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Published in: Health and Quality of Life Outcomes 1/2018

Open Access 01-12-2018 | Research

Chronic back pain and its association with quality of life in a large French population survey

Authors: Mathilde M. Husky, Farina Ferdous Farin, Philippe Compagnone, Christophe Fermanian, Viviane Kovess-Masfety

Published in: Health and Quality of Life Outcomes | Issue 1/2018

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Abstract

Background

Chronic back pain is associated with significant burden, yet few epidemiological studies have provided data on chronic back pain, its predictors and correlates in France.

Methods

Data were drawn from a cross-sectional survey conducted in France (n = 17,249) using computer-assisted telephone interviews. Sample age ranges from 18 to 98 with a mean of 46.39 years (SD = 17.44), and was 56.7% female. Medical conditions were assessed using the CIDI, quality of life was assessed using both the physical and mental component scores of the SF-36.

Results

Overall, 38.3% of adults reported chronic back pain. Female gender, older age, lower education, manual labor occupation, and population density were significantly associated with the distribution of chronic back pain. Chronic back pain was associated with lower scores on all SF-36 mean scores and on the Physical Composite Score and Mental Composite Score controlling for comorbid medical conditions including other types of chronic pain.

Conclusion

The study highlights the burden of chronic back pain in the general population and underscores its correlation with quality of life. Such data contribute to raise awareness among clinicians and health policy makers on the necessity of prevention, early diagnosis, proper management and rehabilitation policies in order to minimize the burden associated with chronic pain.
Literature
1.
go back to reference Treede R-D, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, et al. A classification of chronic pain for ICD-11. Pain. 2015;156(6):1003–7.PubMedPubMedCentral Treede R-D, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, et al. A classification of chronic pain for ICD-11. Pain. 2015;156(6):1003–7.PubMedPubMedCentral
2.
go back to reference Goldberg DS, McGee SJ. Pain as a global public health priority. BMC Public Health. 2011;11(1):770.CrossRef Goldberg DS, McGee SJ. Pain as a global public health priority. BMC Public Health. 2011;11(1):770.CrossRef
3.
go back to reference Demyttenaere K, Bruffaerts R, Lee S, Posada-Villa J, Kovess V, Angermeyer MC, et al. Mental disorders among persons with chronic back or neck pain: results from the world mental health surveys. Pain. 2007;129(3):332–42.CrossRef Demyttenaere K, Bruffaerts R, Lee S, Posada-Villa J, Kovess V, Angermeyer MC, et al. Mental disorders among persons with chronic back or neck pain: results from the world mental health surveys. Pain. 2007;129(3):332–42.CrossRef
4.
go back to reference Elliott AM, Smith BH, Penny KI, Smith WC, Chambers WA. The epidemiology of chronic pain in the community. Lancet. 1999;354(9186):1248–52.CrossRef Elliott AM, Smith BH, Penny KI, Smith WC, Chambers WA. The epidemiology of chronic pain in the community. Lancet. 1999;354(9186):1248–52.CrossRef
5.
go back to reference Ohayon MM, Schatzberg AF. Chronic pain and major depressive disorder in the general population. J Psychiatr Res. 2010;44(7):454–61.CrossRef Ohayon MM, Schatzberg AF. Chronic pain and major depressive disorder in the general population. J Psychiatr Res. 2010;44(7):454–61.CrossRef
6.
go back to reference Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10(4):287–333.CrossRef Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10(4):287–333.CrossRef
7.
