Rising Global Burden of Low Back Pain Calls for Proactive Measures

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Highlights:

• Global low back pain cases are increasing, with projections suggesting 843 million people will be affected by 2050
• Inconsistent treatment approaches and limited options raise concerns of a healthcare crisis
• Urgent action is needed to prevent and manage low back pain, which is the leading cause of disability worldwide

The Global Burden of Disease (GBD) 2021 study, published in Lancet Rheumatology, reveals alarming trends in low back pain cases worldwide (1^✔). With over 30 years of data analysis, the study predicts a significant increase in the number of people affected by low back pain, raising concerns about healthcare systems' ability to manage the growing burden. This comprehensive analysis underscores the need for a consistent approach to treatment and preventive measures. The University of Sydney, in collaboration with international partners, conducted the study, providing valuable insights into the global prevalence of low back pain and its associated risk factors.

Growing Global Burden of Low Back Pain

Analysis of the GBD data spanning from 1990 to 2020 demonstrates a substantial rise in low back pain cases over time. By 2017, the number of affected individuals surpassed half a billion, reaching approximately 619 million cases in 2020. These numbers are projected to increase further, with modeling suggesting that by 2050, an estimated 843 million people worldwide will suffer from low back pain. This worrying trend can be attributed to population growth and the aging of populations.

Back Pain: Implications and Concerns for Healthcare Systems

Low back pain is the leading cause of disability globally, posing a significant challenge to healthcare systems worldwide. The lack of a consistent approach to treatment and limited therapeutic options exacerbate concerns about a looming healthcare crisis. The study's findings highlight the urgent need for proactive measures and prevention strategies to address this growing burden effectively. Australia, as a global leader in back pain research, has the opportunity to lead by example in back pain prevention and guide the development of effective preventive measures.

Risk Factors for Back Pain and Gender Disparities

Occupational factors, smoking, and obesity contribute to at least one-third of the disability burden associated with low back pain. Contrary to popular belief, low back pain predominantly affects older individuals rather than adults of working age. Moreover, the study reveals higher prevalence rates among females compared to males. It is important to note that the available data primarily come from high-income countries, making it challenging to fully understand the impact of low back pain in low to mid-income countries. Collecting more population-based data from these regions is crucial for developing targeted interventions and addressing disparities.

Addressing the Global Burden of Low Back Pain

The study's findings emphasize the need for health systems worldwide to respond to the escalating burden of low back pain. Preventive measures and timely access to care are essential to mitigate the impact of this condition. Experts, including the Global Alliance for Musculoskeletal Health, are advocating for prioritizing the management of musculoskeletal conditions, including low back pain, and implementing effective strategies to address this burden. National guidelines should be revised to incorporate preventive measures and evidence-based recommendations, with a specific focus on older individuals who often face complex medical histories and require tailored treatment approaches.

‘The global burden of low back pain is escalating, with projections of 843 million cases by 2050. Find out why proactive measures are crucial to address this leading cause of disability.’

The rising global burden of low back pain demands immediate action to prevent long-term consequences for individuals and healthcare systems. The GBD 2021 study highlights the urgent need for a proactive approach to low back pain prevention and management. By implementing consistent guidelines, updating clinical recommendations, and investing in population-based data collection, countries can work towards alleviating the burden of low back pain. The time has come for governments, healthcare professionals, and international organizations to prioritize musculoskeletal health and address the socioeconomic and personal impacts of low back pain, ultimately ensuring healthy aging for individuals worldwide.

Reference:

1. Global, regional, and national burden of low back pain, 1990-2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021 - (https:www.thelancet.com/journals/lanrhe/article/PIIS2665-9913(23)00098-X/fulltext)

Source: Medindia

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