The prevalence of neck pain in the world population: a systematic critical review of the literature
Open accessAbstract
The objective of this study was to determine the prevalence of neck pain (NP) in the world population and to identify areas of methodological variation between studies. A systematic search was conducted in five databases (MEDLINE, EMBASE, CINAHL, OSH-ROM, and PsycINFO), followed by a screening of reference lists of relevant papers. Included papers were extracted for information and each paper was given a quality score. Mean prevalence estimates were calculated for six prevalence periods (point, week, month, 6 months, year, and lifetime), and considered separately for age, gender, quality score, response rate, sample size, anatomical definition, geography, and publication year. Fifty-six papers were included. The six most commonly reported types of prevalence were point, week, month, 6 months, year, and lifetime. Except for lifetime prevalence, women reported more NP than men. For 1-year prevalence, Scandinavian countries reported more NP than the rest of Europe and Asia. Prevalence estimates were not affected by age, quality score, sample size, response rate, and different anatomical definitions of NP. NP is a common symptom in the population. As expected, the prevalence increases with longer prevalence periods and generally women have more NP than men. At least for 1-year prevalence Scandinavian countries report higher mean estimates than the rest of Europe and Asia. The quality of studies varies greatly but is not correlated with the prevalence estimates. Design varies considerably and standardisation is needed in future studies.
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The prevalence of chronic musculoskeletal pain is higher among women than men in community and treatment-seeking cohorts.
“It is well known that the prevalence of chronic musculoskeletal pain is higher among women, both in community and treatment seeking cohorts [1–5].”
From Chronic pain and sex-differences; women accept and move, while men feel blue (2017) · cites this paper as [2]
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“This was done for pragmatic reasons since the majority of people have experienced neck pain at some point in their lives.(6) We excluded several studies in which the asymptomatic group contained patients who were mildly symptomatic.”
BackgroundChronic pain and sex-differences; women accept and move, while men feel blue
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- Authors
- Fejer, R., Kyvik, K. O., & Hartvigsen, J.
- Affiliations
- University of Southern Denmark (DK)
- Corresponding author
- Fejer, René
- Venue
- European Spine Journal
- Published
- 2005-07-06
- Volume
- 15
- Issue
- 6
- Pages
- 834-848
- ISSN
- 0940-6719 (ISSN-L)
- 1432-0932
- PMC
- PMC3489448
- OpenAlex
- W2003095469
- Cited by
- 1,195
- References
- 73
- Citations by year
- 2026: 47 · 2025: 52 · 2024: 66 · 2023: 97 · 2022: 102 · 2021: 104 · 2020: 89 · 2019: 86 · 2018: 63 · 2017: 79 · 2016: 63 · 2015: 64 · 2014: 52 · 2013: 52 · 2012: 46
- FWCI
- 1.58
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- European Spine Journal (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
- Health Sciences › Medicine › Surgery › Cervical and Thoracic Myelopathy
- Keywords
- neck pain, prevalence, lifetime prevalence, point prevalence, sex differences, regional variation, study quality, methodological variability
- MeSH terms
- Asia, Europe, Female, Humans, Male, North America, Scandinavian and Nordic Countries, Databases, Bibliographic, MEDLINE, Neck Pain
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