Global, regional, and national burden of neck pain in the general population, 1990-2017: systematic analysis of the Global Burden of Disease Study 2017

Saeid Safiri, Ali-Asghar Kolahi, Damian Hoy, Rachelle Buchbinder, Mohammad Ali Mansournia, Deepti Bettampadi, Ahad Ashrafi-Asgarabad, Amir Almasi-Hashiani, Emma Smith, Mahdi Sepidarkish, Marita Cross, Mostafa Qorbani, Maziar Moradi-Lakeh, Anthony D Woolf, Lyn March, Gary Collins, Manuela L Ferreira, Saeid Safiri, Ali-Asghar Kolahi, Damian Hoy, Rachelle Buchbinder, Mohammad Ali Mansournia, Deepti Bettampadi, Ahad Ashrafi-Asgarabad, Amir Almasi-Hashiani, Emma Smith, Mahdi Sepidarkish, Marita Cross, Mostafa Qorbani, Maziar Moradi-Lakeh, Anthony D Woolf, Lyn March, Gary Collins, Manuela L Ferreira

Abstract

Objective: To use data from the Global Burden of Disease Study between 1990 and 2017 to report the rates and trends of point prevalence, annual incidence, and years lived with disability for neck pain in the general population of 195 countries.

Design: Systematic analysis.

Data source: Global Burden of Diseases, Injuries, and Risk Factors Study 2017.

Main outcome measures: Numbers and age standardised rates per 100 000 population of neck pain point prevalence, annual incidence, and years lived with disability were compared across regions and countries by age, sex, and sociodemographic index. Estimates were reported with uncertainty intervals.

Results: Globally in 2017 the age standardised rates for point prevalence of neck pain per 100 000 population was 3551.1 (95% uncertainty interval 3139.5 to 3977.9), for incidence of neck pain per 100 000 population was 806.6 (713.7 to 912.5), and for years lived with disability from neck pain per 100 000 population was 352.0 (245.6 to 493.3). These estimates did not change significantly between 1990 and 2017. The global point prevalence of neck pain in 2017 was higher in females compared with males, although this was not significant at the 0.05 level. Prevalence increased with age up to 70-74 years and then decreased. Norway (6151.2 (95% uncertainty interval 5382.3 to 6959.8)), Finland (5750.3 (5058.4 to 6518.3)), and Denmark (5316 (4674 to 6030.1)) had the three highest age standardised point prevalence estimates in 2017. The largest increases in age standardised point prevalence estimates from 1990 to 2017 were in the United Kingdom (14.6% (10.6% to 18.8%)), Sweden (10.4% (6.0% to 15.4%)), and Kuwait (2.6% (2.0% to 3.2%)). In general, positive associations, but with fluctuations, were found between age standardised years lived with disability for neck pain and sociodemographic index at the global level and for all Global Burden of Disease regions, suggesting the burden is higher at higher sociodemographic indices.

Conclusions: Neck pain is a serious public health problem in the general population, with the highest burden in Norway, Finland, and Denmark. Increasing population awareness about risk factors and preventive strategies for neck pain is warranted to reduce the future burden of this condition.

Conflict of interest statement

Competing interests: All authors have completed the ICMJE uniform disclosure form at www.icmje.org/coi_disclosure.pdf and declare: Global Burden of Disease Study is funded by the Bill and Melinda Gates Foundation, and this study was supported by Shahid Beheshti University of Medical Sciences, Tehran, Iran (grant No 20732-4-7); no financial relationships with any organisations that might have an interest in the submitted work in the previous three years; no other relationships or activities that could appear to have influenced the submitted work.

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Figures

Fig 1
Fig 1
Age standardised point prevalence of neck pain per 100 000 population in 2017, by country. Generated from data available at http://ghdx.healthdata.org/gbd-results-tool
Fig 2
Fig 2
Age standardised annual incidence of neck pain per 100 000 population in 2017, by country. Generated from data available at http://ghdx.healthdata.org/gbd-results-tool
Fig 3
Fig 3
Global number of prevalent cases and age standardised point prevalence of neck pain per 100 000 population by age and sex, 2017. Dashed lines indicate 95% upper and lower uncertainty intervals, respectively. Generated from data available at http://ghdx.healthdata.org/gbd-results-tool
Fig 4
Fig 4
Age standardised years lived with disability (YLD) from neck pain per 100 000 population for 21 Global Burden of Disease regions by sociodemographic index, 1990-2017. Purple line represents expected values based on sociodemographic index and disease rates in all locations. Twenty eight points are plotted for each Global Burden of Disease region and show observed age standardised years lived with disability from 1990 to 2017 for that region. Generated from data available at http://ghdx.healthdata.org/gbd-results-tool
Fig 5
Fig 5
Age standardised years lived with disability (YLD) from neck pain per 100 000 population by 195 countries and sociodemographic index, 2017. Black line represents expected values. Each point shows observed age standardised years lived with disability for specified country in 2017. Generated from data available at http://ghdx.healthdata.org/gbd-results-tool

