Gender-Related Issues in the Management of Low-Back Pain: A Current Concepts Review
Background: Low back pain (LBP) is an emerging disease. This review aims to investigate the role of gender-related factors in the diagnosis, clinical, and surgical management of LBP. Methods: From January 2002 to March 2023, EMBASE, SCOPUS, OVID-MEDLINE, Google Scholar, PubMed, and Web of Science we...
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Published in | Clinics and practice Vol. 13; no. 6; pp. 1360 - 1368 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Bari
MDPI AG
01.10.2023
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Subjects | |
Online Access | Get full text |
ISSN | 2039-7283 2039-7275 2039-7283 |
DOI | 10.3390/clinpract13060122 |
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Abstract | Background: Low back pain (LBP) is an emerging disease. This review aims to investigate the role of gender-related factors in the diagnosis, clinical, and surgical management of LBP. Methods: From January 2002 to March 2023, EMBASE, SCOPUS, OVID-MEDLINE, Google Scholar, PubMed, and Web of Science were searched to identify relevant papers for further analysis. Results: Fifteen papers were included in this review. Sex- and gender-related differences were analyzed regarding the following points: (1) LBP epidemiology; (2) LBP physiopathology; (3) conservative management of LBP; (4) major vertebral surgery for LBP. The conservative treatment of LBP highlights that women claim services later in terms of poorer health status than men. In the postoperative phase, female patients show worse LBP, quality of life, and disability, but equal or greater interval change, compared with male patients complaining of lumbar degenerative disease. Conclusions: LBP epidemiology and clinical outcomes, following conservative and surgical management of patients complaining of back pain, might depend on both sex- and gender-related factors. It is mandatory to assess gender-related indicators in patients referred to LBP and address them to improve their clinical outcomes and quality of life. |
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AbstractList | Background: Low back pain (LBP) is an emerging disease. This review aims to investigate the role of gender-related factors in the diagnosis, clinical, and surgical management of LBP. Methods: From January 2002 to March 2023, EMBASE, SCOPUS, OVID-MEDLINE, Google Scholar, PubMed, and Web of Science were searched to identify relevant papers for further analysis. Results: Fifteen papers were included in this review. Sex- and gender-related differences were analyzed regarding the following points: (1) LBP epidemiology; (2) LBP physiopathology; (3) conservative management of LBP; (4) major vertebral surgery for LBP. The conservative treatment of LBP highlights that women claim services later in terms of poorer health status than men. In the postoperative phase, female patients show worse LBP, quality of life, and disability, but equal or greater interval change, compared with male patients complaining of lumbar degenerative disease. Conclusions: LBP epidemiology and clinical outcomes, following conservative and surgical management of patients complaining of back pain, might depend on both sex- and gender-related factors. It is mandatory to assess gender-related indicators in patients referred to LBP and address them to improve their clinical outcomes and quality of life. |
Author | Moretti, Anna Maria Brunetti, Giovanni Solarino, Giuseppe Moretti, Biagio Pulcrano, Alessandro Piazzolla, Andrea Moretti, Lorenzo Bizzoca, Davide |
Author_xml | – sequence: 1 givenname: Davide surname: Bizzoca fullname: Bizzoca, Davide – sequence: 2 givenname: Giuseppe surname: Solarino fullname: Solarino, Giuseppe – sequence: 3 givenname: Alessandro orcidid: 0000-0003-1414-5692 surname: Pulcrano fullname: Pulcrano, Alessandro – sequence: 4 givenname: Giovanni surname: Brunetti fullname: Brunetti, Giovanni – sequence: 5 givenname: Anna Maria surname: Moretti fullname: Moretti, Anna Maria – sequence: 6 givenname: Lorenzo orcidid: 0000-0003-4215-7615 surname: Moretti fullname: Moretti, Lorenzo – sequence: 7 givenname: Andrea surname: Piazzolla fullname: Piazzolla, Andrea – sequence: 8 givenname: Biagio surname: Moretti fullname: Moretti, Biagio |
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SubjectTerms | Age Back pain Biomechanics degenerative disc disease Disease Endometriosis Females Gender differences low-back pain lumbar intervertebral disc herniation Menstruation Pregnancy Sociocultural factors spinal stenosis spine degenerative diseases spondylolisthesis Stress Womens health |
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Title | Gender-Related Issues in the Management of Low-Back Pain: A Current Concepts Review |
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