Epidemiological Differences between Localized and Nonlocalized Low Back Pain

David Coggon; Georgia Ntani; Karen Walker-Bone; Keith T. Palmer; Vanda E. Felli; Raul Harari; Lope H. Barrero; Sarah A. Felknor; David Gimeno; Anna Cattrell; Sergio Vargas-Prada; Matteo Bonzini; Eleni Solidaki; Eda Merisalu; Rima R. Habib; Farideh Sadeghian; M. Masood Kadir; Sudath Sp Warnakulasuriya; Ko Matsudaira; Busisiwe Nyantumbu; Malcolm R. Sim; Helen Harcombe; Ken Cox; Leila M.M. Sarquis; Maria H. Marziale; Florencia Harari; Rocio Freire; Natalia Harari; Magda V. Monroy; Leonardo A. Quintana; Marianela Rojas; Elizabeth Clare Harris; Consol Serra; José Miguel Martinez; George Delclos; Fernando G. Benavides; Michele Carugno; Marco M. Ferrario; Angela C. Pesatori; Leda Chatzi; Panos Bitsios; Manolis Kogevinas; Kristel Oha; Tiina Freimann; Ali Sadeghian; Roshini J. Peiris-John; Nalini Sathiakumar; A. Rajitha Wickremasinghe; Noriko Yoshimura; Helen L. Kelsall; Victor C.W. Hoe; Donna M. Urquhart; Sarah Derrett; David McBride; Peter Herbison; Andrew Gray; Eduardo J. Salazar Vega

doi:10.1097/BRS.0000000000001956

Epidemiological Differences between Localized and Nonlocalized Low Back Pain

David Coggon
, Georgia Ntani
, Karen Walker-Bone
, Keith T. Palmer
, Vanda E. Felli
, Raul Harari
, Lope H. Barrero
, Sarah A. Felknor
, David Gimeno
, Anna Cattrell
, Sergio Vargas-Prada
, Matteo Bonzini
, Eleni Solidaki
, Eda Merisalu
, Rima R. Habib
, Farideh Sadeghian
, M. Masood Kadir
, Sudath Sp Warnakulasuriya
, Ko Matsudaira
, Busisiwe Nyantumbu

Malcolm R. Sim, Helen Harcombe, Ken Cox, Leila M.M. Sarquis, Maria H. Marziale, Florencia Harari, Rocio Freire, Natalia Harari, Magda V. Monroy, Leonardo A. Quintana, Marianela Rojas, Elizabeth Clare Harris, Consol Serra, José Miguel Martinez, George Delclos, Fernando G. Benavides, Michele Carugno, Marco M. Ferrario, Angela C. Pesatori, Leda Chatzi, Panos Bitsios, Manolis Kogevinas, Kristel Oha, Tiina Freimann, Ali Sadeghian, Roshini J. Peiris-John, Nalini Sathiakumar, A. Rajitha Wickremasinghe, Noriko Yoshimura, Helen L. Kelsall, Victor C.W. Hoe, Donna M. Urquhart, Sarah Derrett, David McBride, Peter Herbison, Andrew Gray, Eduardo J. Salazar Vega

Department of Industrial Engineering

University of Southampton
Universidade de São Paulo
Corporación Para El Desarrollo de la Producción y El Medio Ambiente Laboral-IFA
University of Texas Health Science Center at Houston
National Institute for Occupational Safety and Health
North East London NHS Foundation Trust
Universitat Pompeu Fabra Barcelona
CIBER of Epidemiology and Public Health
IMIM (Hospital Del Mar Research Institute)
University of Insubria
University of Crete
Estonian University of Life Sciences
American University of Beirut
School of Public Health
Aga Khan University
University of Sri Jayewardenepura
The University of Tokyo
National Health Laboratory Services
University of the Witwatersrand
Monash University
University of Otago
Universidade Federal do Paraná
Universidad Javeriana
National University of Costa Rica
Occupational Health Service
Departamento de Investigación y Análisis de Prestaciones
University of Milan
Mangiagalli e Regina Elena
Barcelona Institute for Global Health
North Estonia Medical Centre
Tartu University Hospital
Klinikum Leverkusen
The University of Auckland
University of Alabama at Birmingham
University of Kelaniya
University of Malaya
AkzoNobel

