CI] 1.28–2.35) or only pain killers with other medications (OR 1.45, 95% CI 1.07–1.98). They were less likely to be prescribed physiotherapy or exercise (OR 0.63, 95% CI 0.46–0.85) or to be referred to a specialist (OR 0.77, 95% CI 0.57–1.04). Older persons were more likely to have previously received exercise therapy for pain, were less likely to be enthusiastic about receiving it now (
P
<
0.0001), and were less likely to think it would result in improved symptoms (
P
<
0.0001). It is important that older persons, who have the highest prevalence of LBP with disability and are most likely to consult, are receiving optimal pharmacological and nonpharmacological management.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier B.V</pub><pmid>21978663</pmid><doi>10.1016/j.pain.2011.08.005</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Pain (Amsterdam), 2012, Vol.153 (1), p.27-32 |
| issn | 0304-3959 1872-6623 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Age Factors Aged Aged, 80 and over Analgesics - therapeutic use Biological and medical sciences Consultation Cross-Sectional Studies Epidemiology Exercise Therapy Female Fundamental and applied biological sciences. Psychology Humans Illness and personality Illness, stress and coping Low Back Pain - drug therapy Low Back Pain - epidemiology Low Back Pain - therapy Male Management Middle Aged Old age Pain Preference Prevalence Psychology and medicine Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Self Care Somesthesis and somesthetic pathways (proprioception, exteroception, nociception) interoception electrolocation. Sensory receptors Surveys and Questionnaires Vertebrates: nervous system and sense organs |
| title | The prevalence and management of low back pain across adulthood: Results from a population-based cross-sectional study (the MUSICIAN study) |
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