We read with interest the Lancet Series on low back pain1,2 outlining the causes, consequences, and challenges associated with low back pain. However, the authors might have collectively missed a valuable opportunity to acknowledge the emerging link between chronic pain, accelerated cognitive decline, and dementia given that there are over 46 million people worldwide living with dementia at a cost of US$818 billion, with the number of people projected to almost double every 20 years.3 Dementia is, after all, Britain's single biggest killer.
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