Articles: back-pain.
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Comparative Study
Association of back pain frequency with mortality, coronary heart events, mobility, and quality of life in elderly women.
A 5-year observational cohort design using data from a randomized controlled trial of calcium intervention. ⋯ Daily back pain is associated with reduced quality of life, mobility and longevity and increased risk of coronary heart events. The adverse health effects of chronic back pain deserve greater recognition.
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Comparative Study
Back pain in the German adult population: prevalence, severity, and sociodemographic correlates in a multiregional survey.
A population-based cross-sectional multiregion postal survey. ⋯ Back pain is a highly prevalent condition in Germany. Disabling back pain in this country may be regarded as part of a social disadvantage syndrome. Educational level should receive greater attention in future cross-regional comparisons of back pain.
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A cross-sectional survey of households selected using multistage stratified sampling. ⋯ Chronic spinal pain is a common problem in the Nigerian community, and persons 60 years of age and older may be at particularly elevated risk. Chronic spinal pain is associated with increased probability of comorbid physical and mental disorders. These comorbid conditions partly but do not fully explain the disability associated with chronic spinal pain, which therefore constitutes a substantial health burden on the society.
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Randomized Controlled Trial Comparative Study
Spinal cord stimulation versus reoperation for failed back surgery syndrome: a cost effectiveness and cost utility analysis based on a randomized, controlled trial.
We analyzed the cost-effectiveness and cost-utility of treating failed back-surgery syndrome using spinal cord stimulation (SCS) versus reoperation. ⋯ SCS was less expensive and more effective than reoperation in selected failed back-surgery syndrome patients, and should be the initial therapy of choice. SCS is most cost-effective when patients forego repeat operation. Should SCS fail, reoperation is unlikely to succeed.