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Measuring disability-adjusted life years (DALYs) due to low back pain in Malta

Authors
  • Cuschieri, Sarah1
  • Wyper, Grant M. A.2
  • Calleja, Neville1, 3
  • Gorasso, Vanessa4, 5
  • Devleesschauwer, Brecht4, 6
  • 1 Faculty of Medicine and Surgery, University of Malta, Msida, Malta , Msida (Malta)
  • 2 Public Health Scotland, Meridian Court, 5 Cadogan Street, Glasgow, G2 6QE, Scotland , Glasgow (United Kingdom)
  • 3 Ministry of Health, Gwardamangia, Malta , Gwardamangia (Malta)
  • 4 Sciensano, Brussels, Belgium , Brussels (Belgium)
  • 5 Ghent University, Ghent, Belgium , Ghent (Belgium)
  • 6 Ghent University, Merelbeke, Belgium , Merelbeke (Belgium)
Type
Published Article
Journal
Archives of Public Health
Publisher
BioMed Central
Publication Date
Jul 23, 2020
Volume
78
Issue
1
Identifiers
DOI: 10.1186/s13690-020-00451-w
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundLow back pain (LBP) is a public health concern and a leading cause of ill health. A high prevalence of musculoskeletal complaints has been reported for Malta, a small European state. The aim was to estimate for the first time the burden of LBP at population level in Malta in terms of disability-adjusted life years (DALYs) and compare to estimates obtained by the Global Burden of Disease (GBD) study.MethodThe Maltese European Health Interview Survey dataset for 2015 provided the LBP prevalence data through representative self-reported history of chronic LBP within the past 12 months in combination with limitations to daily activities. Proportions of LBP severity (with and without leg pain – mild, moderate, severe and most severe) and their corresponding disability weights followed values reported in the GBD study. Years lived with disability (YLD) for LBP were estimated for the whole population by age and sex. Since LBP does not carry any mortality, YLD reflected DALYs. The estimated local DALYs per 100,000 were compared to the GBD 2017 study results for Malta for the same year.ResultsLBP with activity limitation gave a point prevalence of 6.4% (95% Uncertainty Interval [UI] 5.7–7.2%) (5.6% males [95% UI 4.6–6.6%]; 7.3% females [95% UI 6.2–8.4%]), contributing to a total of 23,649 (95% UI 20,974–26,463) Maltese suffering from LBP. The LBP DALYs were of 716 (95% UI 558–896) per 100,000. Females experienced higher LBP burden (739 [95% UI 575–927] DALYs per 100,000) than males (693 [95% UI 541–867] DALYs per 100,000). Our DALY estimates were lower than those reported by the GBD 2017 study (i.e., 1829 [95% UI 1300–2466] per 100,000).ConclusionsLBP imposes a substantial burden on the Maltese population. Differences observed between national estimates and those of the GBD study suggest the integration of updated locally sourced data into the model and encouraging local contributors in order to improve the DALY estimates of each country.

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