Abstract
To evaluate the one-year prevalence of diagnosed specific back pain in Region Västra Götaland, inhabiting 1.7 million people. A retrospective register study. Data from 2014 to 2019 were extracted from the VEGA register, which holds all health data from all publicly funded health care establishments in Region Västra Götaland. Aggregated data are presented as the one-year prevalence of unique individuals diagnosed with International Statistical Classification of Diseases and Related Health Problems - Tenth Revision codes representing specific back pain. All inhabitants in Region Västra Götaland. The one-year prevalence of diagnosed specific back pain stratified by age, sex, and health care level. In 2019, the one-year prevalence of diagnosed specific back pain in public primary health care centres was 0.82%, rehabilitation care 0.35%, and the combined increase was 156% from 2014. In specialized health care, the diagnosed prevalence during 2014-2019 has remained relatively unchanged. The prevalence was significantly higher among women in primary health care and rehabilitation care. M48.0 (spinal stenosis) and M51.1K (lumbar disc herniation with radiculopathy) were the most common sub-classifications. For M48.0, prevalence increased by age, whereas M51.1K peaked within the 45-64 years category. The one-year prevalence of diagnosed specific back pain in primary health care was 1.17% in 2019 and has increased since 2014. Women were diagnosed considerably more frequently than men, which is not reflected in surgical treatment prevalence.
Highlights
Back pain is a major problem throughout the world
Diagnosed specific back pain is more common among women than men in all health care levels, but significantly more dominant in primary health care
Specific back pain will in this study refer to spinal stenosis and disc herniation at cervical/thoracic/lumbar levels with International Statistical Classification of Diseases and Related Health Problems – Tenth Revision (ICD-10) codes demonstrated in Appendix 1 (Organization, 1992)
Summary
Back pain is a major problem throughout the world It causes more disability than any other condition and is the leading cause of activity limitation and work absence globally (Hoy et al, 2014). A systematic review showed a one-month global prevalence of activity-limiting low back pain of 23% (Hoy et al, 2012). Are those suffering from the condition, even though it is so common, a forgotten and overlooked group?. Around 10% of patients with back pain have specific spinal pathology or nerve root pain/radicular pain, i.e. specific back pain (Koes, Van Tulder & Thomas, 2006). Specific back pain will in this study refer to spinal stenosis and disc herniation at cervical/thoracic/lumbar levels with International Statistical Classification of Diseases and Related Health Problems – Tenth Revision (ICD-10) codes demonstrated in Appendix 1 (Organization, 1992)
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