Global, regional, and national burden of neck pain in the general population, 1990-2017: systematic analysis of the Global Burden of Disease Study 2017 [1990-2017年全球、地区和国家普通人群的颈部疼痛负担：2017年全球疾病负担研究的系统分析]

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BMJ 2020; 368 doi: https://doi.org/10.1136/bmj.m791 (Published 26 March 2020)
Cite this as: BMJ 2020;368:m791

Authors
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.