El dolor de espalda en la población catalana. Prevalencia, características y conducta terapéutica
Back pain in the general population of Catalonia (Spain). Prevalence, characteristics and therapeutic behavior
A. Bassolsa, F. Boscha, M. Campillob, J.E. Bañosa,
Autor para correspondencia
jbanos@imim.es
Correspondencia: Dr. J.E. Baños. Departament de Ciències Experimentals i de la Salut. Universitat Pompeu Fabra. Dr. Aiguader, 80. 08003 Barcelona. España
Correspondencia: Dr. J.E. Baños. Departament de Ciències Experimentals i de la Salut. Universitat Pompeu Fabra. Dr. Aiguader, 80. 08003 Barcelona. España
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Prevalencia, características y conducta terapéutica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "97" "paginaFinal" => "107" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "A. Bassols, F. Bosch, M. Campillo, J.E. Baños" "autores" => array:4 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Bassols" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "F." "apellidos" => "Bosch" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "M." "apellidos" => "Campillo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:4 [ "nombre" => "J.E." "apellidos" => "Baños" "email" => array:1 [ 0 => "jbanos@imim.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Departamento de Farmacología, Terapéutica y Toxicología. Facultad de Medicina. Universitat Autònoma de Barcelona. Bellaterra (Barcelona)" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Laboratorio de Medicina Computacional. Unidad de Bioestadística. Facultad de Medicina. Universitat Autònoma de Barcelona. Bellaterra (Barcelona). España" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "<span class="elsevierStyleItalic">Correspondencia</span>: Dr. J.E. Baños. Departament de Ciències Experimentals i de la Salut. Universitat Pompeu Fabra. Dr. Aiguader, 80. 08003 Barcelona. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Back pain in the general population of Catalonia (Spain). Prevalence, characteristics and therapeutic behavior" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2001-12-13" "fechaAceptado" => "2002-09-25" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec268767" "palabras" => array:4 [ 0 => "Dolor de espalda" 1 => "Epidemiología" 2 => "Discapacidad por dolor" 3 => "Tratamiento analgésico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec268768" "palabras" => array:4 [ 0 => "Back pain" 1 => "Epidemiology" 2 => "Pain-associated disabilities" 3 => "Analgesic treatment" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El dolor de espalda es un motivo frecuente de asistencia sanitaria en los países occidentales. El presente estudio se dirigió a establecer la prevalencia del dolor de espalda en la población adulta de Cataluña, así como sus características, su vinculación a las variables sociodemográficas, la conducta terapéutica seguida y las consecuencias para quienes lo sufren.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo realizado en 1994 a partir de una muestra de 1.964 personas, representativa de la población mayor de 18 años y obtenida a partir del censo de 1991. Los datos se obtuvieron mediante una entrevista telefónica. Se determinó la prevalencia de dolor en general durante los últimos 6 meses. En aquellos entrevistados que refirieron haber sufrido dolor de espalda, se analizaron sus características, se investigó su relación con las variables sociodemográficas, y se determinaron las conductas terapéuticas empleadas para aliviarlo y las consecuencias personales, sociales y laborales.