The prevalence, incidence and management of low back pain with radiating leg pain in Dutch general practice: A population-based cohort study in the Rijnmond Primary Care Database

IF 3.5 2区医学 Q1 ANESTHESIOLOGY European Journal of Pain Pub Date : 2024-04-04 DOI:10.1002/ejp.2269

Ahmad Khoshal Khorami, Alessandro Chiarotto, Evelien I. T. de Schepper, Patrick J. E. Bindels, Bart W. Koes, Jacoline J. van den Driest

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Abstract

Background

Radiating leg pain is common in patients with low back pain (LBP). In this study, we aimed to determine the prevalence and incidence of LBP with radiating leg pain in Dutch general practice, and to describe the prescribed medications and requested imaging diagnostics.

Methods

The Rijnmond Primary Care Database containing over 500,000 primary care patients was used to select patients ≥18 years with LBP with radiating leg pain between 2013 and 2021. Data on patient characteristics, LBP episodes, prescribed medication and requested imaging in the first 3 months of an episode was extracted. Descriptive statistics were used to present patient characteristics and diagnostic/therapeutic interventions.

Results

A total of 27,695 patients were included. The total number of LBP with radiating leg pain episodes in these patients was 36,268. In 2021, the incidence and prevalence were 19.1 and 25.7 per 1000 patient years, respectively. In 60% of patients, the episode duration was shorter than 1 month. In 62% of the episodes, patients visited the general practitioner (GP) one to two times. In 59% of the episodes, at least one medication was prescribed, non-steroidal anti-inflammatory drugs (NSAIDs) being the most common one (45%). In approximately 11% of the episodes, additional diagnostic imaging was requested.

Conclusion

LBP with radiating leg pain is common in Dutch general practice patients. About 2/3rd were prescribed pain medications. Dutch request few to none diagnostic imaging for these patients which is in line with clinical practice guidelines.

Significance

In this new study, we have gained insights into the incidence and prevalence of LBP with radiating leg pain in Dutch general practice. Both remained fairly stable over the study period of 9 years (2013–2021). Overall, the care burden regarding seeking contact with the GPs and the requested diagnostics seem not to be that high. In 62% of the care episodes, there were one or two consultations with the GP, and in 11% of the episodes a diagnostic imaging was requested. Pain medications frequently prescribed (i.e. 2/3rd of the episodes), with NSAIDs being the most common ones.

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荷兰全科医生对伴有腿部放射痛的腰背痛的患病率、发病率和管理：基于 Rijnmond 初级医疗数据库的人群队列研究

背景放射性腿痛在腰背痛（LBP）患者中很常见。在这项研究中，我们旨在确定在荷兰全科医生中伴有腿部放射痛的枸杞痛的患病率和发病率，并描述处方药物和要求的影像诊断。方法使用包含 50 多万名全科医生的 Rijnmond 初级医疗数据库，选择 2013 年至 2021 年间≥18 岁、伴有腿部放射痛的枸杞痛患者。提取了患者特征、枸杞痛发作、处方药和发作前 3 个月的影像学请求等数据。结果共纳入 27695 名患者。在这些患者中，伴有腿部放射痛的枸杞多糖症发病总数为 36268 例。2021 年，发病率和患病率分别为每 1000 患者年 19.1 例和 25.7 例。在 60% 的患者中，发作持续时间短于 1 个月。在 62% 的病例中，患者看了一到两次全科医生（GP）。59%的患者至少服用了一种药物，其中最常见的是非类固醇消炎药（NSAIDs）（45%）。约有 11% 的患者要求进行额外的影像学诊断。约三分之二的患者被处方止痛药。在这项新研究中，我们深入了解了荷兰全科医生中伴有腿部放射痛的枸杞多糖症的发病率和流行率。在 9 年的研究期间（2013-2021 年），这两项指标都保持了相当稳定的水平。总体而言，寻求与全科医生联系和要求诊断的护理负担似乎并不高。在 62% 的护理事件中，与全科医生进行了一次或两次会诊，11% 的事件要求进行影像诊断。处方中经常使用止痛药（占 2/3），非甾体抗炎药是最常见的药物。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Pain 医学-临床神经学

CiteScore

7.50

自引率

5.60%

发文量

163

审稿时长

4-8 weeks

期刊介绍： European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.