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A systematic review of the global prevalence and incidence of shoulder pain

BACKGROUND AND OBJECTIVES: Studies reporting on the population burden of people living with shoulder pain show wide heterogeneity in terms of case definition, study samples, and occurrence. This systematic review aims to summarize evidence pertaining to the prevalence and incidence of shoulder pain,...

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Autores principales: Lucas, J., van Doorn, P., Hegedus, E., Lewis, J., van der Windt, D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9730650/
https://www.ncbi.nlm.nih.gov/pubmed/36476476
http://dx.doi.org/10.1186/s12891-022-05973-8
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author Lucas, J.
van Doorn, P.
Hegedus, E.
Lewis, J.
van der Windt, D.
author_facet Lucas, J.
van Doorn, P.
Hegedus, E.
Lewis, J.
van der Windt, D.
author_sort Lucas, J.
collection PubMed
description BACKGROUND AND OBJECTIVES: Studies reporting on the population burden of people living with shoulder pain show wide heterogeneity in terms of case definition, study samples, and occurrence. This systematic review aims to summarize evidence pertaining to the prevalence and incidence of shoulder pain, including variability based on sex and geography. We also explored the potential influence of methodological limitations and important sources of heterogeneity (case definition and reference period) on reported estimates of shoulder pain prevalence. DATABASES AND DATA TREATMENT: The study protocol was registered on Prospero under CRD42021243140. We searched EMBASE, CINAHL, Web of Science and Medline from inception to March 2021. Study selection, data extraction and risk of bias assessment was conducted by a team of three researchers. We performed a narrative synthesis of the data, using forest plots to summarize study findings, and stratified data presentation to explore the potential association of risk of bias, case definition, and reference period with estimates of prevalence and incidence of shoulder pain. RESULTS: We obtained data from 61 studies reporting data from high-, middle- and low-income countries. The overall risk of bias was low, with most rated as “low-risk” and no studies rated as “high-risk”. The community prevalence of shoulder pain varied widely across the countries included in our review, with a median of 16% (range 0.67 to 55.2%). Longer reference periods were typically associated with higher prevalence estimates. Primary care prevalence ranged from 1.01 to 4.84% (median 2.36%). Estimates were generally higher for women than men and were higher in high-income nations. The incidence of shoulder pain ranged from 7.7 to 62 per 1000 persons per year (median 37.8 per 1000 persons per year). Risk of bias did not clearly explain variability in study findings, but there was considerable variation in study samples, methods used, and a relative absence of data from low-income countries. CONCLUSIONS: Our review demonstrates that a significant proportion of the population across the world will experience shoulder pain daily, yearly, and throughout a lifetime. Regional gaps in evidence and methodological inconsistencies must be addressed in order to establish a more definitive global burden. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12891-022-05973-8.
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spelling pubmed-97306502022-12-09 A systematic review of the global prevalence and incidence of shoulder pain Lucas, J. van Doorn, P. Hegedus, E. Lewis, J. van der Windt, D. BMC Musculoskelet Disord Research BACKGROUND AND OBJECTIVES: Studies reporting on the population burden of people living with shoulder pain show wide heterogeneity in terms of case definition, study samples, and occurrence. This systematic review aims to summarize evidence pertaining to the prevalence and incidence of shoulder pain, including variability based on sex and geography. We also explored the potential influence of methodological limitations and important sources of heterogeneity (case definition and reference period) on reported estimates of shoulder pain prevalence. DATABASES AND DATA TREATMENT: The study protocol was registered on Prospero under CRD42021243140. We searched EMBASE, CINAHL, Web of Science and Medline from inception to March 2021. Study selection, data extraction and risk of bias assessment was conducted by a team of three researchers. We performed a narrative synthesis of the data, using forest plots to summarize study findings, and stratified data presentation to explore the potential association of risk of bias, case definition, and reference period with estimates of prevalence and incidence of shoulder pain. RESULTS: We obtained data from 61 studies reporting data from high-, middle- and low-income countries. The overall risk of bias was low, with most rated as “low-risk” and no studies rated as “high-risk”. The community prevalence of shoulder pain varied widely across the countries included in our review, with a median of 16% (range 0.67 to 55.2%). Longer reference periods were typically associated with higher prevalence estimates. Primary care prevalence ranged from 1.01 to 4.84% (median 2.36%). Estimates were generally higher for women than men and were higher in high-income nations. The incidence of shoulder pain ranged from 7.7 to 62 per 1000 persons per year (median 37.8 per 1000 persons per year). Risk of bias did not clearly explain variability in study findings, but there was considerable variation in study samples, methods used, and a relative absence of data from low-income countries. CONCLUSIONS: Our review demonstrates that a significant proportion of the population across the world will experience shoulder pain daily, yearly, and throughout a lifetime. Regional gaps in evidence and methodological inconsistencies must be addressed in order to establish a more definitive global burden. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12891-022-05973-8. BioMed Central 2022-12-08 /pmc/articles/PMC9730650/ /pubmed/36476476 http://dx.doi.org/10.1186/s12891-022-05973-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Lucas, J.
van Doorn, P.
Hegedus, E.
Lewis, J.
van der Windt, D.
A systematic review of the global prevalence and incidence of shoulder pain
title A systematic review of the global prevalence and incidence of shoulder pain
title_full A systematic review of the global prevalence and incidence of shoulder pain
title_fullStr A systematic review of the global prevalence and incidence of shoulder pain
title_full_unstemmed A systematic review of the global prevalence and incidence of shoulder pain
title_short A systematic review of the global prevalence and incidence of shoulder pain
title_sort systematic review of the global prevalence and incidence of shoulder pain
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9730650/
https://www.ncbi.nlm.nih.gov/pubmed/36476476
http://dx.doi.org/10.1186/s12891-022-05973-8
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