Research output: Contribution to journal › Article › peer-review

20 Scopus citations

Abstract

Study Design. A cross-sectional survey with a longitudinal follow-up. Objectives. The aim of this study was to test the hypothesis that pain, which is localized to the low back, differs epidemiologically from that which occurs simultaneously or close in time to pain at other anatomical sites Summary of Background Data. Low back pain (LBP) often occurs in combination with other regional pain, with which it shares similar psychological and psychosocial risk factors. However, few previous epidemiological studies of LBP have distinguished pain that is confined to the low back from that which occurs as part of a wider distribution of pain. Methods. We analyzed data from CUPID, a cohort study that used baseline and follow-up questionnaires to collect information about musculoskeletal pain, associated disability, and potential risk factors, in 47 occupational groups (office workers, nurses, and others) from 18 countries. Results. Among 12,197 subjects at baseline, 609 (4.9%) reported localized LBP in the past month, and 3820 (31.3%) nonlocalized LBP. Nonlocalized LBP was more frequently associated with sciatica in the past month (48.1% vs. 30.0% of cases), occurred on more days in the past month and past year, was more often disabling for everyday activities (64.1% vs. 47.3% of cases), and had more frequently led to medical consultation and sickness absence from work. It was also more often persistent when participants were followed up after a mean of 14 months (65.6% vs. 54.1% of cases). In adjusted Poisson regression analyses, nonlocalized LBP was differentially associated with risk factors, particularly female sex, older age, and somatizing tendency. There were also marked differences in the relative prevalence of localized and nonlocalized LBP by occupational group. Conclusion. Future epidemiological studies should distinguish where possible between pain that is limited to the low back and LBP that occurs in association with pain at other anatomical locations.

Original language	English
Pages (from-to)	740-747
Number of pages	8
Journal	Spine
Volume	42
Issue number	10
DOIs	https://doi.org/10.1097/BRS.0000000000001956
State	Published - 15 May 2017

Keywords

diagnostic classification
disability
epidemiology
low back pain
medical consultation
occupation
prognosis
risk factors
sciatica
sickness absence
somatizing

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10.1097/BRS.0000000000001956

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Coggon, D., Ntani, G., Walker-Bone, K., Palmer, K. T., Felli, V. E., Harari, R., Barrero, L. H., Felknor, S. A., Gimeno, D., Cattrell, A., Vargas-Prada, S., Bonzini, M., Solidaki, E., Merisalu, E., Habib, R. R., Sadeghian, F., Kadir, M. M., Warnakulasuriya, S. S., Matsudaira, K., ... Salazar Vega, E. J. (2017). Epidemiological Differences between Localized and Nonlocalized Low Back Pain. Spine, 42(10), 740-747. https://doi.org/10.1097/BRS.0000000000001956

@article{572a888371694fe59cbeca705bf6bcfb,

title = "Epidemiological Differences between Localized and Nonlocalized Low Back Pain",

abstract = "Study Design. A cross-sectional survey with a longitudinal follow-up. Objectives. The aim of this study was to test the hypothesis that pain, which is localized to the low back, differs epidemiologically from that which occurs simultaneously or close in time to pain at other anatomical sites Summary of Background Data. Low back pain (LBP) often occurs in combination with other regional pain, with which it shares similar psychological and psychosocial risk factors. However, few previous epidemiological studies of LBP have distinguished pain that is confined to the low back from that which occurs as part of a wider distribution of pain. Methods. We analyzed data from CUPID, a cohort study that used baseline and follow-up questionnaires to collect information about musculoskeletal pain, associated disability, and potential risk factors, in 47 occupational groups (office workers, nurses, and others) from 18 countries. Results. Among 12,197 subjects at baseline, 609 (4.9\%) reported localized LBP in the past month, and 3820 (31.3\%) nonlocalized LBP. Nonlocalized LBP was more frequently associated with sciatica in the past month (48.1\% vs. 30.0\% of cases), occurred on more days in the past month and past year, was more often disabling for everyday activities (64.1\% vs. 47.3\% of cases), and had more frequently led to medical consultation and sickness absence from work. It was also more often persistent when participants were followed up after a mean of 14 months (65.6\% vs. 54.1\% of cases). In adjusted Poisson regression analyses, nonlocalized LBP was differentially associated with risk factors, particularly female sex, older age, and somatizing tendency. There were also marked differences in the relative prevalence of localized and nonlocalized LBP by occupational group. Conclusion. Future epidemiological studies should distinguish where possible between pain that is limited to the low back and LBP that occurs in association with pain at other anatomical locations.",

keywords = "diagnostic classification, disability, epidemiology, low back pain, medical consultation, occupation, prognosis, risk factors, sciatica, sickness absence, somatizing",