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El dolor de espalda presentó una elevada prevalencia (50,9%), apareció en todas las edades (media [DE], 47,6 [17] años), predominó en mujeres (60,7%), en trabajadores manuales (54,9%) y en personas con menos años de escolarización (71,1%). Era de larga evolución (el 69,2%, más de 3 años), frecuente (el 49,7%, más de la mitad de días), de duración variable (el 27,3%, más de 1 semana) e intensidad elevada (el 51,4%, intenso-insoportable). Las opciones terapéuticas más empleadas fueron la consulta médica (71,9%), terapias no convencionales (24,7%), fisioterapia (el 22,7%, sobre todo ejercicios físicos y electroterapia) y automedicación (14,6%). En general, la duración y el grado de alivio obtenido con los diversos tratamientos fue variable. El dolor de espalda limitó la actividad habitual (36,7%), obligó a guardar cama (22,7%), generó baja laboral (17%) y fue motivo de invalidez profesional (6,5%).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El dolor de espalda constituye una situación clínica de elevada frecuencia en la población catalana y un motivo muy importante de utilización de atención médica y de limitación de la actividad personal y profesional.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Back pain is a common symptom of health assistance in Western countries. The goal of the present survey was to establish the prevalence of back pain in the general population in Catalonia, as well as to establish its characteristics, its relationship to sociodemographic variables, the therapeutic behavior followed by those affected and the associated-impairment and disabilities for the sufferers.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The survey was a descriptive study including a sample of 1,964 people, obtained from the census (1991) and representative of the population older than 18 years. The study was done in 1994 and data were obtained by means of a telephone interview. The prevalence of pain in the last six months was determined. Among those suffering back pain, additional information was obtained concerning its characteristics, the relationship with socio-demographic variables, the therapeutic behaviors used by patients, and the personal, social and work impairment and disabilities.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Back pain was highly prevalent (50.9%), appeared in all ages (mean age of 47.6 years), was the highest in women (60.7%), in manual workers (54.9%) and in those less educated (71.1%). Back pain was long lasting (69.2% more than 3 years), frequent (49.7% more than the half of the days), and highly painful (severe-unbearable in 51.4%). The therapeutic behaviors most commonly used were the visit to the physician (71.9%), the use of alternative medical treatments (24.7%), physical therapy (22.7%, physical exercises and electrotherapy) and self-medication (14.6%, being acetylsalicylic acid the most employed). In general, the duration and degree of improvement was variable. Back pain limited the daily activities (36.7%) and forced to bed rest (22.7%). It was also a significant reason for time off work (17%) and disability pension (6.5%).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Back pain has a very high prevalence in the Catalonian population and is an important reason to seek medical attention. It greatly limits the daily personal and professional activities.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Biblografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:36 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Low back pain" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "R.A. Deyo" 1 => "J.N. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 4 | 3 | 7 |
| 2024 Octubre | 63 | 26 | 89 |
| 2024 Septiembre | 44 | 26 | 70 |
| 2024 Agosto | 65 | 28 | 93 |
| 2024 Julio | 34 | 27 | 61 |
| 2024 Junio | 54 | 18 | 72 |
| 2024 Mayo | 45 | 22 | 67 |
| 2024 Abril | 33 | 23 | 56 |
| 2024 Marzo | 44 | 23 | 67 |
| 2024 Febrero | 43 | 50 | 93 |
| 2024 Enero | 25 | 16 | 41 |
