Using at least a Special Device for Metadata solves this. Official recommendation for PBS is still use SSDs. This has not changed. So this is more a less a self made problem for users using rotating disks. The design in PBS and its deduplication needs millions of files and short access times to them.
You know that this is not the reality. No one uses flash as the only Backup Medium, just because PBS suffers from bad technical design decisions. Even today it's just too expensive.