PDF(Pubmed)
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.
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.
摘要：
背景：下腰痛（LBP）是一种新出现的疾病。本综述旨在探讨性别相关因素在诊断中的作用。临床,和LBP的外科治疗。
方法：从2002年1月到2023年3月，EMBASE，Scopus,OVID-MEDLINE,谷歌学者，PubMed,和WebofScience进行了搜索，以确定相关论文进行进一步分析。
结果：这篇综述包括15篇论文。对性别和性别相关的差异进行了分析：（1）LBP流行病学；（2）LBP病理生理学；（3）LBP的保守治疗；（4）LBP的主要椎体手术。LBP的保守治疗突显了女性比男性更晚的健康状况。在术后阶段,女性患者表现出更差的LBP,生活质量,残疾,但相等或更大的间隔变化，与抱怨腰椎退行性疾病的男性患者相比。
结论：LBP流行病学和临床结果，在对抱怨背痛的患者进行保守和手术治疗后，可能取决于性别和性别相关因素。必须评估LBP患者的性别相关指标，并解决这些指标以改善其临床结局和生活质量。
方法：从2002年1月到2023年3月，EMBASE，Scopus,OVID-MEDLINE,谷歌学者，PubMed,和WebofScience进行了搜索，以确定相关论文进行进一步分析。
结果：这篇综述包括15篇论文。对性别和性别相关的差异进行了分析：（1）LBP流行病学；（2）LBP病理生理学；（3）LBP的保守治疗；（4）LBP的主要椎体手术。LBP的保守治疗突显了女性比男性更晚的健康状况。在术后阶段,女性患者表现出更差的LBP,生活质量,残疾,但相等或更大的间隔变化，与抱怨腰椎退行性疾病的男性患者相比。
结论：LBP流行病学和临床结果，在对抱怨背痛的患者进行保守和手术治疗后，可能取决于性别和性别相关因素。必须评估LBP患者的性别相关指标，并解决这些指标以改善其临床结局和生活质量。
