Racial and ethnic differences in the use of lumbar imaging, opioid analgesics and spinal surgery for low back pain: A systematic review and meta‐analysis

There is a substantial gap between evidence and clinical care for low back pain (LBP) worldwide despite recommendations of best practice specified in clinical practice guidelines. The aim of this systematic review was to identify disparities associated with race or ethnicity in the use of lumbar imaging, opioid analgesics, and spinal surgery in people with LBP.

[1]  A. Vakkuri,et al.  Postoperative pain as a risk factor for stiff knee following total knee arthroplasty and excellent patientreported outcomes after manipulation under anesthesia , 2022, Acta orthopaedica.

[2]  Eleanor Dunham,et al.  Racial disparities in opioid administration and prescribing in the emergency department for pain. , 2022, The American journal of emergency medicine.

[3]  A. Narayan,et al.  Patient Race or Ethnicity and the Use of Diagnostic Imaging: A Systematic Review. , 2022, Journal of the American College of Radiology : JACR.

[4]  E. Seifritz,et al.  Impact of language proficiency on mental health service use, treatment and outcomes: "Lost in Translation". , 2022, Comprehensive psychiatry.

[5]  Romina Brignardello-Petersenb,et al.  GRADE Guidance 34: update on rating imprecision using a minimally contextualized approach , 2022 .

[6]  Peter Tugwell,et al.  PRISMA 2020. , 2021, Journal of clinical epidemiology.

[7]  E. Mayo-Wilson,et al.  The PRISMA 2020 statement: an updated guideline for reporting systematic reviews , 2021, BMJ.

[8]  J. Amoyaw,et al.  Impacts of English language proficiency on healthcare access, use, and outcomes among immigrants: a qualitative study , 2021, BMC Health Services Research.

[9]  J. Licciardone Demographic Characteristics Associated With Utilization of Noninvasive Treatments for Chronic Low Back Pain and Related Clinical Outcomes During the COVID-19 Pandemic in the United States. , 2021, Journal of the American Board of Family Medicine : JABFM.

[10]  A. Gholamrezanezhad,et al.  Patient Race/Ethnicity and Diagnostic Imaging Utilization in the Emergency Department: A Systematic Review. , 2020, Journal of the American College of Radiology : JACR.

[11]  R. J. Yong,et al.  Racial and Ethnic Disparities in the Treatment of Chronic Pain. , 2020, Pain medicine.

[12]  M. Moradi-Lakeh,et al.  Health-care access and utilization among individuals with low back pain in Iran: a WHO-ILAR COPCORD study , 2020, BMC Health Services Research.

[13]  K. Jones,et al.  Trends in Internal Medicine Faculty by Sex and Race/Ethnicity, 1980-2018 , 2020, JAMA network open.

[14]  S. Anderson,et al.  Clinician-Patient Racial/Ethnic Concordance Influences Racial/Ethnic Minority Pain: Evidence from Simulated Clinical Interactions. , 2020, Pain medicine.

[15]  C. Cook,et al.  Harms and benefits of opioids for management of non-surgical acute and chronic low back pain: a systematic review , 2020, British Journal of Sports Medicine.

[16]  Andrew C. Meltzer,et al.  Racial and ethnic disparities in the management of acute pain in US emergency departments: Meta-analysis and systematic review. , 2019, The American journal of emergency medicine.

[17]  Mindy M. Ma,et al.  The Impact of Patient-Provider Race/Ethnicity Concordance on Provider Visits: Updated Evidence from the Medical Expenditure Panel Survey , 2019, Journal of Racial and Ethnic Health Disparities.

[18]  R. Edwards,et al.  Racial and ethnic differences in the experience and treatment of noncancer pain. , 2019, Pain management.

[19]  Dan P. Ly Racial and Ethnic Disparities in the Evaluation and Management of Pain in the Outpatient Setting, 2006–2015 , 2019, Pain medicine.

[20]  R. Buchbinder,et al.  Lumbar spine fusion: what is the evidence? , 2018, Internal medicine journal.

