Low Back Pain and Fibromyalgia: EpiReumaPt survey results

Gouveia N(1), Rodrigues A(2), Mendonça S (3), Costa LP(4), Canhão H(5), Branco JC(6) 1 EpiReumaPt Investigation Team - Sociedade Portuguesa de Reumatologia

2 Rheumatology Research Unit, Instituto de Medicina Molecular, Lisboa; EpiReumaPt Investigation Team - Sociedade Portuguesa de Reumatologia

3 Sociedade Portuguesa de Reumatologia

4 Centro de Estudos e Sondagens de Opinião da Universidade Católica Portuguesa

5 EpiReumaPt Investigation Team - Sociedade Portuguesa de Reumatologia; Instituto de Medicina Molecular da Faculdade de Medicina da Universidade de

Lisboa; Serviço de Reumatologia do Centro Hospitalar de Lisboa Norte, Hospital Santa Maria

6 EpiReumaPt Investigation Team - Sociedade Portuguesa de Reumatologia; CEDOC, Faculdade de Ciências Médicas da Universidade Nova de Lisboa, Lisbon;

Rheumatology, Centro Hospitalar de Lisboa Ocidental, Hospital Egas Moniz

EpiReumaPt

Low Back Pain and Fibromyalgia:

EpiReumaPt survey results

Years lived with disability (YLDs)

Source: Global Burden of Diseases

Low Back Pain and Fibromyalgia:

EpiReumaPt survey results

Source: Global Burden of Diseases

Low Back Pain and Fibromyalgia:

EpiReumaPt survey results

Low Back Pain and Fibromyalgia:

EpiReumaPt survey results

Aims: . to determine the prevalence of Chronic Low Back Pain (CLBP) and Fibromyalgia (FM) in Portugal . to compare function, health status, health care consumptions and early retirement between chronic low back pain Chronic LBP and FM in Portuguese patients.

Low Back Pain and Fibromyalgia:

EpiReumaPt survey results Aims

Low Back Pain and Fibromyalgia:

EpiReumaPt survey results

EpiReumaPt Population 10.661 participants

(CESOP survey – face to face interview)

Clinical observation: Rheumatologist Appointment

Diagnosis validation

Self-reported & screening Fibromyalgia

n = 1445

Study population

Mai

n S

tud

y -

Ep

iRe

um

aPt

. Sociodemographic

. Life style

. Ansiety and depression

. Comorbidities

. Health status

. Socioeconomic factors

. Health consumption

. Function

Self-reported Chronic Low Back Pain

n = 1336

Low Back Pain and Fibromyalgia:

EpiReumaPt survey results

Case definition:

CLBP - having LBP in majority of time in at least 7

weeks

FM - previous FM diagnosis or fulfillment of 2010 ACR

diagnostic criteria (according to EpiReumaPt protocol)

Inclusion criteria: Participants with available information on LBP (Y/N) and

FM symptoms self-reported questionnaire

Exclusion criteria: Patients diagnosed with previous Spa and concomitant

CLBP and FM (self-reported)

Methodology

Low Back Pain and Fibromyalgia:

EpiReumaPt survey results Variables

All analyses were weighted to ensure the correctly representativeness of the population.

Face to face interview results – self reported prevalence

Low Back Pain and Fibromyalgia:

EpiReumaPt survey results Results

CLBP n = 1336 9,7% *

FM screening n = 1445 10,4% *

n = 10.661

* National weight was used

n=2781 CLBP (%)

(n=1336)

FM (%)

(n= 1445) P value

Demographic characteristics

Age (SD) 57.0 (55.4-

58.64)

57.4 (56.4-

58.4) 0.6888

Female (%) 63.7 82.3 <0.0001

BMI 27.4 (27-

27.9)

27.6 (27.2-

27.9) 0.6647

Ethnicity (Caucasian) 98 98.1 0.9094

NUTS II

Norte

Centro

Lisboa

Alentejo

Algarve

RAA

RAM

40

20.8

23.3

6.9

3.9

2.4

2.7

31.8

30.3

22.7

7.3

3.8

1.6

2.5

0.0002

Life Style Habits

Present Smoking

habits

Daily/Occasionally

No

16.9

83.1

17

83

0.9570

Present Alcohol intake

Daily

24.9

12.3

<0.0001

Regular Exercise 21 27.5 0.0034

Socioeconomic characteristics

Education level

(years)

0-4

5-12

>12

57

34.6

8.4

57.7

33

9.3

0.7551

Lo

w B

ac

k P

ain

an

d F

ibro

my

alg

ia:

Ep

iRe

um

aP

t su

rve

y re

su

lts

Results

n=2781 CLBP (%)

(n=1336)

FM (%)

(n= 1445) P value

HAQ

QoL (VAS)

Health status

0.60

61.9

0.63

0.95

54.1

0.53

<0.0001

<0.0001

<0.0001

Low Back Pain and Fibromyalgia:

EpiReumaPt survey results Results

Multivariate regression analysis adjusted for: . age . gender . BMI . Exercise . alcohol intake and . educational level

Quality of life & Funtion

n=2781 CLBP (%)

(n=1336)

FM (%)

(n= 1445) P value

Early retirement 6.5 10.5 0.0023

Unemployment

due RD

0.8

1.2

0.4380

Outpatient clinic

appointment

0-3

4-6

7-12

13-24

>24

51.6

25.1

12.7

7.9

2.7

32.1

27.7

21.1

14.6

4.5

<0.0001

Home care 4.1 5.3 0.2325

Physical therapy 12.5 16.8 0.0144

Low Back Pain and Fibromyalgia:

EpiReumaPt survey results Results

Multivariate regression analysis adjusted for: . age . gender . BMI . Exercise . alcohol intake and . educational level

Health Consumption

. Portuguese self-reported prevalence of FM and CLBP is similar to other

European countries.

. FM patients have more burden with lower function and health status and more

health consumption when compared to CLBP patients.

. In Portugal, one in 10 patients with fibromyalgia are early retired due to RD.

Low Back Pain and Fibromyalgia:

EpiReumaPt survey results Conclusions

Agradecimento especial: A todos os Reumatologistas que colaboraram na realização de consultas