Institute for Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.
Institute for Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia
BMJ Glob Health. 2021 May;6(5). doi: 10.1136/bmjgh-2021-005847.
INTRODUCTION: Completeness of Global Burden of Disease (GBD) Study data is acknowledged as a limitation. To date, no study has evaluated this issue for low back pain, a leading contributor to disease burden globally. METHODS: We retrieved reports, in any language, based on citation details from the GBD 2017 study website. Pairs of raters independently extracted the following data: number of prevalence reports tallied across countries, age groups, gender and years from 1987 to 2017. We also considered if studies enrolled a representative sample and/or used an acceptable measure of low back pain. RESULTS: We retrieved 488 country-level reports that provide prevalence data for 103 of 204 countries (50.5%), with most prevalence reports (61%) being for high-income countries. Only 16 countries (7.8%) have prevalence reports for each of the three decades of the GBD. Most of the reports (79%) did not use an acceptable measure of low back pain when estimating prevalence. CONCLUSION: We found incomplete coverage across countries and time, and limitations in the primary prevalence studies included in the GBD 2017 study. This means there is considerable uncertainty about GBD estimates of low back pain prevalence and the disease burden metrics derived from prevalence.
简介:全球疾病负担(GBD)研究数据的完整性被认为是一个限制。迄今为止,尚无研究评估过全球疾病负担中主要致病因素之一——下背痛的这一问题。 方法:我们根据 GBD 2017 研究网站的引文详细信息检索了以任何语言撰写的报告。两位评估人员独立提取了以下数据:1987 年至 2017 年各国、年龄组、性别和年份的汇总患病率报告数量。我们还考虑了研究是否纳入了代表性样本和/或使用了可接受的下背痛衡量标准。 结果:我们检索到 488 份国家层面的报告,提供了 204 个国家中的 103 个国家(50.5%)的患病率数据,其中大多数患病率报告(61%)来自高收入国家。只有 16 个国家(7.8%)在 GBD 的三个十年中每个十年都有患病率报告。大多数报告(79%)在估计患病率时没有使用可接受的下背痛衡量标准。 结论:我们发现各国和各时期的覆盖范围不完整,并且 GBD 2017 研究中包含的主要患病率研究存在局限性。这意味着 GBD 对下背痛患病率的估计以及从患病率得出的疾病负担指标存在相当大的不确定性。
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