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Review
. 2019 May-Jun;23(3):189-195.
doi: 10.1016/j.bjpt.2018.10.001. Epub 2018 Oct 13.

Tackling low back pain in Brazil: a wake-up call

Giovanni Ferreira  1 , Luciola Menezes Costa  2 , Airton Stein  3 , Jan Hartvigsen  4 , Rachelle Buchbinder  5 , Chris G Maher  6
Affiliations
Review

Tackling low back pain in Brazil: a wake-up call

Giovanni Ferreira et al. Braz J Phys Ther. 2019 May-Jun.

Abstract

Background: Low back pain is the leading cause of years lived with disability in Brazil based upon Global Burden of Disease estimates. Since 1990, the number of years lived with disability has increased by 79.7%, and this number is expected to continue to rise due to population growth and ageing. Yet, similarly to other countries, little attention has been given to it in both the public and private health systems, arguably making it an overlooked epidemic in Brazil. There is evidence that Brazil has adopted unwarranted practices in the management of low back pain in a similar manner to what has been observed in high-income countries. To tackle the burden of low back pain in Brazil, we need highly coordinated efforts from government, the private sector, universities, health workers and civil society.

Objective: This masterclass intends to provide an overview of the challenges faced by Brazil in relation to low back pain management and propose potential solutions that could potentially be implemented based on experiences reported in the literature.

Keywords: Brazil; Delivery of health care; Implementation; Low back pain; Musculoskeletal diseases.

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References

    1. Victora C.G., Barreto M.L., do Carmo Leal M. Health conditions and health-policy innovations in Brazil: the way forward. Lancet. 2011;377(9782):2042–2053. - PubMed
    1. Macinko J., Harris M.J. Brazil's family health strategy—delivering community-based primary care in a universal health system. N Engl J Med. 2015;372(23):2177–2181. - PubMed
    1. Dourado I., Medina M.G., Aquino R. The effect of the Family Health Strategy on usual source of care in Brazil: data from the 2013 National Health Survey (PNS 2013) Int J Equity Health. 2016;15(1):151. - PMC - PubMed
    1. Malta D.C., Stopa S.R., Pereira C.A., Szwarcwald C.L., Oliveira M., Reis A.C. Private Health Care Coverage in the Brazilian population, according to the 2013 Brazilian National Health Survey. Cien Saude Colet. 2017;22(1):179–190. - PubMed
    1. Paim J., Travassos C., Almeida C., Bahia L., Macinko J. The Brazilian health system: history, advances, and challenges. Lancet. 2011;377(9779):1778–1797. - PubMed