author = "David Coggon and Georgia Ntani and Karen Walker-Bone and Palmer, \{Keith T.\} and Felli, \{Vanda E.\} and Raul Harari and Barrero, \{Lope H.\} and Felknor, \{Sarah A.\} and David Gimeno and Anna Cattrell and Sergio Vargas-Prada and Matteo Bonzini and Eleni Solidaki and Eda Merisalu and Habib, \{Rima R.\} and Farideh Sadeghian and Kadir, \{M. Masood\} and Warnakulasuriya, \{Sudath Sp\} and Ko Matsudaira and Busisiwe Nyantumbu and Sim, \{Malcolm R.\} and Helen Harcombe and Ken Cox and Sarquis, \{Leila M.M.\} and Marziale, \{Maria H.\} and Florencia Harari and Rocio Freire and Natalia Harari and Monroy, \{Magda V.\} and Quintana, \{Leonardo A.\} and Marianela Rojas and Harris, \{Elizabeth Clare\} and Consol Serra and Martinez, \{Jos{\'e} Miguel\} and George Delclos and Benavides, \{Fernando G.\} and Michele Carugno and Ferrario, \{Marco M.\} and Pesatori, \{Angela C.\} and Leda Chatzi and Panos Bitsios and Manolis Kogevinas and Kristel Oha and Tiina Freimann and Ali Sadeghian and Peiris-John, \{Roshini J.\} and Nalini Sathiakumar and Wickremasinghe, \{A. Rajitha\} and Noriko Yoshimura and Kelsall, \{Helen L.\} and Hoe, \{Victor C.W.\} and Urquhart, \{Donna M.\} and Sarah Derrett and David McBride and Peter Herbison and Andrew Gray and \{Salazar Vega\}, \{Eduardo J.\}",

year = "2017",

month = may,

day = "15",

doi = "10.1097/BRS.0000000000001956",

language = "English",

volume = "42",

pages = "740--747",

journal = "Spine",

issn = "0362-2436",

publisher = "Wolters Kluwer Health",

number = "10",

}

Coggon, D, Ntani, G, Walker-Bone, K, Palmer, KT, Felli, VE, Harari, R, Barrero, LH, Felknor, SA, Gimeno, D, Cattrell, A, Vargas-Prada, S, Bonzini, M, Solidaki, E, Merisalu, E, Habib, RR, Sadeghian, F, Kadir, MM, Warnakulasuriya, SS, Matsudaira, K, Nyantumbu, B, Sim, MR, Harcombe, H, Cox, K, Sarquis, LMM, Marziale, MH, Harari, F, Freire, R, Harari, N, Monroy, MV, Quintana, LA, Rojas, M, Harris, EC, Serra, C, Martinez, JM, Delclos, G, Benavides, FG, Carugno, M, Ferrario, MM, Pesatori, AC, Chatzi, L, Bitsios, P, Kogevinas, M, Oha, K, Freimann, T, Sadeghian, A, Peiris-John, RJ, Sathiakumar, N, Wickremasinghe, AR, Yoshimura, N, Kelsall, HL, Hoe, VCW, Urquhart, DM, Derrett, S, McBride, D, Herbison, P, Gray, A & Salazar Vega, EJ 2017, 'Epidemiological Differences between Localized and Nonlocalized Low Back Pain', Spine, vol. 42, no. 10, pp. 740-747. https://doi.org/10.1097/BRS.0000000000001956

TY - JOUR

T1 - Epidemiological Differences between Localized and Nonlocalized Low Back Pain

AU - Coggon, David

AU - Ntani, Georgia

AU - Walker-Bone, Karen

AU - Palmer, Keith T.

AU - Felli, Vanda E.

AU - Harari, Raul

AU - Barrero, Lope H.

AU - Felknor, Sarah A.

AU - Gimeno, David

AU - Cattrell, Anna

AU - Vargas-Prada, Sergio

AU - Bonzini, Matteo

AU - Solidaki, Eleni

AU - Merisalu, Eda

AU - Habib, Rima R.

AU - Sadeghian, Farideh

AU - Kadir, M. Masood

AU - Warnakulasuriya, Sudath Sp

AU - Matsudaira, Ko

AU - Nyantumbu, Busisiwe

AU - Sim, Malcolm R.

AU - Harcombe, Helen

AU - Cox, Ken

AU - Sarquis, Leila M.M.

AU - Marziale, Maria H.

AU - Harari, Florencia

AU - Freire, Rocio

AU - Harari, Natalia

AU - Monroy, Magda V.

AU - Quintana, Leonardo A.

AU - Rojas, Marianela

AU - Harris, Elizabeth Clare

AU - Serra, Consol

AU - Martinez, José Miguel

AU - Delclos, George

AU - Benavides, Fernando G.

AU - Carugno, Michele

AU - Ferrario, Marco M.

AU - Pesatori, Angela C.

