Table 2.
England national and subnational estimates for MSK health indicators based on application of final models
| MSK consultersa aged 35+ years |
Low back pain consulters aged 35+ years |
Shoulder pain consulters aged 35+ years |
|||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MSK health indicator | % with high impact chronic pain | Mean MSK-HQ score (0–56) |
Mean EQ-5D-5L score (−0.224 to 1) |
% with moderate- to-severe chronic back pain | % with moderate- to-severe chronic shoulder pain | ||||||||||
| Year | 2014/15 | 2015/16 | 2016/17 | 2014/15 | 2015/16 | 2016/17 | 2014/15 | 2015/16 | 2016/17 | 2014/15 | 2015/16 | 2016/17 | 2014/15 | 2015/16 | 2016/17 |
| Overall (crude) | 33.3 | 32.1 | 31.9 | 33.5 (7.8) | 33.7 (7.9) | 33.8 (8.0) | 0.60 (0.15) | 0.62 (0.15) | 0.66 (0.14) | 27.4 | 25.8 | 26.0 | 29.7 | 27.4 | 27.8 |
| Men | 31.6 | 30.6 | 30.4 | 34.5 (7.9) | 34.6 (8.0) | 34.8 (8.0) | 0.62 (0.14) | 0.63 (0.15) | 0.67 (0.14) | 25.9 | 24.0 | 24.4 | 28.1 | 25.8 | 26.6 |
| Women | 34.6 | 33.2 | 33.0 | 32.8 (7.7) | 33.0 (7.8) | 33.2 (7.9) | 0.59 (0.15) | 0.61 (0.15) | 0.66 (0.15) | 28.5 | 27.0 | 27.2 | 31.0 | 28.6 | 28.7 |
| Age Group | |||||||||||||||
| 35–44 years | 30.2 | 30.0 | 29.2 | 32.9 (8.0) | 32.8 (8.1) | 33.1 (8.2) | 0.64 (0.15) | 0.64 (0.15) | 0.73 (0.13) | 27.4 | 26.5 | 25.7 | 25.5 | 23.9 | 23.8 |
| 45–54 years | 29.4 | 28.9 | 28.9 | 34.0 (8.2) | 34.2 (8.2) | 34.1 (8.4) | 0.65 (0.15) | 0.65 (0.15) | 0.72 (0.14) | 25.9 | 24.6 | 25.5 | 26.2 | 24.2 | 24.1 |
| 55–64 years | 30.2 | 28.8 | 28.9 | 34.6 (8.1) | 34.8 (8.2) | 34.9 (8.3) | 0.64 (0.14) | 0.65 (0.15) | 0.71 (0.14) | 26.4 | 24.6 | 25.1 | 28.7 | 26.5 | 27.4 |
| 65–74 years | 33.5 | 32.2 | 32.2 | 33.9 (7.7) | 34.1 (7.7) | 34.2 (7.8) | 0.61 (0.14) | 0.62 (0.14) | 0.68 (0.14) | 26.9 | 25.1 | 25.6 | 31.6 | 29.3 | 30.2 |
| 75–84 years | 39.7 | 37.8 | 37.8 | 32.1 (7.0) | 32.3 (7.0) | 32.5 (7.2) | 0.57 (0.14) | 0.57 (0.14) | 0.64 (0.14) | 30.0 | 27.9 | 27.3 | 34.8 | 31.1 | 31.7 |
| 85+ years | 45.5 | 44.1 | 44.5 | 30.4 (6.2) | 30.3 (6.3) | 30.3 (6.2) | 0.50 (0.14) | 0.51 (0.13) | 0.58 (0.14) | 33.4 | 31.3 | 32.2 | 31.7 | 31.0 | 30.1 |
| Index of multiple deprivation | |||||||||||||||
| Quintile 1 (most) | 42.9 | 42.2 | 41.4 | 28.4 (6.4) | 28.3 (6.5) | 28.6 (6.6) | 0.54 (0.15) | 0.52 (0.14) | 0.62 (0.15) | 37.5 | 35.7 | 36.3 | 33.3 | 30.7 | 30.5 |
| Quintile 2 | 33.3 | 32.5 | 32.0 | 32.3 (7.3) | 32.3 (7.3) | 32.4 (7.3) | 0.59 (0.14) | 0.60 (0.14) | 0.68 (0.14) | 23.3 | 22.1 | 21.7 | 29.7 | 29.0 | 29.6 |
