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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.
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.
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