[21]  D. Harvie,et al.  Low back pain: Can we mitigate the inadvertent psycho-behavioural harms of spinal imaging? , 2018, Australian journal of general practice.

[22]  D. Chiriboga,et al.  Preference for patient–provider ethnic concordance in Asian Americans , 2018, Ethnicity & health.

[23]  B. Koes,et al.  Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview , 2018, European Spine Journal.

[24]  R. Horton,et al.  Low back pain: a major global challenge , 2018, The Lancet.

[25]  Martin Underwood,et al.  Prevention and treatment of low back pain: evidence, challenges, and promising directions , 2018, The Lancet.

[26]  Martin Underwood,et al.  What low back pain is and why we need to pay attention , 2018, The Lancet.

[27]  Imam M. Xierali,et al.  The Racial and Ethnic Composition and Distribution of Primary Care Physicians , 2018, Journal of health care for the poor and underserved.

[28]  Sean D. Rundell,et al.  Associations of Race and Ethnicity With Patient-Reported Outcomes and Health Care Utilization Among Older Adults Initiating a New Episode of Care for Back Pain , 2017, Spine.

[29]  M. Smuck,et al.  Stagnant Physical Therapy Referral Rates Alongside Rising Opioid Prescription Rates in Patients With Low Back Pain in the United States 1997–2010 , 2017, Spine.

[30]  D. Hoaglin,et al.  Meta-Analysis of Odds Ratios: Current Good Practices , 2017, Medical care.

[31]  Emily B. Peterson,et al.  The Effects of Race and Racial Concordance on Patient-Physician Communication: A Systematic Review of the Literature , 2017, Journal of Racial and Ethnic Health Disparities.

[32]  Gerardo Moreno,et al.  Predictors of Primary Care Physician Practice Location in Underserved Urban or Rural Areas in the United States: A Systematic Literature Review , 2016, Academic medicine : journal of the Association of American Medical Colleges.

[33]  J. Dusek,et al.  Complementary and integrative healthcare for patients with mechanical low back pain in a U.S. hospital setting. , 2016, Complementary therapies in medicine.

[34]  E. Carragee,et al.  Surgical versus non-surgical treatment for lumbar spinal stenosis. , 2016, The Cochrane database of systematic reviews.

[35]  P. Dalawari,et al.  Racial Differences in Opiate Administration for Pain Relief at an Academic Emergency Department , 2015, The western journal of emergency medicine.

[36]  A. Starkweather,et al.  Low back pain. , 2015, Nursing.

[37]  G. Lippi,et al.  Emergency physician's perception of cultural and linguistic barriers in immigrant care: results of a multiple-choice questionnaire in a large Italian urban emergency department. , 2015, World journal of emergency medicine.

[38]  M. Smuck,et al.  Trends in Ambulatory Physician Opioid Prescription in the United States, 1997‐2009 , 2014, PM & R : the journal of injury, function, and rehabilitation.

[39]  Roger B. Davis,et al.  Worsening trends in the management and treatment of back pain. , 2013, JAMA internal medicine.

[40]  J. Fisher,et al.  Under-represented minorities in emergency medicine. , 2013, The Journal of emergency medicine.

[41]  Julie Clark,et al.  Do ethnic differences still exist in pain assessment and treatment in the emergency department? , 2012, Pain management nursing : official journal of the American Society of Pain Management Nurses.

[42]  R. Edwards,et al.  Ethnic differences in pain and pain management. , 2012, Pain management.

[43]  M. Robinson,et al.  The perception of pain in others: how gender, race, and age influence pain expectations. , 2011, The journal of pain : official journal of the American Pain Society.

[44]  Gerald Gartlehner,et al.  [GRADE guidelines: 7. Rating the quality of evidence - inconsistency]. , 2012, Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen.

[45]  R. Chou,et al.  Appropriate use of diagnostic imaging in low back pain: a reminder that unnecessary imaging may do as much harm as good. , 2011, The Journal of orthopaedic and sports physical therapy.

[46]  Ann K. Boulis,et al.  Racial disparity in analgesic treatment for ED patients with abdominal or back pain. , 2011, The American journal of emergency medicine.