References

    1. Henschke N, Kamper SJ, Maher CG. The epidemiology and economic consequences of pain. Mayo Clin Proc 2015;90:139-47. 10.1016/j.mayocp.2014.09.010
    1. Manchikanti L, Singh V, Datta S, Cohen SP, Hirsch JA, American Society of Interventional Pain Physicians Comprehensive review of epidemiology, scope, and impact of spinal pain. Pain Physician 2009;12:E35-70.
    1. Haldeman S, Carroll L, Cassidy JD. Findings from the bone and joint decade 2000 to 2010 task force on neck pain and its associated disorders. J Occup Environ Med 2010;52:424-7. 10.1097/JOM.0b013e3181d44f3b
    1. Hoy D, March L, Woolf A, et al. The global burden of neck pain: estimates from the global burden of disease 2010 study. Ann Rheum Dis 2014;73:1309-15. 10.1136/annrheumdis-2013-204431
    1. Sebbag E, Felten R, Sagez F, Sibilia J, Devilliers H, Arnaud L. The world-wide burden of musculoskeletal diseases: a systematic analysis of the World Health Organization Burden of Diseases Database. Ann Rheum Dis 2019;78:844-8. 10.1136/annrheumdis-2019-215142
    1. Moradi-Lakeh M, Forouzanfar MH, Vollset SE, et al. Burden of musculoskeletal disorders in the Eastern Mediterranean Region, 1990-2013: findings from the Global Burden of Disease Study 2013. Ann Rheum Dis 2017;76:1365-73. 10.1136/annrheumdis-2016-210146
    1. Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J 2006;15:834-48. 10.1007/s00586-004-0864-4
    1. Hoy DG, Protani M, De R, Buchbinder R. The epidemiology of neck pain. Best Pract Res Clin Rheumatol 2010;24:783-92. 10.1016/j.berh.2011.01.019
    1. James SL, Abate D, Abate KH, et al. GBD 2017 Disease and Injury Incidence and Prevalence Collaborators Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018;392:1789-858. 10.1016/S0140-6736(18)32279-7
    1. Roth GA, Abate D, Abate KH, et al. GBD 2017 Causes of Death Collaborators Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018;392:1736-88. 10.1016/S0140-6736(18)32203-7
    1. Kyu HH, Abate D, Abate KH, et al. GBD 2017 DALYs and HALE Collaborators Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018;392:1859-922. 10.1016/S0140-6736(18)32335-3
    1. Stanaway JD, Afshin A, Gakidou E, et al. GBD 2017 Risk Factor Collaborators Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018;392:1923-94. 10.1016/S0140-6736(18)32225-6
    1. Stevens GA, Alkema L, Black RE, et al. The GATHER Working Group ). Guidelines for Accurate and Transparent Health Estimates Reporting: the GATHER statement. Lancet 2016;388:e19-23. 10.1016/S0140-6736(16)30388-9
    1. Guzman J, Hurwitz EL, Carroll LJ, et al. A new conceptual model of neck pain: linking onset, course, and care: the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. J Manipulative Physiol Ther 2009;32(Suppl):S17-28. 10.1016/j.jmpt.2008.11.007
    1. Hoy DG, Smith E, Cross M, et al. The global burden of musculoskeletal conditions for 2010: an overview of methods. Ann Rheum Dis 2014;73:982-9. 10.1136/annrheumdis-2013-204344
    1. Salomon JA, Vos T, Hogan DR, et al. Common values in assessing health outcomes from disease and injury: disability weights measurement study for the Global Burden of Disease Study 2010. Lancet 2012;380:2129-43. 10.1016/S0140-6736(12)61680-8
    1. Wang Y. Smoothing splines: methods and applications. Chapman and Hall/CRC, 2011. 10.1201/b10954.
    1. Cohen SP. Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc 2015;90:284-99. 10.1016/j.mayocp.2014.09.008
    1. Hogg-Johnson S, van der Velde G, Carroll LJ, et al. Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders The burden and determinants of neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976) 2008;33(Suppl):S39-51. 10.1097/BRS.0b013e31816454c8

Source: PubMed

Sponsor e collaboratori

Condizioni mediche

Interventi farmacologici

3
Sottoscrivi