The Journal of Bone and Joint Surgery (American). 2006;88:21-24.
doi:10.2106/JBJS.E.01273
© 2006 The Journal of Bone and Joint Surgery, Inc.
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Lumbar Disc Disorders and Low-Back Pain: Socioeconomic Factors and Consequences

Jeffrey N. Katz, MD, MSc

Corresponding author:
Jeffrey N. Katz, MD, MSc
Section of Clinical Sciences, Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115.
E-mail address: jnkatz{at}partners.org

In support of his research for or preparation of this manuscript, the author received grants from the National Institutes of Health (National Institute of Arthritis and Musculoskeletal and Skin Diseases, grants K24 AR02123 and P60 AR47782). The author did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the author is affiliated or associated.


Socioeconomic factors are important risk factors for lumbar pain and disability. The total costs of low-back pain in the United States exceed $100 billion per year. Two-thirds of these costs are indirect, due to lost wages and reduced productivity. Each year, the fewer than 5% of the patients who have an episode of low-back pain account for 75% of the total costs. Because indirect costs rely heavily on changes in work status, total costs are difficult to calculate for many women and students as well as elderly and disabled patients. These methodologic challenges notwithstanding, the toll of lumbar disc disorders is enormous, underscoring the critical importance of identifying strategies to prevent these disorders and their consequences.


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