AU - Chatzi, Leda

AU - Bitsios, Panos

AU - Kogevinas, Manolis

AU - Oha, Kristel

AU - Freimann, Tiina

AU - Sadeghian, Ali

AU - Peiris-John, Roshini J.

AU - Sathiakumar, Nalini

AU - Wickremasinghe, A. Rajitha

AU - Yoshimura, Noriko

AU - Kelsall, Helen L.

AU - Hoe, Victor C.W.

AU - Urquhart, Donna M.

AU - Derrett, Sarah

AU - McBride, David

AU - Herbison, Peter

AU - Gray, Andrew

AU - Salazar Vega, Eduardo J.

PY - 2017/5/15

Y1 - 2017/5/15

N2 - Study Design. A cross-sectional survey with a longitudinal follow-up. Objectives. The aim of this study was to test the hypothesis that pain, which is localized to the low back, differs epidemiologically from that which occurs simultaneously or close in time to pain at other anatomical sites Summary of Background Data. Low back pain (LBP) often occurs in combination with other regional pain, with which it shares similar psychological and psychosocial risk factors. However, few previous epidemiological studies of LBP have distinguished pain that is confined to the low back from that which occurs as part of a wider distribution of pain. Methods. We analyzed data from CUPID, a cohort study that used baseline and follow-up questionnaires to collect information about musculoskeletal pain, associated disability, and potential risk factors, in 47 occupational groups (office workers, nurses, and others) from 18 countries. Results. Among 12,197 subjects at baseline, 609 (4.9%) reported localized LBP in the past month, and 3820 (31.3%) nonlocalized LBP. Nonlocalized LBP was more frequently associated with sciatica in the past month (48.1% vs. 30.0% of cases), occurred on more days in the past month and past year, was more often disabling for everyday activities (64.1% vs. 47.3% of cases), and had more frequently led to medical consultation and sickness absence from work. It was also more often persistent when participants were followed up after a mean of 14 months (65.6% vs. 54.1% of cases). In adjusted Poisson regression analyses, nonlocalized LBP was differentially associated with risk factors, particularly female sex, older age, and somatizing tendency. There were also marked differences in the relative prevalence of localized and nonlocalized LBP by occupational group. Conclusion. Future epidemiological studies should distinguish where possible between pain that is limited to the low back and LBP that occurs in association with pain at other anatomical locations.

AB - Study Design. A cross-sectional survey with a longitudinal follow-up. Objectives. The aim of this study was to test the hypothesis that pain, which is localized to the low back, differs epidemiologically from that which occurs simultaneously or close in time to pain at other anatomical sites Summary of Background Data. Low back pain (LBP) often occurs in combination with other regional pain, with which it shares similar psychological and psychosocial risk factors. However, few previous epidemiological studies of LBP have distinguished pain that is confined to the low back from that which occurs as part of a wider distribution of pain. Methods. We analyzed data from CUPID, a cohort study that used baseline and follow-up questionnaires to collect information about musculoskeletal pain, associated disability, and potential risk factors, in 47 occupational groups (office workers, nurses, and others) from 18 countries. Results. Among 12,197 subjects at baseline, 609 (4.9%) reported localized LBP in the past month, and 3820 (31.3%) nonlocalized LBP. Nonlocalized LBP was more frequently associated with sciatica in the past month (48.1% vs. 30.0% of cases), occurred on more days in the past month and past year, was more often disabling for everyday activities (64.1% vs. 47.3% of cases), and had more frequently led to medical consultation and sickness absence from work. It was also more often persistent when participants were followed up after a mean of 14 months (65.6% vs. 54.1% of cases). In adjusted Poisson regression analyses, nonlocalized LBP was differentially associated with risk factors, particularly female sex, older age, and somatizing tendency. There were also marked differences in the relative prevalence of localized and nonlocalized LBP by occupational group. Conclusion. Future epidemiological studies should distinguish where possible between pain that is limited to the low back and LBP that occurs in association with pain at other anatomical locations.

KW - diagnostic classification

KW - disability

KW - epidemiology

KW - low back pain

KW - medical consultation

KW - occupation

KW - prognosis

KW - risk factors

KW - sciatica

KW - sickness absence

KW - somatizing

UR - https://www.scopus.com/pages/publications/85019175875

U2 - 10.1097/BRS.0000000000001956

DO - 10.1097/BRS.0000000000001956

M3 - Article

C2 - 27820794

AN - SCOPUS:85019175875

SN - 0362-2436

VL - 42

SP - 740

EP - 747

JO - Spine

JF - Spine

IS - 10

ER -

Epidemiological Differences between Localized and Nonlocalized Low Back Pain

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Keywords

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