In 2050, over 800 million people globally estimated to be living with
back pain
Analysis also dispels common back pain myth

Date:
May 23, 2023
Source:
University of Sydney
Summary:
Study estimates there will be over 800 million cases of low back
pain in 2050, a 36 percent increase from 2020. With an aging
population, researchers say we must 'put the brakes' on low back
pain cases before the burden becomes too great for our healthcare
system.


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FULL STORY ========================================================================== Analysis of over 30 years of data has shown the number of cases of low
back pain is growing, with modelling suggesting by 2050, 843 million
people will be affected by the condition largely due to population
increases and ageing of populations.

The continued lack of a consistent approach on back pain treatment,
and limited treatment options have researchers concerned that this will
lead to a healthcare crisis, as low back pain is the leading cause of disability in the world.

In Australia, there will be a nearly 50 percent increase in cases by
2050. The landscape of back pain cases is set to shift, with the biggest increases in back pain cases to be in Asia and Africa.

The findings are published in Lancet Rheumatology today, and is the new
Global Burden of Disease (GBD) 2021 study.

"Our analysis paints a picture of growing low back pain cases globally,
putting enormous pressure on our healthcare system. We need to establish a national, consistent approach to managing low back pain that is informed
by research," says lead author, Professor Manuela Ferreira from Sydney Musculoskeletal Health, an initiative of the University of Sydney,
Sydney Local Health District and Northern Sydney Local Health District.

"Currently, how we have been responding to back pain has been reactive.

Australia is a global leader in back pain research; we can be proactive
and lead by example on back pain prevention," said Professor Ferreira
who is based at Sydney's Kolling Institute.

The study reveals several milestones in back pain cases. Since 2017,
the number of low back pain cases has ticked over to more than half a
billion people.

In 2020, there were approximately 619 million cases of back pain.

At least one third of the disability burden associated with backpain
was attributable to occupational factors, smoking and being overweight.

A widespread misconception is that low back pain mostly affects adults
of working age. But researchers say this study has confirmed that low
back pain is more common among older people. Low back pain cases were
also higher among females compared to males.

This is the most comprehensive and up-to-date available data that
includes for the first time global projections and the contribution of
GBD risk factors to low back pain. The work was made possible by the
joint efforts of The University of Sydney, the Institute for Health
Metrics and Evaluation (IHME) at the University of Washington's School
of Medicine, IHME's international collaborators, and the Global Alliance
for Musculoskeletal Health.

"We also know that most available data come from high-income countries,
making it sometimes hard to interpret these results for low to mid-income countries.

We urgently need more population-based back pain and musculoskeletal
data from countries of low to mid-income," said senior author Professor
Lyn March from Sydney Musculoskeletal Health and the Kolling Institute.

The study analysed GBD data from 1990 to 2020 from over 204 countries
and territories to map the landscape of back pain cases over time. The
GBD is the most comprehensive picture of mortality and disability across countries, time, age, and It is also the first study to be used for
modelling the future prevalence of back pain cases.

"Health systems need to respond to this enormous and rising burden of
low back pain that is affecting people globally. Much more needs to be
done to prevent low back pain and ensure timely access to care, as there
are effective ways of helping people in pain" said Prof Anthony Woolf,
co-chair of the Global Alliance for Musculoskeletal Health which is
calling for priority to be given to addressing the growing burden of musculoskeletal conditions.

"Ministries of health cannot continue ignoring the high prevalence of musculoskeletal conditions including low back pain. These conditions
have important social and economic consequences, especially considering
the cost of care. Now is the time to learn about effective strategies
to address the high burden and to act" said Dr Alarcos Cieza, Unit Head,
World Health Organization, Headquarters, Geneva.

National guidelines will form basis of back pain prevention In 2018,
experts (independent to this study) voiced their concerns in The Lancetand
gave recommendations, especially regarding exercise and education, about
the need for a change in global policy on the best way to prevent and
manage low back pain to stop the rise of inappropriate treatments.

