Low back pain in China: Disease burden and bibliometric analysis

doi:10.5312/wjo.v15.i12.1200

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Dec 18, 2024 (publication date) through Feb 21, 2026

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World Journal of Orthopedics

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World J Orthop. Dec 18, 2024; 15(12): 1200-1207
Published online Dec 18, 2024. doi: 10.5312/wjo.v15.i12.1200

Low back pain in China: Disease burden and bibliometric analysis

Wei-Lin Yang, Wen-Cai Jiang, Yan-Hua Peng, Xian-Jie Zhang, Rui Zhou

Wei-Lin Yang, Wen-Cai Jiang, Yan-Hua Peng, Xian-Jie Zhang, Department of Anesthesiology, Deyang People’s Hospital, Deyang 618000, Sichuan Province, China

Rui Zhou, Department of Anesthesiology and Perioperative Medicine, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai 200434, China

Co-first authors: Wei-Lin Yang and Wen-Cai Jiang.

Author contributions: Yang WL, Jiang WC and Zhou R conceived and designed the study; Yang WL, Jiang WC and Peng YH participated in data processing and analysis; Yang WL, Jiang WC, Peng YH, Zhou R, Zhang XJ drafted the manuscript; Yang WL and Jiang WC contributed to data analysis and interpretation; Zhang XJ supervised the review of the study; all authors seriously revised and approved the final manuscript.

Conflict-of-interest statement: The authors declare no conflict of interest.

PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.

Corresponding author: Rui Zhou, MD, Doctor, Department of Anesthesiology and Perioperative Medicine, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, No. 1279 Sanmen Road, Shanghai 200434, China. ruizhoukepler@126.com

Received: September 14, 2024
Revised: November 1, 2024
Accepted: December 3, 2024
Published online: December 18, 2024
Processing time: 94 Days and 2.7 Hours

Abstract

BACKGROUND

Low back pain has become a global problem. Since many traditional Chinese therapies are helpful for low back pain, the current status of low back pain in China may provide some insights to this issue.

AIM

To demonstrate the disease burden of low back pain in China and the response of Chinese scholars to this issue.

METHODS

The burden of low back pain in China was estimated using the Global Burden of Disease Study 2021 released by the American Institute for Health Metrics and Evaluation. The incidence, prevalence and disability-adjusted life years were analyzed. We also performed a bibliometric analysis to analyzed the publication trend, changes of cooperation models and research topics on low back pain.

RESULTS

Prevalence of low back pain increased from 69.61 million in 1990 to 102.96 million in 2021. New cases increased by a stunning 44.50 million in 2021. Low back pain led to an increase of 4.16 per 1000000 population in terms of disability-adjusted life years from 1990 to 2021. But the increase in China was slower than that of world average. As a response, publications of low back pain published by Chinese scholars were stably raised. From 1990 to 2023, domestic cooperation significantly increased, while international cooperation and no cooperation decreased. However, domestic cooperation decreased between 2021 and 2023. The number of studies on prevention and treatment of low back pain reduced from 1990 to 2023, while the mechanism, etiology and other aspects of low back pain augmented.

CONCLUSION

The burden of low back pain in China is heavy. Together with the government, Chinese institutions of medical science should do more in declining the impacts of low back pain.

Keywords: Low back pain; Trend; Disease burden; Bibliometric analysis; Public health

Core Tip: Low back pain has become one of the most common health issues globally. As a country with the most population, the situation of low back pain in China is of great importance. This study analyzed the disease burden of low back pain in China from 1990 to 2021 on the basis of Global Burden of Disease Study 2021. Additionally, a bibliometric analysis was performed to show what did Chinese scholars do on low back pain.