Fiona M. Blyth is with the Centre for Education and Research on Aging, Concord Clinical School, University of Sydney, Sydney, Australia. Andrew M. Briggs is with the School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia. Carmen Huckel Schneider is with the Menzies Centre for Health Policy, Sydney School of Public Health, University of Sydney. Damian G. Hoy and Lyn M. March are with the Institute of Bone and Joint Research, Northern Clinical School and the Florance and Cope Department of Rheumatology, Royal North Shore Hospital, University of Sydney.
Am J Public Health. 2019 Jan;109(1):35-40. doi: 10.2105/AJPH.2018.304747. Epub 2018 Nov 29.
To summarize the current understanding of the global burden of musculoskeletal pain-related conditions, consider the process of evidence generation and the steps to generate global pain estimates, identify key gaps in our understanding, and propose an agenda to address these gaps, we performed a narrative review. In the 2010 Global Burden of Disease Study (GBD), which broadened the scope of musculoskeletal conditions that were included over previous rounds, low back pain imposed the highest disability burden of all specific conditions assessed, and subsequent GBD reports further reinforce the size of this burden. Over the past decade, the GBD has produced compelling evidence of the leading contribution of musculoskeletal pain conditions to the global burden of disability, but this has not translated into global health policy initiatives. However, system- and service-level responses to the disease burden persist across high-, middle-, and low-income settings. There is a mismatch between the burden of musculoskeletal pain conditions and appropriate health policy response and planning internationally that can be addressed with an integrated research and policy agenda.
为了总结目前对全球肌肉骨骼疼痛相关疾病负担的了解，考虑证据生成的过程和生成全球疼痛估计的步骤，确定我们理解中的关键差距，并提出解决这些差距的议程，我们进行了叙述性回顾。在 2010 年全球疾病负担研究（GBD）中，纳入了比以往研究更广范围的肌肉骨骼疾病，腰痛导致的残疾负担在所有评估的特定疾病中最高，随后的 GBD 报告进一步强调了这一负担的规模。在过去的十年中，GBD 提供了令人信服的证据，证明肌肉骨骼疼痛疾病对全球残疾负担的主要贡献，但这并没有转化为全球卫生政策倡议。然而，在高、中、低收入环境中，针对疾病负担的系统和服务层面的应对措施仍然存在。肌肉骨骼疼痛疾病的负担与国际上适当的卫生政策应对和规划之间存在不匹配，这可以通过综合的研究和政策议程来解决。