However, since then, there has been little change. Common treatments recommended for low back pain have been found to have unknown
effectiveness or to be ineffective -- this includes some surgeries
and opioids.

Professor Ferreira says there is a lack of consistency in how health professionals manage back pain cases and how the healthcare system needs
to adapt.

"It may come as a surprise to some that current clinical guidelines for
back pain treatment and management do not provide specific recommendations
for older people." "Older people have more complex medical histories and
are more likely to be prescribed strong medication, including opioids for
back pain management, compared to younger adults. But this is not ideal
and can have a negative impact on their function and quality of life, especially as these analgesics may interfere with their other existing medications. This is just one example of why we need to update clinical guidelines to support our health professionals." Co-author Dr Katie
de Luca, from CQUniversity, said if the right action is not taken, low
back pain can become a precursor to chronic health conditions such as
diabetes, cardiovascular disease and mental health conditions, invasive
medical procedures, and significant disability.

"Low back pain continues to be the greatest cause of disability burden worldwide. There are substantial socio-economic consequences of this
condition, and the physical and personal impact directly threatens
healthy ageing."
* RELATED_TOPICS
o Health_&_Medicine
# Back_and_Neck_Pain # Pain_Control # Workplace_Health
# Fibromyalgia # Joint_Health # Joint_Pain #
Today's_Healthcare # Medical_Topics
* RELATED_TERMS
o Back_pain o Gate_control_theory_of_pain o Pain o Acupuncture
o Chronic_pain o Nociceptor o Osteoarthritis o Headache

========================================================================== Story Source: Materials provided by University_of_Sydney. Note: Content
may be edited for style and length.


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1. Manuela L Ferreira, Katie de Luca, Lydia M Haile, Jaimie D
Steinmetz,
Garland T Culbreth, Marita Cross, Jacek A Kopec, Paulo H Ferreira,
Fiona M Blyth, Rachelle Buchbinder, Jan Hartvigsen, Ai-Min Wu, Saeid
Safiri, Anthony D Woolf, Gary S Collins, Kanyin Liane Ong, Stein
Emil Vollset, Amanda E Smith, Jessica A Cruz, Kai Glenn Fukutaki,
Semagn Mekonnen Abate, Mitra Abbasifard, Mohsen Abbasi-Kangevari,
Zeinab Abbasi- Kangevari, Ahmed Abdelalim, Aidin Abedi, Hassan
Abidi, Qorinah Estiningtyas Sakilah Adnani, Ali Ahmadi, Rufus
Olusola Akinyemi, Abayneh Tadesse Alamer, Adugnaw Zeleke Alem,
Yousef Alimohamadi, Mansour Abdullah Alshehri, Mohammed Mansour
Alshehri, Hosam Alzahrani, Saeed Amini, Sohrab Amiri, Hubert
Amu, Catalina Liliana Andrei, Tudorel Andrei, Benny Antony,
Jalal Arabloo, Judie Arulappan, Ashokan Arumugam, Tahira Ashraf,
Seyyed Shamsadin Athari, Nefsu Awoke, Sina Azadnajafabad, Till
Winfried Ba"rnighausen, Lope H Barrero, Amadou Barrow, Akbar
Barzegar, Lindsay M Bearne, Isabela M Bensenor, Alemshet Yirga
Berhie, Bharti Bhandari Bhandari, Vijayalakshmi S Bhojaraja,
Ali Bijani, Belay Boda Abule Bodicha, Srinivasa Rao Bolla, Javier
Brazo-Sayavera, Andrew M Briggs, Chao Cao, Periklis Charalampous,
Vijay Kumar Chattu, Flavia M Cicuttini, Benjamin Clarsen, Sarah
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Lankamo Ena Digesa, Mengistie Diress, Hoa Thi Do, Linh Phuong Doan,
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Shahriar Faghani, Jawad Fares, Ali Fatehizadeh, Getahun Fetensa,
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2023; 5 (6): e316 DOI: 10.1016/S2665-9913(23)00098-X ==========================================================================

Link to news story: https://www.sciencedaily.com/releases/2023/05/230523123745.htm

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