go back to reference Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2013;380(9859):2163–96.CrossRef Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2013;380(9859):2163–96.CrossRef
8.
go back to reference van Tulder MW, Koes BW, Bouter LM. A cost-of-illness study of back pain in the Netherlands. Pain 1995;62(2):233–240.CrossRef van Tulder MW, Koes BW, Bouter LM. A cost-of-illness study of back pain in the Netherlands. Pain 1995;62(2):233–240.CrossRef
9.
go back to reference Katz JN. Lumbar disc disorders and low-back pain: socioeconomic factors and consequences. J Bone Joint Surg Am. 2006;88(suppl 2):21–4.PubMed Katz JN. Lumbar disc disorders and low-back pain: socioeconomic factors and consequences. J Bone Joint Surg Am. 2006;88(suppl 2):21–4.PubMed
10.
go back to reference Gore M, Sadosky A, Stacey BR, Tai K-S, Leslie D. The burden of chronic low back pain: clinical comorbidities, treatment patterns, and health care costs in usual care settings. Spine. 2012;37(11):E668–E77.CrossRef Gore M, Sadosky A, Stacey BR, Tai K-S, Leslie D. The burden of chronic low back pain: clinical comorbidities, treatment patterns, and health care costs in usual care settings. Spine. 2012;37(11):E668–E77.CrossRef
11.
go back to reference Martin BI, Deyo RA, Mirza SK, Turner JA, Comstock BA, Hollingworth W, et al. Expenditures and health status among adults with back and neck problems. JAMA. 2008;299(6):656–64.CrossRef Martin BI, Deyo RA, Mirza SK, Turner JA, Comstock BA, Hollingworth W, et al. Expenditures and health status among adults with back and neck problems. JAMA. 2008;299(6):656–64.CrossRef
12.
go back to reference Guo HR, Tanaka S, Cameron LL, Seligman PJ, Behrens VJ, Ger J, et al. Back pain among workers in the United States: national estimates and workers at high risk. Am J Ind Med. 1995;28(5):591–602.CrossRef Guo HR, Tanaka S, Cameron LL, Seligman PJ, Behrens VJ, Ger J, et al. Back pain among workers in the United States: national estimates and workers at high risk. Am J Ind Med. 1995;28(5):591–602.CrossRef
13.
go back to reference Bonomi AE, Shikiar R, Legro MW. Quality-of-life assessment in acute, chronic, and cancer pain: a pharmacist's guide. J Am Pharm Assoc (Wash). 2000;40(3):402–16.CrossRef Bonomi AE, Shikiar R, Legro MW. Quality-of-life assessment in acute, chronic, and cancer pain: a pharmacist's guide. J Am Pharm Assoc (Wash). 2000;40(3):402–16.CrossRef
14.
go back to reference Snelgrove S, Liossi C. Living with chronic low back pain: a metasynthesis of qualitative research. Chronic illness. 2013;9(4):283–301.CrossRef Snelgrove S, Liossi C. Living with chronic low back pain: a metasynthesis of qualitative research. Chronic illness. 2013;9(4):283–301.CrossRef
15.
go back to reference Wood-Dauphinee SL. Assessment of back-related quality of life: the continuing challenge. Spine. 2001;26(8):857–61.CrossRef Wood-Dauphinee SL. Assessment of back-related quality of life: the continuing challenge. Spine. 2001;26(8):857–61.CrossRef
16.
go back to reference Cvijetic S, Bobic J, Grazio S, Uremovic M, Nemcic T, Krapac L. Quality of life, personality and use of pain medication in patients with chronic back pain. Appl Res Qual Life. 2014;9(2):401–11.CrossRef Cvijetic S, Bobic J, Grazio S, Uremovic M, Nemcic T, Krapac L. Quality of life, personality and use of pain medication in patients with chronic back pain. Appl Res Qual Life. 2014;9(2):401–11.CrossRef
17.
go back to reference Gourmelen J, Chastang J-F, Ozguler A, Lanoë J-L, Ravaud J-F, Leclerc A. Frequency of low back pain among men and women aged 30 to 64 years in France. Results of two national surveys. Ann Readapt Med Phys. 2007;50(8):640–4 Elsevier.CrossRef Gourmelen J, Chastang J-F, Ozguler A, Lanoë J-L, Ravaud J-F, Leclerc A. Frequency of low back pain among men and women aged 30 to 64 years in France. Results of two national surveys. Ann Readapt Med Phys. 2007;50(8):640–4 Elsevier.CrossRef
