Evidence map›Paper›PMID 41083919›Full record

SynthesisArthritis care & research2026

Racial and Ethnic Disparities in the Incidence and Prevalence of Low Back Pain in the United States: A Systematic Review.

Colleen A Burke, Rebecca Fillipo, Meira Epplein, M Alan Brookhart, Hayden B Bosworth, Adam P Goode

Abstract readSystematic Review
In one paragraph

Synthesis in Arthritis care & research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Colleen A BurkeDuke University School of Medicine, Durham, North Carolina.ORCID 0000-0002-4137-6894
Rebecca FillipoDuke University School of Medicine, Durham, North Carolina.ORCID 0000-0003-1467-7971
Meira EppleinDuke University School of Medicine, Durham, North Carolina.
M Alan BrookhartDuke University School of Medicine, Durham, North Carolina.
Hayden B BosworthDuke University School of Medicine, Durham, North Carolina.
Adam P GoodeDuke University School of Medicine, Durham, North Carolina.ORCID 0000-0002-0793-3298

Funding

Social Health Factors Associated with the Transition from Acute to Chronic Low Back PainF31AR084911 · NIAMS · DUKE UNIVERSITY · PI Colleen Burke · 2024 to 2026
$134k
NIAMS NIH HHS 1F31AR084911-01NIAMS NIH HHS F31 AR084911
6 · The paper itself

Abstract

objectiveThis systematic review synthesizes existing evidence to quantify racial and ethnic disparities in low back pain (LBP) incidence and prevalence in the United States across stages of chronicity (acute, subacute, and chronic LBP).

methodsFollowing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we systematically searched MEDLINE, Embase, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Web of Science (through January 7, 2025) for studies reporting LBP incidence or prevalence by race and ethnicity in US adults. Risk of bias was assessed using the Risk of Bias in Non-randomized Studies - of Exposure (ROBINS-E) tool.

resultsOf 8,145 citations, 23 studies met inclusion criteria (10 on incidence, 13 on prevalence). Some incidence studies found higher risk of chronic LBP among Black adults compared to White adults, whereas data on Hispanic and Latino adults remain limited. Prevalence studies showed higher rates in White and American Indian and Alaska Native adults, with lower prevalence in Black, Hispanic and Latino, and Asian adults. Military studies consistently reported that Black service members experienced higher LBP incidence compared to other races. No studies examined the subacute state.

conclusionThis review highlights persistent race-based differences in LBP, with critical gaps in research on acute LBP incidence and community-based prevalence. Future studies should prioritize population-based research to better capture racial differences in LBP burden and inform targeted interventions.

Indexed as

Chronic PainEthnicityHealth Status DisparitiesLow Back PainRacial GroupsAdultHumansIncidencePrevalenceUnited States

Identifiers

PMID41083919
PMCPMC12665256

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.