Back Pain in Adolescents: Characteristics, Quality of Life, and Drug Self-Management: A Cross-Sectional Study of 1301 Italian Students.
Journal
Pediatric emergency care
ISSN: 1535-1815
Titre abrégé: Pediatr Emerg Care
Pays: United States
ID NLM: 8507560
Informations de publication
Date de publication:
01 Nov 2021
01 Nov 2021
Historique:
pubmed:
8
8
2019
medline:
6
11
2021
entrez:
8
8
2019
Statut:
ppublish
Résumé
Back pain is one of the major problems for the public health system in the western world. The purposes of this study were to assess back pain in a large cohort of adolescents; to evaluate the prevalence, intensity, and features; and obtain information about drug management of this symptom. One thousand four hundred seventy-one healthy students aged 14 to 19 years were enrolled in the study. The subjects underwent a face-to-face interview using an ad hoc questionnaire, the Numeric Rating Scale, the Neuropathic Pain Symptom Inventory, and the Short-Form 36 questionnaire. Sixty-eight percent of adolescents reported moderate to severe pain, with a higher prevalence of moderate/severe pain in female. The intensity of pain was higher (P < 0.001) in females than in men. A correlation was found between pain and quality of life. Considering the adolescents with severe pain, 21.6% requested a doctor's opinion, and 18% used analgesics (63.2% of them without a doctor's prescription), with a frequency of about 2 times per month. We found that the prevalence of back pain in adolescents is very high, with the consequences on quality of life, and it becomes frequently a self-managed symptom. This should encourage research on the causes of pain in order to limit the risk factors underlying the pain development and obtain a good prevention strategy.
Identifiants
pubmed: 31389902
pii: 00006565-202111000-00018
doi: 10.1097/PEC.0000000000001876
doi:
Substances chimiques
Pharmaceutical Preparations
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e716-e718Informations de copyright
Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure: The authors declare no conflict of interest.
Références
Balagué F, Mannion AF, Pellisé F, et al. Non-specific low back pain. Lancet . 2012;379:482–491.
Jeffries LJ, Milanese SF, Grimmer-Somers KA. Epidemiology of adolescent spinal pain: a systematic overview of the research literature. Spine (Phila, Pa 1976) . 2007;32:2630–2637.
Aprile I, Di Stasio E, Vincenzi MT, et al. The relationship between back pain and schoolbag use: a cross-sectional study of 5,318 Italian students. Spine J . 2015;16:748–755.
Kanabar DJ. A clinical and safety review of paracetamol and ibuprofen in children. Inflammopharmacology . 2017;25:1–9.
Padua L, Briani C, Jann S, et al. Validation of the Italian version of the Neuropathic Pain Symptom Inventory in peripheral nervous system diseases. Neurol Sci . 2009;30:99–106.
Apolone G, Mosconi P. The Italian SF-36 Health Survey: translation, validation and norming. J Clin Epidemiol . 1998;51:1025–1036.
Mueller S, Mueller J, Stoll J, et al. Incidence of back pain in adolescent athletes: a prospective study. BMC Sports Sci Med Rehabil . 2016;8:38.
Noll M, Candotti CT, Rosa BN, et al. Back pain prevalence and associated factors in children and adolescents: an epidemiological population study. Rev Saude Publica . 2016;50.
Calvo-Muñoz I, Gómez-Conesa A, Sánchez-Meca J. Prevalence of low back pain in children and adolescents: a meta-analysis. BMC Pediatr . 2013;13:14.
Molino-Lova R, Sofi F, Pasquini G, et al. The Mugello study, a survey of nonagenarians living in Tuscany: design, methods and participants' general characteristics. Eur J Intern Med . 2013;24:745–749.
Ferraro F, Jacopetti M, Spallone V, et al. Diagnosis and treatment of pain in plexopathy, radiculopathy, peripheral neuropathy and phantom limb pain. Evidence and recommendations from the Italian Consensus Conference on Pain on Neurorehabilitation. Eur J Phys Rehabil Med . 2016;52:855–866.
Hoffman BL, Hoffman R, Wessel CB, et al. Use of fictional medical television in health sciences education: a systematic review. Adv Health Sci Educ Theory Pract . 2017.
Forgeron PA, Stinson J. Fundamentals of chronic pain in children and young people. Part 1. Nurs Child Young People . 2014;26:29–34.
Forgeron PA, Stinson J. Fundamentals of chronic pain in children and young people. Part 2. Nurs Child Young People . 2014;26:31–36.
Friedrichsdorf SJ, Giordano J, Desai Dakoji K, et al. Chronic pain in children and adolescents: diagnosis and treatment of primary pain disorders in head, abdomen, muscles and joints. Children (Basel) . 2016;3:42.