Prevalence of claims-based recurrent low back pain in a Canadian population: A secondary analysis of an administrative database
Autor: | Alain Vanasse, Josiane Courteau, Nicolas Beaudet, Philippe Sarret |
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Jazyk: | angličtina |
Předmět: |
Adult
Male Canada Registry medicine.medical_specialty Databases Factual Sports medicine Spinal stenosis medicine.medical_treatment Prevalence Cohort Studies Insurance Claim Review 03 medical and health sciences Elderly 0302 clinical medicine Rheumatology International Classification of Diseases Recurrence Epidemiology medicine Humans Low back pain Orthopedics and Sports Medicine 030212 general & internal medicine Retrospective Studies Secondary analysis Administrative database Rehabilitation business.industry Quebec Retrospective cohort study Middle Aged medicine.disease 3. Good health Universal health plan Orthopedic surgery Physical therapy Female medicine.symptom business 030217 neurology & neurosurgery Research Article Demography |
Zdroj: | BMC Musculoskeletal Disorders |
ISSN: | 1471-2474 |
DOI: | 10.1186/1471-2474-14-151 |
Popis: | Background There is a vast literature reporting that the point prevalence of low back pain (LBP) is high and increasing. It is also known that a large proportion of acute LBP episodes are recurrent within 12 months. However, few studies report the annual trends in the prevalence of recurrent LBP or describe these trends according to age and sex categories. Methods We conducted a retrospective cohort study involving 401 264 adults selected from the administrative database of physician claims for the province of Quebec, Canada. These adults, aged 18 years and over, met the criteria of having consulted a physician three times within a 365-day period between 2000 and 2007 for a LBP condition corresponding to ICD-9 codes 721, 722, 724 or 739. All data were analyzed by sex and clustered according to specific age categories. Results We observed a decrease from 1.64% to 1.33% in the annual prevalence between 2000 and 2007 for men. This decrease in prevalence was mostly observed between 35 and 59 years of age. Older (≥65 years) women were 1.35 times more at risk to consult a physician for LBP in a recurrent manner than older men. The most frequently reported diagnosis was non-specific LBP between 2000 to 2007. During the same period, sequelae of previous back surgery and spinal stenosis were the categories with the largest increases. Conclusion The annual prevalence of claims-based recurrent LBP progressively decreased between 2000 and 2007 for younger adults ( |
Databáze: | OpenAIRE |
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