The quality of care index for low back pain: a systematic analysis of the global burden of disease study 1990–2017

Abstract Background . Low back pain is one of the major causes of morbidity worldwide. Studies on low back pain quality of care are limited. This study aimed to evaluate the quality of care of low back pain worldwide and compare gender, age, and socioeconomic groups. Methods . This study used GBD da...

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Main Authors: Mohammad Ghafouri, Erfan Ghasemi, Mohsen Rostami, Mahtab Rouhifard, Negar Rezaei, Maryam Nasserinejad, Khashayar Danandeh, Amin Nakhostin-Ansari, Ali Ghanbari, Alireza Borghei, Ali Ahmadzadeh Amiri, Azin Teymourzadeh, Jeffrey B. Taylor, Navid Moghadam, Ramin Kordi
Format: Article
Language:English
Published: BMC 2023-09-01
Series:Archives of Public Health
Subjects:
Online Access:https://doi.org/10.1186/s13690-023-01183-3
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author Mohammad Ghafouri
Erfan Ghasemi
Mohsen Rostami
Mahtab Rouhifard
Negar Rezaei
Maryam Nasserinejad
Khashayar Danandeh
Amin Nakhostin-Ansari
Ali Ghanbari
Alireza Borghei
Ali Ahmadzadeh Amiri
Azin Teymourzadeh
Jeffrey B. Taylor
Navid Moghadam
Ramin Kordi
author_facet Mohammad Ghafouri
Erfan Ghasemi
Mohsen Rostami
Mahtab Rouhifard
Negar Rezaei
Maryam Nasserinejad
Khashayar Danandeh
Amin Nakhostin-Ansari
Ali Ghanbari
Alireza Borghei
Ali Ahmadzadeh Amiri
Azin Teymourzadeh
Jeffrey B. Taylor
Navid Moghadam
Ramin Kordi
author_sort Mohammad Ghafouri
collection DOAJ
description Abstract Background . Low back pain is one of the major causes of morbidity worldwide. Studies on low back pain quality of care are limited. This study aimed to evaluate the quality of care of low back pain worldwide and compare gender, age, and socioeconomic groups. Methods . This study used GBD data from 1990 to 2017 from the Institute for Health Metrics and Evaluation (IHME) website. Extracted data included low back pain incidence, prevalence, disability-adjusted life years (DALYs), and years lived with disability (YLDs). DALYs to prevalence ratio and prevalence to incidence ratio were calculated and used in the principal component analysis (PCA) to make a proxy of the quality-of-care index (QCI). Age groups, genders, and countries with different socioeconomic statuses regarding low back pain care quality from 1990 to 2017 were compared. Results The proxy of QCI showed a slight decrease from 36.44 in 1990 to 35.20 in 2017. High- and upper-middle-income countries showed a decrease in the quality of care from 43.17 to 41.57 and from 36.37 to 36.00, respectively, from 1990 to 2017. On the other hand, low and low-middle-income countries improved, from a proxy of QCI of 20.99 to 27.89 and 27.74 to 29.36, respectively. Conclusion . Despite improvements in the quality of care for low back pain in low and lower-middle-income countries between 1990 and 2017, there is still a large gap between these countries and higher-income countries. Continued steps must be taken to reduce healthcare barriers in these countries.
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spelling doaj.art-3230d3f95cfb4c37881f95f97ecf949f2023-11-26T12:24:44ZengBMCArchives of Public Health2049-32582023-09-0181111110.1186/s13690-023-01183-3The quality of care index for low back pain: a systematic analysis of the global burden of disease study 1990–2017Mohammad Ghafouri0Erfan Ghasemi1Mohsen Rostami2Mahtab Rouhifard3Negar Rezaei4Maryam Nasserinejad5Khashayar Danandeh6Amin Nakhostin-Ansari7Ali Ghanbari8Alireza Borghei9Ali Ahmadzadeh Amiri10Azin Teymourzadeh11Jeffrey B. Taylor12Navid Moghadam13Ramin Kordi14Sports Medicine Research Center, Neuroscience Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesSpine Center of Excellence, Yas Hospital Complex, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesSports Medicine Research Center, Neuroscience Institute, Tehran University of Medical SciencesSports Medicine Research Center, Neuroscience Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesDepartment of Neurosurgery, Rush University Medical CenterSports Medicine Research Center, Neuroscience Institute, Tehran University of Medical SciencesImam Khomeini Hospital Complex, Tehran University of Medical SciencesDepartment of Physical Therapy, High Point UniversitySports Medicine Research Center, Neuroscience Institute, Tehran University of Medical SciencesSports Medicine Research Center, Neuroscience Institute, Tehran University of Medical SciencesAbstract Background . Low back pain is one of the major causes of morbidity worldwide. Studies on low back pain quality of care are limited. This study aimed to evaluate the quality of care of low back pain worldwide and compare gender, age, and socioeconomic groups. Methods . This study used GBD data from 1990 to 2017 from the Institute for Health Metrics and Evaluation (IHME) website. Extracted data included low back pain incidence, prevalence, disability-adjusted life years (DALYs), and years lived with disability (YLDs). DALYs to prevalence ratio and prevalence to incidence ratio were calculated and used in the principal component analysis (PCA) to make a proxy of the quality-of-care index (QCI). Age groups, genders, and countries with different socioeconomic statuses regarding low back pain care quality from 1990 to 2017 were compared. Results The proxy of QCI showed a slight decrease from 36.44 in 1990 to 35.20 in 2017. High- and upper-middle-income countries showed a decrease in the quality of care from 43.17 to 41.57 and from 36.37 to 36.00, respectively, from 1990 to 2017. On the other hand, low and low-middle-income countries improved, from a proxy of QCI of 20.99 to 27.89 and 27.74 to 29.36, respectively. Conclusion . Despite improvements in the quality of care for low back pain in low and lower-middle-income countries between 1990 and 2017, there is still a large gap between these countries and higher-income countries. Continued steps must be taken to reduce healthcare barriers in these countries.https://doi.org/10.1186/s13690-023-01183-3Low back painEpidemiologyBurdenDALYYLD
spellingShingle Mohammad Ghafouri
Erfan Ghasemi
Mohsen Rostami
Mahtab Rouhifard
Negar Rezaei
Maryam Nasserinejad
Khashayar Danandeh
Amin Nakhostin-Ansari
Ali Ghanbari
Alireza Borghei
Ali Ahmadzadeh Amiri
Azin Teymourzadeh
Jeffrey B. Taylor
Navid Moghadam
Ramin Kordi
The quality of care index for low back pain: a systematic analysis of the global burden of disease study 1990–2017
Archives of Public Health
Low back pain
Epidemiology
Burden
DALY
YLD
title The quality of care index for low back pain: a systematic analysis of the global burden of disease study 1990–2017
title_full The quality of care index for low back pain: a systematic analysis of the global burden of disease study 1990–2017
title_fullStr The quality of care index for low back pain: a systematic analysis of the global burden of disease study 1990–2017
title_full_unstemmed The quality of care index for low back pain: a systematic analysis of the global burden of disease study 1990–2017
title_short The quality of care index for low back pain: a systematic analysis of the global burden of disease study 1990–2017
title_sort quality of care index for low back pain a systematic analysis of the global burden of disease study 1990 2017
topic Low back pain
Epidemiology
Burden
DALY
YLD
url https://doi.org/10.1186/s13690-023-01183-3
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