Abstract
PurposeWe aimed to assess the global, regional, and national burdens of low back pain (LBP) from 1990 to 2019 by gender, age, and the sociodemographic index (SDI) from the Global Burden of Disease (GBD) 2019 study.MethodsThe number of incident cases, disability-adjusted life years (DALYs), age-standardized incidence rates, and age-standardized DALY rates during 1990–2019 were obtained from the GBD 2019 study. The estimated annual percentage changes (EAPCs) in the age-standardized incidence rates and age-standardized DALY rates were determined to measure the temporal trends of LBP.ResultsIn 2019, there were an estimated 223.5 million cases of LBP and 63.7 million LBP-related DALYs worldwide. During 1990–2019, the age-standardized incidence rate [EAPC = − 0.41; 95% confidence interval (CI) − 0.46 to − 0.36] and age-standardized DALY rate decreased (EAPC = − 0.51; 95% CI − 0.56 to − 0.46) globally. The age-standardized incidence rate of LBP decreased the most in low-middle SDI regions. The age-standardized incidence rate of LBP decreased the most in South Asia (EAPC, − 1.51), East Asia (EAPC, − 0.68), and Australasia (EAPC, − 0.26). The incidence in male subjects was lower than that in female subjects. The largest decreases in the age-standardized incidence rate and age-standardized DALY rate of LBP were observed in India, and China.ConclusionsThe global age-standardized incidence rate and age-standardized DALY rate of LBP showed a downward trend, especially in East and South Asia. In addition, a heavier burden of LBP was observed in older and female populations.
Highlights
Low back pain (LBP) is common in the general adult population, it is usually regarded as a disease with a small burden [1]
We assessed the low back pain (LBP) burden based on the Global Burden of Disease (GBD) 2019 data by determining the temporal trends in LBP incidence rates and LBP-related disability-adjusted life years (DALYs) at the global, regional, and national levels in terms of sex, age, and the socio-development index (SDI)
The global age-standardized incidence rate showed a downward trend with an estimated annual percentage changes (EAPCs) of − 0.41 (− 0.46 to − 0.36), decreasing from 3,168.93 to 2,748.90 per 100,000 persons (Table 1; Fig. 1A; Supplementary Fig. 1A)
Summary
Low back pain (LBP) is common in the general adult population, it is usually regarded as a disease with a small burden [1]. LBP is one of the major causes of years lived with disability in 65% of countries globally and the primary cause of years lived with disability in all Linfeng Wang and Hong Ye these are authors share first authorship. The GBD 2019 study assesses the burden of 369 human diseases and injuries in 204 countries and territories worldwide [2]. There has not been a systematic up-todate of the temporal trends of LBP since the GBD 2019 study. We assessed the LBP burden based on the GBD 2019 data by determining the temporal trends in LBP incidence rates and LBP-related disability-adjusted life years (DALYs) at the global, regional, and national levels in terms of sex, age, and the socio-development index (SDI)
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