| 2023 Diciembre | 44 | 17 | 61 |
| 2023 Noviembre | 29 | 17 | 46 |
| 2023 Octubre | 25 | 22 | 47 |
| 2023 Septiembre | 44 | 22 | 66 |
| 2023 Agosto | 30 | 9 | 39 |
| 2023 Julio | 44 | 23 | 67 |
| 2023 Junio | 58 | 18 | 76 |
| 2023 Mayo | 35 | 14 | 49 |
| 2023 Abril | 37 | 23 | 60 |
| 2023 Marzo | 41 | 37 | 78 |
| 2023 Febrero | 27 | 16 | 43 |
| 2023 Enero | 38 | 20 | 58 |
| 2022 Diciembre | 32 | 30 | 62 |
| 2022 Noviembre | 44 | 43 | 87 |
| 2022 Octubre | 37 | 39 | 76 |
| 2022 Septiembre | 23 | 32 | 55 |
| 2022 Agosto | 39 | 60 | 99 |
| 2022 Julio | 51 | 51 | 102 |
| 2022 Junio | 46 | 40 | 86 |
| 2022 Mayo | 41 | 45 | 86 |
| 2022 Abril | 34 | 33 | 67 |
| 2022 Marzo | 38 | 46 | 84 |
| 2022 Febrero | 43 | 33 | 76 |
| 2022 Enero | 28 | 31 | 59 |
| 2021 Diciembre | 30 | 35 | 65 |
| 2021 Noviembre | 33 | 45 | 78 |
| 2021 Octubre | 22 | 43 | 65 |
| 2021 Septiembre | 33 | 46 | 79 |
| 2021 Agosto | 13 | 18 | 31 |
| 2021 Julio | 27 | 22 | 49 |
| 2021 Junio | 30 | 35 | 65 |
| 2021 Mayo | 25 | 31 | 56 |
| 2021 Abril | 62 | 53 | 115 |
| 2021 Marzo | 47 | 29 | 76 |
| 2021 Febrero | 29 | 20 | 49 |
| 2021 Enero | 19 | 14 | 33 |
| 2020 Diciembre | 24 | 17 | 41 |
| 2020 Noviembre | 17 | 14 | 31 |
| 2020 Octubre | 18 | 11 | 29 |
| 2020 Septiembre | 11 | 6 | 17 |
| 2020 Agosto | 21 | 18 | 39 |
| 2020 Julio | 18 | 26 | 44 |
| 2020 Junio | 19 | 9 | 28 |
| 2020 Mayo | 16 | 10 | 26 |
| 2020 Abril | 20 | 21 | 41 |
| 2020 Marzo | 12 | 16 | 28 |
| 2020 Febrero | 22 | 33 | 55 |
| 2020 Enero | 16 | 10 | 26 |
| 2019 Diciembre | 27 | 22 | 49 |
| 2019 Noviembre | 14 | 6 | 20 |
| 2019 Octubre | 17 | 9 | 26 |
| 2019 Septiembre | 11 | 7 | 18 |
| 2019 Agosto | 26 | 13 | 39 |
| 2019 Julio | 15 | 2 | 17 |
| 2019 Junio | 16 | 8 | 24 |
| 2019 Mayo | 25 | 10 | 35 |
| 2019 Abril | 15 | 9 | 24 |
| 2019 Marzo | 11 | 6 | 17 |
| 2019 Febrero | 15 | 12 | 27 |
| 2019 Enero | 10 | 8 | 18 |
| 2018 Diciembre | 12 | 12 | 24 |
| 2018 Noviembre | 20 | 25 | 45 |
| 2018 Octubre | 27 | 22 | 49 |
| 2018 Septiembre | 27 | 13 | 40 |
| 2018 Agosto | 16 | 16 | 32 |
| 2018 Julio | 29 | 5 | 34 |
| 2018 Junio | 17 | 12 | 29 |
| 2018 Mayo | 25 | 10 | 35 |
| 2018 Abril | 16 | 5 | 21 |
| 2018 Marzo | 11 | 14 | 25 |
| 2018 Febrero | 21 | 3 | 24 |
| 2018 Enero | 5 | 11 | 16 |
| 2017 Diciembre | 21 | 9 | 30 |
| 2017 Noviembre | 24 | 18 | 42 |
| 2017 Octubre | 13 | 10 | 23 |
| 2017 Septiembre | 13 | 11 | 24 |
| 2017 Agosto | 11 | 10 | 21 |
| 2017 Julio | 15 | 9 | 24 |
| 2017 Junio | 26 | 6 | 32 |
| 2017 Mayo | 23 | 9 | 32 |
| 2017 Abril | 15 | 10 | 25 |
| 2017 Marzo | 16 | 6 | 22 |
| 2017 Febrero | 7 | 8 | 15 |
| 2017 Enero | 11 | 3 | 14 |
| 2016 Diciembre | 32 | 5 | 37 |
| 2016 Noviembre | 44 | 11 | 55 |
| 2016 Octubre | 33 | 18 | 51 |
| 2016 Septiembre | 44 | 7 | 51 |
| 2016 Agosto | 34 | 6 | 40 |
| 2016 Julio | 18 | 6 | 24 |
| 2016 Junio | 1 | 0 | 1 |
| 2016 Mayo | 1 | 0 | 1 |
| 2016 Marzo | 1 | 0 | 1 |
| 2016 Febrero | 2 | 0 | 2 |
| 2016 Enero | 2 | 0 | 2 |
| 2015 Diciembre | 3 | 0 | 3 |
| 2015 Noviembre | 3 | 0 | 3 |
| 2015 Octubre | 4 | 9 | 13 |
| 2015 Septiembre | 3 | 0 | 3 |
| 2015 Agosto | 0 | 12 | 12 |
| 2015 Junio | 1 | 0 | 1 |
| 2015 Abril | 1 | 5 | 6 |
| 2015 Marzo | 1 | 0 | 1 |
| 2015 Febrero | 1 | 5 | 6 |
| 2014 Diciembre | 7 | 1 | 8 |
| 2014 Noviembre | 1 | 2 | 3 |
| 2014 Octubre | 6 | 0 | 6 |
| 2014 Septiembre | 4 | 1 | 5 |
| 2014 Agosto | 10 | 1 | 11 |
| 2014 Julio | 9 | 2 | 11 |
| 2014 Junio | 10 | 2 | 12 |
| 2014 Mayo | 14 | 2 | 16 |
| 2014 Abril | 8 | 2 | 10 |
| 2014 Marzo | 5 | 1 | 6 |
| 2014 Febrero | 11 | 0 | 11 |
| 2014 Enero | 3 | 1 | 4 |
| 2013 Diciembre | 8 | 2 | 10 |
| 2013 Noviembre | 25 | 1 | 26 |
| 2013 Octubre | 40 | 1 | 41 |
| 2013 Septiembre | 19 | 11 | 30 |
| 2013 Agosto | 20 | 3 | 23 |
| 2013 Julio | 23 | 2 | 25 |
| 2003 Marzo | 1199 | 0 | 1199 |
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