18.
go back to reference Kish L. A procedure for objective respondent selection within the household. Am Stat Assoc J. 1949;44:380–1.CrossRef Kish L. A procedure for objective respondent selection within the household. Am Stat Assoc J. 1949;44:380–1.CrossRef
19.
go back to reference INSEE. Nomenclature des professions et catégories socioprofessionnelles 2003. 2003. Report No.: ISBN 2-11-068174-8. INSEE. Nomenclature des professions et catégories socioprofessionnelles 2003. 2003. Report No.: ISBN 2-11-068174-8.
20.
go back to reference World Health Organization. Composite international diagnostic interview (CIDI, version 2.1). In: World Health Organization; 1997. World Health Organization. Composite international diagnostic interview (CIDI, version 2.1). In: World Health Organization; 1997.
21.
go back to reference Pez O, Gilbert F, Bitfoi A, Carta MG, Jordanova V, Garcia-Mahia C, et al. Validity across translations of short survey psychiatric diagnostic instruments: CIDI-SF and CIS-R versus SCID-I/NP in four European countries. Soc Psychiatry Psychiatr Epidemiol. 2010;45(12):1149–59.CrossRef Pez O, Gilbert F, Bitfoi A, Carta MG, Jordanova V, Garcia-Mahia C, et al. Validity across translations of short survey psychiatric diagnostic instruments: CIDI-SF and CIS-R versus SCID-I/NP in four European countries. Soc Psychiatry Psychiatr Epidemiol. 2010;45(12):1149–59.CrossRef
22.
go back to reference Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I Conceptual framework and item selection Med Care. 1992;30(6):473–83. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I Conceptual framework and item selection Med Care. 1992;30(6):473–83.
23.
go back to reference Ware JE, Kosinski M, Dewey JE. Gandek B. In: SF-36 health survey: manual and interpretation guide: quality metric Inc.; 2000. Ware JE, Kosinski M, Dewey JE. Gandek B. In: SF-36 health survey: manual and interpretation guide: quality metric Inc.; 2000.
24.
go back to reference Leplège A, Ecosse E, Verdier A, Perneger T. The French SF-36 health survey: translation, cultural adaptation and preliminary psychometric evaluation. J Clin Epidemiol. 1998;51(11):1013–23.CrossRef Leplège A, Ecosse E, Verdier A, Perneger T. The French SF-36 health survey: translation, cultural adaptation and preliminary psychometric evaluation. J Clin Epidemiol. 1998;51(11):1013–23.CrossRef
25.
go back to reference Bartley EJ, Fillingim RB. Sex differences in pain: a brief review of clinical and experimental findings. Br J Anaesth 2013;111(1):52–58.CrossRef Bartley EJ, Fillingim RB. Sex differences in pain: a brief review of clinical and experimental findings. Br J Anaesth 2013;111(1):52–58.CrossRef
26.
go back to reference LeResche L. Gender considerations in the epidemiology of chronic pain. Epidemiology of pain. 1999;17:43–52. LeResche L. Gender considerations in the epidemiology of chronic pain. Epidemiology of pain. 1999;17:43–52.
27.
go back to reference Fillingim RB, King CD, Ribeiro-Dasilva MC, Rahim-Williams B, Riley JL. Sex, gender, and pain: a review of recent clinical and experimental findings. J Pain. 2009;10(5):447–85.CrossRef Fillingim RB, King CD, Ribeiro-Dasilva MC, Rahim-Williams B, Riley JL. Sex, gender, and pain: a review of recent clinical and experimental findings. J Pain. 2009;10(5):447–85.CrossRef
28.
go back to reference Meucci RD, Fassa AG, Faria NMX. Prevalence of chronic low back pain: systematic review. Rev Saude Publica. 2015;49. Meucci RD, Fassa AG, Faria NMX. Prevalence of chronic low back pain: systematic review. Rev Saude Publica. 2015;49.
29.
