Lund University and WHO Collaborating Centre for Evidence-Based Healthcare in Musculoskeletal Disorders, Lund, Sweden.
Arthritis Care Res (Hoboken). 2012 Jul;64(7):1084-8. doi: 10.1002/acr.21642.
Low back pain (LBP) affects most people at some stage in life. However, the burden on the health care system is unclear. We studied: 1) the 1-year consultation prevalence, 2) the rate of first-time consultation for LBP and the relationship of the frequency to other musculoskeletal conditions, and 3) the health care utilization of patients with LBP compared to the general population.
Using the health care register in Southern Sweden (population 1.2 million), including diagnoses (International Statistical Classification of Diseases and Related Health Problems, Tenth Revision) by physicians, we identified all patients who in 2009 were diagnosed with LBP, defined as lumbago with sciatica, low back pain, or other/unspecified dorsalgia. We defined first-time consultation as a consultation in 2009 without a record of an LBP diagnosis in 2004-2008. Standardized health care utilization ratios were calculated for LBP patients compared to the general population seeking care.
The 1-year consultation prevalence of LBP in the population was 3.8% (4.3% for women, 3.3% for men) and increased with age. LBP had been recorded in 17.1% of all patients (16.5% for women, 18.0% for men) who had been diagnosed with any musculoskeletal condition. The rate of first-time consultation was 238 per 10,000 adults (265 for women, 209 for men). The health care utilization ratios in female and male patients with LBP were 1.74 (95% confidence interval [95% CI] 1.73-1.75) and 1.81 (95% CI 1.80-1.82), respectively.
LBP, diagnosed in every sixth patient who consulted due to a musculoskeletal problem, is a public health concern that needs structured management. Patients with LBP consume close to twice as much health care as the general population and this warrants more awareness.
腰痛（LBP）在人生的某个阶段影响大多数人。然而，其对医疗保健系统的负担尚不清楚。我们研究了：1）1 年咨询患病率，2）首次因 LBP 就诊的比率以及就诊频率与其他肌肉骨骼疾病的关系，3）与一般人群相比，LBP 患者的医疗保健利用情况。
利用瑞典南部的医疗保健登记处（人口 120 万），包括医生诊断的（国际疾病分类和相关健康问题第十次修订版），我们确定了所有在 2009 年被诊断为 LBP 的患者，定义为腰痛伴有坐骨神经痛、下腰痛或其他/未特指的背痛。我们将首次就诊定义为 2009 年就诊，但在 2004-2008 年没有 LBP 诊断记录。与就诊的一般人群相比，计算了 LBP 患者的标准化医疗保健利用比率。
该人群中 LBP 的 1 年咨询患病率为 3.8%（女性为 4.3%，男性为 3.3%），并随年龄增长而增加。在所有被诊断为任何肌肉骨骼疾病的患者中，有 17.1%（女性为 16.5%，男性为 18.0%）曾记录过 LBP。首次就诊的比率为每 10000 名成年人中有 238 人（女性为 265 人，男性为 209 人）。女性和男性 LBP 患者的医疗保健利用比率分别为 1.74（95%置信区间[95%CI] 1.73-1.75）和 1.81（95%CI 1.80-1.82）。
在因肌肉骨骼问题就诊的患者中，每 6 人就有 1 人被诊断为 LBP，这是一个公共卫生问题，需要进行结构化管理。LBP 患者的医疗保健利用率接近一般人群的两倍，这值得引起更多关注。
