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Chronic inflammatory back pain commencing late in life: a neglected concept

Nahid J Rianon1, MinJae Lee2, Jude K des Bordes1

  • 1Department of Family and Community Medicine, The University of Texas McGovern Medical School, Houston, Texas, USA.

Internal Medicine Journal
|March 21, 2022
PubMed

Insights

Late-onset chronic inflammatory back pain (CIBP) affects 3% of adults aged 50-69. This group may be overlooked, as diagnostic criteria typically focus on younger individuals.

Area of Science:

  • Rheumatology
  • Epidemiology
  • Public Health

Background:

  • Chronic inflammatory back pain (CIBP) affects up to one-third of individuals with chronic back pain.
  • Typical diagnostic criteria for inflammatory back pain require symptom onset before age 50.
  • There is limited research on CIBP presenting with late onset.

Purpose of the Study:

  • To investigate the prevalence of CIBP features in older adults.
  • To highlight the potential underdiagnosis of late-onset CIBP.

Main Methods:

  • Analysis of data from the US National Health and Nutrition Examination Survey (2009-2010).
  • Focus on adult participants aged 50-69 years.

Main Results:

  • Approximately 3% of adults aged 50-69 years exhibited features consistent with CIBP.
  • These features were present in individuals with symptom onset at or after age 50.

Conclusions:

  • CIBP can occur in older adults with onset after age 50.
  • Late-onset CIBP may represent an underdiagnosed condition, potentially leading to delayed or missed treatment.
  • Further research is needed to understand and address late-onset CIBP.

Keywords:
chronic back painlate onsetprimary carespondylitis

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