go back to reference Andersson HI, Ejlertsson G, Leden I, Rosenberg C. Chronic pain in a geographically defined general population: studies of differences in age, gender, social class, and pain localization. Clin J Pain. 1993;9(3):174–82.CrossRef Andersson HI, Ejlertsson G, Leden I, Rosenberg C. Chronic pain in a geographically defined general population: studies of differences in age, gender, social class, and pain localization. Clin J Pain. 1993;9(3):174–82.CrossRef
30.
go back to reference Macfarlane GJ, Beasley M, Jones EA, Prescott GJ, Docking R, Keeley P, et al. The prevalence and management of low back pain across adulthood: results from a population-based cross-sectional study (the MUSICIAN study). Pain. 2012;153(1):27–32.CrossRef Macfarlane GJ, Beasley M, Jones EA, Prescott GJ, Docking R, Keeley P, et al. The prevalence and management of low back pain across adulthood: results from a population-based cross-sectional study (the MUSICIAN study). Pain. 2012;153(1):27–32.CrossRef
31.
go back to reference Leclerc A, Gourmelen J, Chastang J-F, Plouvier S, Niedhammer I, Lanoë J-L. Level of education and back pain in France: the role of demographic, lifestyle and physical work factors. Int Arch Occup Environ Health. 2009;82(5):643–52.CrossRef Leclerc A, Gourmelen J, Chastang J-F, Plouvier S, Niedhammer I, Lanoë J-L. Level of education and back pain in France: the role of demographic, lifestyle and physical work factors. Int Arch Occup Environ Health. 2009;82(5):643–52.CrossRef
32.
go back to reference Breivik H, Eisenberg E, O’Brien T. The individual and societal burden of chronic pain in Europe: the case for strategic prioritisation and action to improve knowledge and availability of appropriate care. BMC Public Health. 2013;13(1):1229.CrossRef Breivik H, Eisenberg E, O’Brien T. The individual and societal burden of chronic pain in Europe: the case for strategic prioritisation and action to improve knowledge and availability of appropriate care. BMC Public Health. 2013;13(1):1229.CrossRef
33.
go back to reference Xiang H, Stallones L, Keefe TJ. Back pain and agricultural work among farmers: an analysis of the Colorado farm family health and Hazard surveillance survey. Am J Ind Med. 1999;35(3):310–6.CrossRef Xiang H, Stallones L, Keefe TJ. Back pain and agricultural work among farmers: an analysis of the Colorado farm family health and Hazard surveillance survey. Am J Ind Med. 1999;35(3):310–6.CrossRef
34.
go back to reference Rosecrance J, Rodgers G, Merlino L. Low back pain and musculoskeletal symptoms among Kansas farmers. Am J Ind Med. 2006;49(7):547–56.CrossRef Rosecrance J, Rodgers G, Merlino L. Low back pain and musculoskeletal symptoms among Kansas farmers. Am J Ind Med. 2006;49(7):547–56.CrossRef
35.
go back to reference Park H, Sprince NL, Whitten PS, Burmeister LF, Zwerling C. Risk factors for back pain among male farmers: analysis of Iowa farm family health and Hazard surveillance study. Am J Ind Med. 2001;40(6):646–54.CrossRef Park H, Sprince NL, Whitten PS, Burmeister LF, Zwerling C. Risk factors for back pain among male farmers: analysis of Iowa farm family health and Hazard surveillance study. Am J Ind Med. 2001;40(6):646–54.CrossRef
36.
go back to reference Igic I, Ryser S, Elfering A. Does work stress make you shorter? An ambulatory field study of daily work stressors, job control, and spinal shrinkage. J Occup Health Psychol. 2013;18(4):469.CrossRef Igic I, Ryser S, Elfering A. Does work stress make you shorter? An ambulatory field study of daily work stressors, job control, and spinal shrinkage. J Occup Health Psychol. 2013;18(4):469.CrossRef
37.
