| Low back pain in Iran: A growing need to adapt and implement evidence-based practice in developing countries. | |
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MedLine Citation:
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PMID: 21270691 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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ABSTRACT: Study Design. A descriptive overview of the literatureObjectives. To present a comprehensive descriptive overview of the published papers about epidemiologic features, burden and current management of LBP in Iran.Summary of Background Data. Little is known about the epidemiology, burden and management of LBP in developing and low- to middle-income countries, such as Iran.Methods. A literature search was carried out using Medline database to assess existing literature about prevalence, disease burden, impact, and current management of non-specific LBP in Iran.Results. Twenty-six articles matched inclusion criteria and included in the study. The findings related to point, period and lifetime prevalence of LBP in general population, working population, school children and pregnant women ranged from 14.4% to 84.1%. The one-year incidence of disabling LBP was found to be 2.1%. Low back pain is the third leading cause of disease burden (measured by DALY) in Iranian population aged 15-69, without considering causes of intentional and unintentional injuries. High levels of anxiety and depression among patients with LBP and the etiological role of job strain for LBP in workers have been reported in Iran. Our search was failed to find any papers about referral system, direct and indirect costs,social determinants, and current management of LBP in Iran.Conclusions. This overview of the literature illustrates that LBP is a common symptom and an important cause of disease burden in Iran, in particular in the most productive age for both males and females in Iran. The one-year incidence of disabling LBP in Iran was found to be low. Future research will be necessary to investigate economic cost, social determinants, health technology assessment, and management of LBP in Iran. |
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Authors:
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Sayed Javad Mousavi; Mohammad Esmaeil Akbari; Hossein Mehdian; Bahram Mobini; Ali Montazeri; Behrouz Akbarnia; Mohamad Parnianpour |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-1-25 |
Journal Detail:
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Title: Spine Volume: - ISSN: 1528-1159 ISO Abbreviation: - Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-1-28 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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1Assistant Professor, Department of Physical Therapy, Faculty of Rehabilitation Sciences, Tehran University of Medical Sciences, Tehran, Iran 2Professor, Department of Surgery, Cancer Research Center, Shahid Beheshti University (Medical Component), Tehran, Iran 3Consultant Spinal Surgeon, Centre for Spinal Studies and Surgery, Queen's Medical Centre Campus, Nottingham University Hospital NHS Trust, Nottingham UK 4Professor, Department of Spine Surgery, Shafa Yahyaiian Hospital, Iran University of Medical Sciences, Tehran, Iran 5Professor, Department of Mental Health, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran 6Clinical Professor, Department of Orthopaedics, University of California, San Diego; and Medical Director, San Diego Center for Spinal Disorders, La Jolla, CA, USA 7Adjunct Professor, Department of Mechanical Engineering, Sharif University of Technology, Tehran, Iran, and Professor, Information and Industrial Engineering, Hanyang University, Ansan, Gyunggi, 426-791 Rep. of Korea. |
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