| Quintile 3 | 36.4 | 35.2 | 35.1 | 33.2 (7.4) | 33.4 (7.4) | 33.3 (7.5) | 0.60 (0.14) | 0.61 (0.14) | 0.68 (0.14) | 27.7 | 26.9 | 26.7 | 30.1 | 27.9 | 28.5 |
| Quintile 4 | 31.2 | 29.9 | 30.2 | 34.6 (7.6) | 34.7 (7.6) | 34.7 (7.6) | 0.64 (0.14) | 0.64 (0.14) | 0.70 (0.14) | 25.9 | 23.9 | 24.4 | 28.8 | 26.0 | 27.7 |
| Quintile 5 (least) | 27.4 | 26.6 | 27.1 | 36.5 (7.8) | 36.4 (7.9) | 36.4 (7.9) | 0.69 (0.14) | 0.67 (0.14) | 0.72 (0.13) | 24.8 | 23.2 | 23.3 | 28.1 | 25.7 | 25.4 |
| Region | |||||||||||||||
| North East | 37.6 | 35.5 | 39.8 | 31.7 (7.5) | 31.9 (7.1) | 30.6 (7.4) | 0.58 (0.15) | 0.59 (0.14) | 0.65 (0.16) | 31.6 | 30.3 | 38.5 | 31.1 | 31.2 | 39.3 |
| North West | 36.2 | 34.8 | 34.0 | 31.9 (7.5) | 32.1 (7.6) | 32.4 (7.7) | 0.59 (0.14) | 0.59 (0.15) | 0.68 (0.14) | 30.0 | 28.2 | 26.6 | 31.3 | 27.8 | 27.3 |
| Yorkshire and Humber | 36.8 | 32.8 | 30.9 | 31.8 (7.4) | 32.8 (7.7) | 33.4 (7.7) | 0.59 (0.14) | 0.61 (0.14) | 0.71 (0.14) | 28.3 | 23.2 | 23.9 | 32.3 | 29.2 | 26.2 |
| East Midlands | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| West Midlands | 33.5 | 32.8 | 33.2 | 33.5 (7.7) | 33.2 (7.8) | 33.2 (7.7) | 0.62 (0.15) | 0.64 (0.15) | 0.68 (0.14) | 28.3 | 27.9 | 28.5 | 30.9 | 28.5 | 29.0 |
| East of England | 31.3 | 30.0 | 30.5 | 34.5 (7.8) | 34.9 (8.0) | 34.5 (8.2) | 0.63 (0.15) | 0.61 (0.15) | 0.70 (0.14) | 27.1 | 24.9 | 24.3 | 30.4 | 28.1 | 28.6 |
| South West | 35.7 | 34.4 | 35.2 | 32.7 (7.8) | 32.9 (7.8) | 32.5 (7.9) | 0.60 (0.15) | 0.61 (0.15) | 0.68 (0.15) | 29.6 | 28.6 | 29.5 | 31.1 | 29.4 | 31.1 |
| South Central | 31.6 | 30.5 | 29.4 | 34.5 (7.9) | 34.7 (7.9) | 35.3 (8.0) | 0.63 (0.14) | 0.64 (0.15) | 0.70 (0.14) | 25.9 | 24.0 | 25.1 | 29.2 | 26.4 | 28.7 |
| London | 31.8 | 30.8 | 30.8 | 33.8 (8.0) | 33.8 (8.0) | 33.9 (8.1) | 0.62 (0.14) | 0.62 (0.15) | 0.69 (0.15) | 25.9 | 24.4 | 24.3 | 27.9 | 26.1 | 24.8 |
| South East Coast | 32.0 | 31.4 | 31.1 | 34.2 (8.0) | 34.1 (7.9) | 34.4 (8.0) | 0.63 (0.14) | 0.63 (0.15) | 0.70 (0.14) | 25.1 | 24.3 | 24.7 | 27.3 | 26.6 | 26.6 |
Data source: Clinical Practice Research Datalink (CPRD). Covariates were defined using 5-year look back period. aDefined as non-specific, non-inflammatory low back pain, neck pain, shoulder pain, hand/wrist pain, hip pain, knee pain, or osteoarthritis. EQ-5D-5L: EuroQoL 5 dimensions, 5-level version; MSK: musculoskeletal; MSK-HQ: Musculoskeletal Health Questionnaire.