go back to reference Herin F, Vézina M, Thaon I, Soulat J-M, Paris C. Predictive risk factors for chronic regional and multisite musculoskeletal pain: a 5-year prospective study in a working population. Pain. 2014;155(5):937–43.CrossRef Herin F, Vézina M, Thaon I, Soulat J-M, Paris C. Predictive risk factors for chronic regional and multisite musculoskeletal pain: a 5-year prospective study in a working population. Pain. 2014;155(5):937–43.CrossRef
38.
go back to reference Carmona L, Ballina J, Gabriel R, Laffon A. The burden of musculoskeletal diseases in the general population of Spain: results from a national survey. Ann Rheum Dis. 2001;60(11):1040–5.CrossRef Carmona L, Ballina J, Gabriel R, Laffon A. The burden of musculoskeletal diseases in the general population of Spain: results from a national survey. Ann Rheum Dis. 2001;60(11):1040–5.CrossRef
39.
go back to reference Arnold LM, Witzeman KA, Swank ML, McElroy SL, Keck PE Jr. Health-related quality of life using the SF-36 in patients with bipolar disorder compared with patients with chronic back pain and the general population. J Affect Disord. 2000;57(1):235–9.CrossRef Arnold LM, Witzeman KA, Swank ML, McElroy SL, Keck PE Jr. Health-related quality of life using the SF-36 in patients with bipolar disorder compared with patients with chronic back pain and the general population. J Affect Disord. 2000;57(1):235–9.CrossRef
40.
go back to reference Lohman D, Schleifer R, Amon JJ. Access to pain treatment as a human right. BMC Med. 2010;8(1):8.CrossRef Lohman D, Schleifer R, Amon JJ. Access to pain treatment as a human right. BMC Med. 2010;8(1):8.CrossRef
41.
go back to reference Linton SJ. The socioeconomic impact of chronic back pain: is anyone benefiting? PAIN. 1998;75(2):163–8. Linton SJ. The socioeconomic impact of chronic back pain: is anyone benefiting? PAIN. 1998;75(2):163–8.
42.
go back to reference Itz CJ, Geurts J, Mv K, Nelemans P. Clinical course of non-specific low back pain: a systematic review of prospective cohort studies set in primary care. Eur J Pain. 2013;17(1):5–15.CrossRef Itz CJ, Geurts J, Mv K, Nelemans P. Clinical course of non-specific low back pain: a systematic review of prospective cohort studies set in primary care. Eur J Pain. 2013;17(1):5–15.CrossRef
43.
go back to reference van den Hoogen HJ, Koes BW, van Eijk JTM, Bouter LM, Devillé W. On the course of low back pain in general practice: a one year follow up study. Ann Rheum Dis. 1998;57(1):13–9.CrossRef van den Hoogen HJ, Koes BW, van Eijk JTM, Bouter LM, Devillé W. On the course of low back pain in general practice: a one year follow up study. Ann Rheum Dis. 1998;57(1):13–9.CrossRef
44.
go back to reference Johansson MS, Jensen Stochkendahl M, Hartvigsen J, Boyle E, Cassidy JD. Incidence and prognosis of mid-back pain in the general population: a systematic review. Eur J Pain. 2017;21(1):20–8.CrossRef Johansson MS, Jensen Stochkendahl M, Hartvigsen J, Boyle E, Cassidy JD. Incidence and prognosis of mid-back pain in the general population: a systematic review. Eur J Pain. 2017;21(1):20–8.CrossRef
45.
go back to reference Burton AK, Balagué F, Cardon G, Eriksen HR, Henrotin Y, Lahad A, et al. Chapter 2 European guidelines for prevention in low back pain: November 2004. Eur Spine J. 2006;15(Suppl 2):s136–s68.CrossRef Burton AK, Balagué F, Cardon G, Eriksen HR, Henrotin Y, Lahad A, et al. Chapter 2 European guidelines for prevention in low back pain: November 2004. Eur Spine J. 2006;15(Suppl 2):s136–s68.CrossRef
Metadata
Title
Chronic back pain and its association with quality of life in a large French population survey
Authors
Mathilde M. Husky
Farina Ferdous Farin
Philippe Compagnone
Christophe Fermanian
Viviane Kovess-Masfety
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2018
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-018-1018-4

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