Cited by 1,507Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyPregnancy-related medical research

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The Rising Prevalence of Chronic Low Back Pain

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Freburger, Janet K., Holmes, George M., Agans, Robert P., Jackman, Anne M., Darter, Jane D., Wallace, Andrea S., Castel, Liana D., Kalsbeek, William D., Carey, Timothy S.·2009·Archives of Internal Medicine

DOI 10.1001/archinternmed.2008.543PMC PMC4339077

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Abstract

BACKGROUND: National or state-level estimates on trends in the prevalence of chronic low back pain (LBP) are lacking. The objective of this study was to determine whether the prevalence of chronic LBP and the demographic, health-related, and health care-seeking characteristics of individuals with the condition have changed over the last 14 years. METHODS: A cross-sectional, telephone survey of a representative sample of North Carolina households was conducted in 1992 and repeated in 2006. A total of 4437 households were contacted in 1992 and 5357 households in 2006 to identify noninstitutionalized adults 21 years or older with chronic (>3 months), impairing LBP or neck pain that limits daily activities. These individuals were interviewed in more detail about their health and health care seeking. RESULTS: The prevalence of chronic, impairing LBP rose significantly over the 14-year interval, from 3.9% (95% confidence interval [CI], 3.4%-4.4%) in 1992 to 10.2% (95% CI, 9.3%-11.0%) in 2006. Increases were seen for all adult age strata, in men and women, and in white and black races. Symptom severity and general health were similar for both years. The proportion of individuals who sought care from a health care provider in the past year increased from 73.1% (95% CI, 65.2%-79.8%) to 84.0% (95% CI, 80.8%-86.8%), while the mean number of visits to all health care providers were similar (19.5 [1992] vs 19.4 [2006]). CONCLUSIONS: The prevalence of chronic, impairing LBP has risen significantly in North Carolina, with continuing high levels of disability and health care use. A substantial portion of the rise in LBP care costs over the past 2 decades may be related to this rising prevalence.

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Authors: Freburger, J. K., Holmes, G. M., Agans, R. P., Jackman, A. M., Darter, J. D., Wallace, A. S., Castel, L. D., Kalsbeek, W. D., & Carey, T. S.
Affiliations: University of North Carolina at Chapel Hill (US)
ORCID: Freburger, Janet K.
Agans, Robert P.
Wallace, Andrea S.
Castel, Liana D.
Carey, Timothy S.
Venue: Archives of Internal Medicine
Publisher: American Medical Association (AMA)
Published: 2009-02-09
Volume: 169
Issue: 3
Pages: 251
ISSN: 0003-9926 (ISSN-L)
DOI: 10.1001/archinternmed.2008.543
PMC: PMC4339077
OpenAlex: W2165014123
Cited by: 1,507
References: 55
Citations by year: 2026: 35 · 2025: 62 · 2024: 78 · 2023: 76 · 2022: 97 · 2021: 120 · 2020: 101 · 2019: 127 · 2018: 111 · 2017: 95 · 2016: 86 · 2015: 80 · 2014: 97 · 2013: 104 · 2012: 102
FWCI: 56.53
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Archives of Internal Medicine (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Iowa Research Online (University of Iowa) (submittedVersion)
Funders: National Institutes of Health (5r01ar051970-02, 2r24hd050924-06)
Agency for Healthcare Research and Quality (T32HS000032)
National Institute of Nursing Research (T32 NR 08856, T32NR008856)
National Institute of Arthritis and Musculoskeletal and Skin Diseases (R0-1 AR051970)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R24 HD-050924)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy-related medical research
Keywords: chronic low back pain, prevalence trends, neck pain, health-seeking behavior, health care utilization, disability, racial differences, age differences, North Carolina, health care costs
MeSH terms: Adult, Aged, Chronic Disease, Cross-Sectional Studies, Disability Evaluation, Female, Health Surveys, Humans, Male, Middle Aged, North Carolina, Office Visits, Patient Acceptance of Health Care, Prevalence, Low Back Pain, Age Distribution, Sex Distribution, Racial Groups, Young Adult

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