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01-09-2018 | Review Article

The Global Spine Care Initiative: a narrative review of psychological and social issues in back pain in low- and middle-income communities

Authors: Christine Cedraschi, Margareta Nordin, Scott Haldeman, Kristi Randhawa, Deborah Kopansky-Giles, Claire D. Johnson, Roger Chou, Eric L. Hurwitz, Pierre Côté

Published in: European Spine Journal | Special Issue 6/2018

Abstract

Purpose

The purpose of this review was to describe psychological and social factors associated with low back pain that could be applied in spine care programs in medically underserved areas and low- and middle-income countries.

Methods

We performed a narrative review of cohort, cross-sectional, qualitative and mixed methods studies investigating adults with low back pain using Medline and PubMed were searched from January 2000 to June 2015. Eligible studies had at least one of the following outcomes: psychological, social, psychosocial, or cultural/ethnicity factors. Studies met the following criteria: (1) English language, (2) published in peer-reviewed journal, (3) adults with spinal disorders, (4) included treatment, symptom management or prevention.

Results

Out of 58 studies, 29 were included in this review. There are few studies that have evaluated psychological and social factors associated with back pain in low- and middle-income communities, therefore, adapting recommendations from other regions may be needed until further studies can be achieved.

Conclusion

Psychological and social factors are important components to addressing low back pain and health care providers play an important role in empowering patients to take control of their spinal health outcomes. Patients should be included in negotiating their spinal treatment and establishing treatment goals through careful listening, reassurance, and information providing by the health care provider. Instruments need to be developed for people with low literacy in medically underserved areas and low- and middle-income countries, especially where psychological and social factors may be difficult to detect and are poorly addressed.

Graphical abstract

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Title: The Global Spine Care Initiative: a narrative review of psychological and social issues in back pain in low- and middle-income communities
Authors: Christine Cedraschi
Margareta Nordin
Scott Haldeman
Kristi Randhawa
Deborah Kopansky-Giles
Claire D. Johnson
Roger Chou
Eric L. Hurwitz
Pierre Côté
Publication date: 01-09-2018
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue Special Issue 6/2018
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-017-5434-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The Global Spine Care Initiative: a narrative review of psychological and social issues in back pain in low- and middle-income communities

Abstract

Purpose

Methods

Results

Conclusion

Graphical abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Graphical abstract

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