[47]  L. Ji,et al.  The influence of ethnic concordance and discordance on verbal reports and nonverbal behaviours of pain , 2011, PAIN.

[48]  J. Katz,et al.  Medical decision-making among Hispanics and non-Hispanic Whites with chronic back and knee pain: A qualitative study , 2011, BMC musculoskeletal disorders.

[49]  Howard Balshem,et al.  GRADE guidelines: 3. Rating the quality of evidence. , 2011, Journal of clinical epidemiology.

[50]  G. Guyatt,et al.  GRADE guidelines: 4. Rating the quality of evidence--study limitations (risk of bias). , 2011, Journal of clinical epidemiology.

[51]  G. Guyatt,et al.  GRADE guidelines: a new series of articles in the Journal of Clinical Epidemiology. , 2011, Journal of clinical epidemiology.

[52]  F. Shofer,et al.  Knowledge and attitudes of emergency department patients regarding radiation risk of CT: Effects of age, sex, race, education, insurance, body mass index, pain, and seriousness of illness. , 2010, AJR. American journal of roentgenology.

[53]  J. Freburger,et al.  Race, care seeking, and utilization for chronic back and neck pain: population perspectives. , 2010, The journal of pain : official journal of the American Pain Society.

[54]  K. Anderson,et al.  Racial and ethnic disparities in pain: causes and consequences of unequal care. , 2009, The journal of pain : official journal of the American Pain Society.

[55]  S. Temkin,et al.  Race in ovarian cancer treatment and survival: a systematic review with meta-analysis , 2009, Cancer Causes & Control.

[56]  S. Saha,et al.  Patient race and physicians' decisions to prescribe opioids for chronic low back pain. , 2008, Social science & medicine.

[57]  M. Pletcher,et al.  Trends in opioid prescribing by race/ethnicity for patients seeking care in US emergency departments. , 2008, JAMA.

[58]  M. Heisler,et al.  Racial and Ethnic Disparities in the Treatment of Cerebrovascular Diseases: Importance to the Practicing Neurosurgeon , 2008, Neurocritical care.

[59]  J. Higgins,et al.  Tools for assessing quality and susceptibility to bias in observational studies in epidemiology: a systematic review and annotated bibliography. , 2007, International journal of epidemiology.

[60]  Diane C. Calleson,et al.  When race matters: disagreement in pain perception between patients and their physicians in primary care. , 2007, Journal of the National Medical Association.

[61]  K. Grumbach,et al.  Effects of limited English proficiency and physician language on health care comprehension , 2005, Journal of General Internal Medicine.

[62]  Kathleen B. Egan,et al.  Factors associated with early opioid prescription among workers with low back injuries. , 2006, The journal of pain : official journal of the American Pain Society.

[63]  R. Serlin,et al.  Racial and ethnic disparities in pain management in the United States. , 2006, Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing.

[64]  Janet Kaye Heins,et al.  Disparities in analgesia and opioid prescribing practices for patients with musculoskeletal pain in the emergency department. , 2006, Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.

[65]  N. Hadler,et al.  Race differences in diagnosis and surgery for occupational low back injuries. , 2005, Spine.

[66]  T. Albert,et al.  Differences in the Work-Up and Treatment of Conditions Associated With Low Back Pain by Patient Gender and Ethnic Background , 2005, Spine.

[67]  D. Baker,et al.  Racial and ethnic disparities in emergency department analgesic prescription. , 2003, American journal of public health.

[68]  T. Carey,et al.  The Relation of Race to Outcomes and the Use of Health Care Services for Acute Low Back Pain , 2003, Spine.

[69]  L. Kazis,et al.  Racial Differences in the Use of Lumbar Spine Radiographs: Results From the Veterans Health Study , 2001, Spine.

[70]  L. Kazis,et al.  Patient Characteristics and Patterns of Use for Lumbar Spine Radiographs: Results from the Veterans Health Study , 2000, Spine.

[71]  K. Todd,et al.  Ethnicity and analgesic practice. , 2000, Annals of emergency medicine.