Author/Editor		Turk, Zmago
Title		Socialnomedicinski vidiki bolečine v križu
Type		članek
Source		Rehabilitacija
Vol. and No.		Letnik 4, št. 3-4
Publication year		2005
Volume		str. 9-12
Language		slo
Abstract		There are still a lot of contraversions of low back pain lumbar syndrome (LS) in modern medicine. Lumbar syndrome has specific socio-medical characteristics. Its incidence is 80% and it represents 42% of all chronic diseases. In almost 32% of all retirements, lumbar syndrome is quoted as a reason. In average, in active population absence of work attendance 28.6 days per year is due to low back pain. Lumbar syndrome seems to be the most expensive disease. In United States of America in the year 1997, they have spent 25 milliards dollars for treatments of LS, in Netherlands 1.7% of GNP (gross national product), in Great Britain 100 million pounds per year. Most of the patients with LS are treated in conventional medical institutions (outpatient's clinics). However, on the other hand, there is an increase of using the unconventional methods for treatments of LS patients. In Slovenia, LS represents 60% of all musculoskeletal diseases. In the year 1997, 2.828.999 working days have been lost due to the musculoskeletal diseases and in average, patients with low back pain absented 37 working days per year. In conclusion, the importance of socio-economical issue is brought to the attention, suggesting that low back pain is not only a problem of health system but the problem which reflects as well an economic situation of the society. In a lot of LS cases, crises of economic, moral and social situation is hidden.
Summary		Bolečina v križu - lumbalni sindrom (LS) predstavlja še vedno tudi v sodobni medicini veliko nedorečenost. V članku je poudarjena psihogena komponenta bolečine v križu in karakteristične posebnosti bolnika s kronično bolečino v križu. Lumbalni sindrom ima po sebne značilnosti, ki ga loči od vseh drugih sociomedicinskih karakteristik 20. stoletja. Življenjska incidenca lumbalnega sindroma je pri 80% ljudi, predstavlja 42 % vseh kroničnih bolezni, absentizem zaradi lumbalnega sindroma je povsod po svetu med 40 in 60%, lumbalni sindrom je prisoten pri 32 % vseh inva lidskih upokojitev, v povprečju izostane aktivno prebivalstvo 28,6 dneva letno zaradi bolečine v križu iz delovnega procesa. Z ergonomskega pogleda je LS najdražja bolezen, saj so v ZDA leta 1997 porabili 25 milijard dolarjev, v Holandiji 1,7 % bruto narodnega dohodka namenjenega za zdravstvo, v Angliji 100 milijonov funtov. Bolniki z LS se zdravijo v večini primerov v zdravstvenih službah, narašča pa uporaba ekonvencionalnih metod, ki jih izvajajo razni »zdravilci«. Tudi v Sloveniji LS zavzema 60% vseh pokazateljev pri v vseh epidemioloških študijah s področja bolezni gibal. V letu 1997 smo v Sloveniji izgubili 2.828.999 delovnih dni zaradi bolezni gibal, bolniki z bolečinami v križu so v Sloveniji odsotni povprečno 37 delovnih dni letno. Znotraj LS se pogosto skrivajo vse krize ekonomske, moralne ali družbene situacije določenega dela prebivalstva.
Descriptors		LOW BACK PAIN SOCIOECONOMIC FACTORS HEALTH CARE COSTS PREVALENCE