Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, 2nd Floor George Campbell Building, Mazisi Kunene Road, Durban, 4041, South Africa.
Syst Rev. 2020 Mar 17;9(1):57. doi: 10.1186/s13643-020-01321-w.
Globally, low back pain (LBP) is a major public health problem affecting mainly adults of the working class and is the leading cause of disability. The estimated lifetime prevalence of LBP is 50 to 80%. From 1990 to 2015, the years lived with disability caused by LBP have scaled up by 54% with the greatest increase observed in low-middle-income countries (LMICs). LBP poses a significant socio-economic burden to the society regardless of all the technological advancement in diagnosis and intervention approaches in recent years. Despite an increase in the literature of LBP in LMICs, chronic low back pain (CLBP) is poorly investigated yet it is responsible for the largest amount of burden. The purpose of this scoping review is to map the existing evidence on the prevalence, incidence, mortality, risk factors, and cost associated with CLBP among adults in Sub-Saharan Africa (SSA).
We will conduct a scoping review to explore, describe, and map literature on the prevalence, incidence, mortality, risk factors, and costs associated with CLBP among adults in SSA. The search will be performed using the EBSCOhost platform by searching the following databases within the platform: Academic search complete, health source: nursing/academic edition, CINAHL with full text, Embase, PubMed, MEDLINE, Science Direct databases, Google Scholar, and the World Health Organization library databases. The search will include peer-reviewed, review articles, and gray literature. The first (title and abstract) and the second (full text) screening phases will be performed by two independent reviewers, with the third reviewer employed to adjudicate discrepancies. The reference list of all included articles will also be searched for eligible articles. This scoping review will be reported in accordance to the MOOSE and PRISMA-ScR guidelines. The NVivo 12 data analysis software will be used to generate themes, and a thematic content analysis will be used to give the narrative account of the review.
The study anticipates finding relevant literature on the prevalence, incidence, risk factors, mortality, and cost associated with CLBP among adults in SSA. The study outcomes will aid in identifying research gaps, planning, informing policy, commissioning of future research, and funding prioritization.
全球范围内，下背痛（LBP）是一个主要的公共卫生问题，主要影响上班族成年人，是导致残疾的主要原因。LBP 的估计终身患病率为 50%至 80%。从 1990 年到 2015 年，由 LBP 导致的残疾年份增加了 54%，其中中低收入国家（LMICs）的增幅最大。无论近年来在诊断和干预方法方面取得了多少技术进步，LBP 都会给社会带来巨大的社会经济负担。尽管在 LMICs 中有关 LBP 的文献有所增加，但慢性下背痛（CLBP）的研究仍不够充分，但它造成的负担最大。本范围综述的目的是绘制撒哈拉以南非洲（SSA）成年人中 CLBP 的患病率、发病率、死亡率、危险因素和成本的现有证据图谱。
我们将进行范围综述，以探索、描述和绘制撒哈拉以南非洲（SSA）成年人中 CLBP 的患病率、发病率、死亡率、危险因素和成本的相关文献图谱。将使用 EBSCOhost 平台在平台内的以下数据库中进行搜索：学术搜索综合版、健康源：护理/学术版、全文 CINAHL、Embase、PubMed、MEDLINE、Science Direct 数据库、谷歌学术和世界卫生组织图书馆数据库。搜索将包括同行评议的、综述文章和灰色文献。将由两名独立评审员进行第一（标题和摘要）和第二（全文）筛选阶段，第三名评审员将负责裁决分歧。还将对所有纳入文章的参考文献列表进行搜索，以查找符合条件的文章。本范围综述将按照 MOOSE 和 PRISMA-ScR 指南进行报告。将使用 NVivo 12 数据分析软件生成主题，并使用主题内容分析给出综述的叙述性描述。
该研究预计将找到有关撒哈拉以南非洲（SSA）成年人中 CLBP 的患病率、发病率、危险因素、死亡率和成本的相关文献。研究结果将有助于确定研究空白、规划、为政策提供信息、委托未来研究和优先考虑资金。
