Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis

Background: Patellofemoral pain is considered one of the most common forms of knee pain, affecting adults, adolescents, and physically active populations. Inconsistencies in reported incidence and prevalence exist and in relation to the allocation of healthcare and research funding, there is a clear...

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Main Authors: Smith, Benjamin E., Selfe, James, Thacker, Damian, Hendrick, Paul, Bateman, Marcus, Moffatt, Fiona, Rathleff, Michael Skovdal, Smith, Toby O., Logan, Pip
Format: Article
Published: Public Library of Science 2018
Online Access:https://eprints.nottingham.ac.uk/48931/
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author Smith, Benjamin E.
Selfe, James
Thacker, Damian
Hendrick, Paul
Bateman, Marcus
Moffatt, Fiona
Rathleff, Michael Skovdal
Smith, Toby O.
Logan, Pip
author_facet Smith, Benjamin E.
Selfe, James
Thacker, Damian
Hendrick, Paul
Bateman, Marcus
Moffatt, Fiona
Rathleff, Michael Skovdal
Smith, Toby O.
Logan, Pip
author_sort Smith, Benjamin E.
building Nottingham Research Data Repository
collection Online Access
description Background: Patellofemoral pain is considered one of the most common forms of knee pain, affecting adults, adolescents, and physically active populations. Inconsistencies in reported incidence and prevalence exist and in relation to the allocation of healthcare and research funding, there is a clear need to accurately understand the epidemiology of patellofemoral pain. Methods: An electronic database search was conducted, as well as grey literature databases, from inception to June 2017. Two authors independently selected studies, extracted data and appraised methodological quality. If heterogeneous, data were analysed descriptively. Where studies were homogeneous, data were pooled through a meta-analysis. Results: 23 studies were included. Annual prevalence for patellofemoral pain in the general population was reported as 22.7%, and adolescents as 28.9%. Incidence rates in military recruits ranged from 9.7 – 571.4/1,000 person-years, amateur runners in the general population at 1080.5/1,000 person-years and adolescents amateur athletes 5.1% - 14.9% over 1 season. One study reported point prevalence within military populations as 13.5%. The pooled estimate for point prevalence in adolescents was 7.2% (95% Confidence Interval: 6.3% - 8.3%), and in female only adolescent athletes was 22.7% (95% Confidence Interval 17.4% - 28.0%). Conclusion: This review demonstrates high incidence and prevalence levels for patellofemoral pain. Within the context of this, and poor long term prognosis and high disability levels, PFP should be an urgent research priority.
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spelling nottingham-489312020-05-04T19:26:25Z https://eprints.nottingham.ac.uk/48931/ Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis Smith, Benjamin E. Selfe, James Thacker, Damian Hendrick, Paul Bateman, Marcus Moffatt, Fiona Rathleff, Michael Skovdal Smith, Toby O. Logan, Pip Background: Patellofemoral pain is considered one of the most common forms of knee pain, affecting adults, adolescents, and physically active populations. Inconsistencies in reported incidence and prevalence exist and in relation to the allocation of healthcare and research funding, there is a clear need to accurately understand the epidemiology of patellofemoral pain. Methods: An electronic database search was conducted, as well as grey literature databases, from inception to June 2017. Two authors independently selected studies, extracted data and appraised methodological quality. If heterogeneous, data were analysed descriptively. Where studies were homogeneous, data were pooled through a meta-analysis. Results: 23 studies were included. Annual prevalence for patellofemoral pain in the general population was reported as 22.7%, and adolescents as 28.9%. Incidence rates in military recruits ranged from 9.7 – 571.4/1,000 person-years, amateur runners in the general population at 1080.5/1,000 person-years and adolescents amateur athletes 5.1% - 14.9% over 1 season. One study reported point prevalence within military populations as 13.5%. The pooled estimate for point prevalence in adolescents was 7.2% (95% Confidence Interval: 6.3% - 8.3%), and in female only adolescent athletes was 22.7% (95% Confidence Interval 17.4% - 28.0%). Conclusion: This review demonstrates high incidence and prevalence levels for patellofemoral pain. Within the context of this, and poor long term prognosis and high disability levels, PFP should be an urgent research priority. Public Library of Science 2018-01-11 Article PeerReviewed Smith, Benjamin E., Selfe, James, Thacker, Damian, Hendrick, Paul, Bateman, Marcus, Moffatt, Fiona, Rathleff, Michael Skovdal, Smith, Toby O. and Logan, Pip (2018) Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis. PLoS ONE, 13 (1). e0190892. ISSN 1932-6203 http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0190892 doi:10.1371/journal.pone.0190892 doi:10.1371/journal.pone.0190892
spellingShingle Smith, Benjamin E.
Selfe, James
Thacker, Damian
Hendrick, Paul
Bateman, Marcus
Moffatt, Fiona
Rathleff, Michael Skovdal
Smith, Toby O.
Logan, Pip
Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis
title Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis
title_full Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis
title_fullStr Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis
title_full_unstemmed Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis
title_short Incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis
title_sort incidence and prevalence of patellofemoral pain: a systematic review and meta-analysis
url https://eprints.nottingham.ac.uk/48931/
https://eprints.nottingham.ac.uk/48931/
https://eprints.nottingham.ac.uk/48931/