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1990-2017年间全球国家和地区普通人群颈痛负担的系统分析
作者:小柯机器人 发布时间:2020/3/28 21:58:09

澳大利亚皇家北岸医院Manuela L Ferreira团队近期取得新进展。他们分析了1990-2017年间全球国家和地区普通人群的颈痛负担。2020年3月26日出版的《英国医学杂志》发表了这项成果。

为了使用1990-2017年间全球疾病负担研究数据,来报告195个国家的总人口中时点患病率、年发病率和颈部疼痛失能生存年的比率和趋势,研究组对2017年全球疾病、伤害和危险因素负担进行了一项系统分析。

2017年全球每十万人口中颈部疼痛年龄标准化的时点患病率为3551.1,颈部疼痛的发生率为806.6,颈部疼痛失能生存年为352.0。这些估计值在1990-2017年间没有显著变化。2017年全球女性颈部疼痛时点患病率高于男性,尽管在0.05水平上并不显著。

患病率随年龄而增长,一直到70-74岁,之后下降。2017年的年龄标准化时点患病率最高的前三位国家分别为挪威(6151.2)、芬兰(5750.3)和丹麦(5316)。1990-2017年,年龄标准化时点患病率的估计值涨幅最大的是英国(14.6%)、瑞典(10.4%)和科威特(2.6%)。

一般而言,年龄标准化的颈部疼痛失能生存年与全球所有疾病负担地区的社会人口统计指数之间呈正相关,但存在波动,提示较高的社会人口统计学指标下疾病负担更大。

总之,颈部疼痛是普通人群中严重的公共卫生问题,挪威、芬兰和丹麦的负担最大。增强人们对危险因素和颈部疼痛预防策略的认识,可减轻未来负担。

附:英文原文

Title: Global, regional, and national burden of neck pain in the general population, 1990-2017: systematic analysis of the Global Burden of Disease Study 2017

Author: Saeid Safiri(, Ali-Asghar Kolahi, Damian Hoy, Rachelle Buchbinder, Mohammad Ali Mansournia, Deepti Bettampadi, Ahad Ashrafi-Asgarabad, Amir Almasi-Hashiani, Emma Smith, Mahdi Sepidarkish, Marita Cross, Mostafa Qorbani, Maziar Moradi-Lakeh, Anthony D Woolf, Lyn March, Gary Collins, Manuela L Ferreira

Issue&Volume: 2020/03/26

Abstract: Abstract

Objective To use data from the Global Burden of Disease Study between 1990 and 2017 to report the rates and trends of point prevalence, annual incidence, and years lived with disability for neck pain in the general population of 195 countries.

Design Systematic analysis.

Data source Global Burden of Diseases, Injuries, and Risk Factors Study 2017.

Main outcome measures Numbers and age standardised rates per 100000 population of neck pain point prevalence, annual incidence, and years lived with disability were compared across regions and countries by age, sex, and sociodemographic index. Estimates were reported with uncertainty intervals.

Results Globally in 2017 the age standardised rates for point prevalence of neck pain per 100000 population was 3551.1 (95% uncertainty interval 3139.5 to 3977.9), for incidence of neck pain per 100000 population was 806.6 (713.7 to 912.5), and for years lived with disability from neck pain per 100000 population was 352.0 (245.6 to 493.3). These estimates did not change significantly between 1990 and 2017. The global point prevalence of neck pain in 2017 was higher in females compared with males, although this was not significant at the 0.05 level. Prevalence increased with age up to 70-74 years and then decreased. Norway (6151.2 (95% uncertainty interval 5382.3 to 6959.8)), Finland (5750.3 (5058.4 to 6518.3)), and Denmark (5316 (4674 to 6030.1)) had the three highest age standardised point prevalence estimates in 2017. The largest increases in age standardised point prevalence estimates from 1990 to 2017 were in the United Kingdom (14.6% (10.6% to 18.8%)), Sweden (10.4% (6.0% to 15.4%)), and Kuwait (2.6% (2.0% to 3.2%)). In general, positive associations, but with fluctuations, were found between age standardised years lived with disability for neck pain and sociodemographic index at the global level and for all Global Burden of Disease regions, suggesting the burden is higher at higher sociodemographic indices.

Conclusions Neck pain is a serious public health problem in the general population, with the highest burden in Norway, Finland, and Denmark. Increasing population awareness about risk factors and preventive strategies for neck pain is warranted to reduce the future burden of this condition.

DOI: 10.1136/bmj.m791

Source: https://www.bmj.com/content/368/bmj.m791

期刊信息

BMJ-British Medical Journal:《英国医学杂志》,创刊于1840年。隶属于BMJ出版集团,最新IF:27.604
官方网址:http://www.bmj.com/
投稿链接:https://mc.manuscriptcentral.com/bmj