Epidemiology: Chronic Lower Back Pain - Millions will continue to be out of work over the next decade

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In 2010, Datamonitor estimates that there were about 55.7 million total prevalent cases of chronic low back pain in people aged 18 and over in the seven major markets (the US, Japan, France, Germany, Italy, Spain, and the UK). The majority of cases were in those aged between 40 and 59. Gain insight into market potential, including a robust 10-year epidemiology forecast of chronic low back pain prevalent cases. Understand the key epidemiologic risk factors associated with chronic low back pain. Between 2010 and 2020, Datamonitor expects to see an increase in the number of total prevalent cases of chronic low back pain in those aged 18 and over in the seven major markets (the US, Japan, France, Germany, Italy, Spain, and the UK), from 55.7 million cases to 59.1 million cases. Japan will be the only country to witness a decrease in cases. Datamonitor estimates that the largest number of cases of chronic low back pain will be in those aged between 40 and 59, the age group in which low back pain is most prevalent. Of the prevalent cases in men, 45% will be in this age group; in women, 43% of cases will be in this age group. What are the most robust sources for chronic low back pain prevalence data? How will the patient population change through to 2020 in the US, Japan, and the five major EU markets ( France, Germany, Italy, Spain, and the UK)? How do changes in population structure and risk factors affect the trend in prevalent chronic low back pain cases?

OVERVIEW•Catalyst
•Summary

EXECUTIVE SUMMARY•Epidemiology of chronic low back pain
•Chronic low back pain in the seven major markets
•Datamonitor's forecast of chronic low back pain

DISEASE DEFINITION AND DIAGNOSTIC CRITERIA •Low back pain background
•Low back pain definition and classification

GLOBAL VARIATION AND HISTORICAL TRENDS•Low back pain is difficult to compare due to varying definitions
•Low back pain causes significant morbidity but little mortality
•Trends in chronic low back pain are unclear
•Low back pain in children and adolescents - Prevalence is difficult to quantify due to varying definitions
- Risk factors for low back pain in children and adolescents are similar to those in adults

DRIVERS OF CHRONIC LOW BACK PAIN EPIDEMIOLOGY•Individual factors - Low back pain prevalence increases with age until peaking by around the age of 60
- Gender is not significantly associated with low back pain
- Smoking is related to an increased risk of low back pain
- High body mass index and limited physical activity are associated with an increased risk of low back pain

•Psychosocial factors determine severity of pain and reporting of symptoms
•Occupational risk factors - Heavy lifting, twisting, and bending can significantly increase the likelihood of back pain
- Sedentary work and consistent whole-body vibration raise the risk of low back pain

•Causes associated with low back pain - Lumbar strain or sprain and fractures are the most common causes of back pain
- Nerve irritation
- Disc degeneration and herniation
- Bony encroachment
- Bone and joint conditions
- Other

EPIDEMIOLOGIC FORECASTING OF CHRONIC LOW BACK PAIN•Overview
•Subpopulations - Age and gender

•US - Sources used
- Methods
- Sources not used

•Japan - Sources used
- Methods
- Sources not used

•France - Sources used
- Methods
- Sources not used

•Germany - Sources used
- Methods
- Sources not used

•Italy - Sources used
- Methods
- Sources not used

•Spain - Sources used
- Methods
- Sources not used

•UK - Sources used
- Methods
- Sources not used

EPIDEMIOLOGIC RESULTS•Current prevalent cases of chronic low back pain and future trends - Age and gender
- Age-standardized prevalence rates

DISCUSSION•Strengths and limits of Datamonitor's epidemiologic projections
•Conclusions

BIBLIOGRAPHY•Journal papers and books
•Websites
•Datamonitor reports

APPENDIX A •Epidemiologic forecasting of chronic low back pain attributed to neuropathic pain - The US, Japan, France, Germany, Italy, and Spain
- Sources used
- Methods
- Sources not used
- UK
- Sources used
- Methods
- Sources not used

•Epidemiologic results - Current prevalent cases and future trends
- Subpopulations for prevalent cases of chronic low back pain attributed to neuropathic pain

•Limitations of Datamonitor's epidemiologic projections

APPENDIX B•Module methodology

TABLES •Table: Summary of sources used in chronic low back pain analysis
•Table: Total prevalent cases of chronic low back pain in adults aged 18 and over in the seven major markets (000s), 2010–20
•Table: Total prevalent cases of chronic low back pain in each of the seven major markets (000s) in males aged 18 and over by age group, 2010
•Table: Total prevalent cases of chronic low back pain in each of the seven major markets (000s) in females aged 18 and over by age group, 2010
•Table: Age-standardized prevalence rates of chronic low back pain in the seven major markets by gender, 2010
•Table: pain DETECT questionnaire (pD-Q) screening results
•Table: Summary of sources used in chronic low back pain analysis
•Table: Prevalent cases (millions) of chronic low back pain attributed to neuropathic pain in adults over the age of 20 in the seven major markets, 2011–21
•Table: Total prevalent cases of chronic low back pain attributed to neuropathic pain in each of the seven major markets (millions) in adults aged 20 and over by age group, 2011
•Table: Sex-specific prevalent cases of chronic low back pain attributed to neuropathic pain in the seven major markets, 2011

FIGURES •Figure: Total prevalent cases of chronic low back pain in adults aged 18 and over in the seven major markets (000s), 2010–20
•Figure: Age-standardized prevalence rates of chronic low back pain in the seven major markets by gender, 2010
•Figure: Prevalent cases (millions) of chronic low back pain attributed to neuropathic pain in those adults over the age of 20 in the seven major markets, 2011–21

Nicolas Bombourg
Reportlinker
Email: [email protected]
US: (805)652-2626
Intl: +1 805-652-2626

SOURCE Reportlinker