Karin Verkerk1, Pim A J Luijsterburg, Martijn W Heymans, Inge Ronchetti, Annelies L Pool-Goudzwaard, Harald S Miedema, Bart W Koes. 1. K. Verkerk, PT, MSc, Institute of Healthcare, Rotterdam University of Applied Sciences, Rotterdam, the Netherlands; Spine & Joint Centre, Rotterdam, the Netherlands; and Department of General Practice, Erasmus MC, University Medical Center, Rotterdam, the Netherlands. Mailing address: Rochussenstraat 198, 3015 EK, Rotterdam, the Netherlands.
Abstract
BACKGROUND: Few data are available on the course of and predictors for disability in patients with chronic nonspecific low back pain (CNSLBP). OBJECTIVE: The purpose of this study was to describe the course of disability and identify clinically important prognostic factors of low-back-pain-specific disability in patients with CNSLBP receiving multidisciplinary therapy. DESIGN: A prospective cohort study was conducted. METHODS: A total of 1,760 patients with CNSLBP who received multidisciplinary therapy were evaluated for their course of disability and prognostic factors at baseline and at 2-, 5-, and 12-month follow-ups. Recovery was defined as 30% reduction in low back pain-specific disability at follow-up compared with baseline and as absolute recovery if the score on the Quebec Back Pain Disability Scale (QBPDS) was ≤20 points at follow-up. Potential prognostic factors were identified using multivariable logistic regression analysis. RESULTS: Mean patient-reported disability scores on the QBPDS ranged from 51.7 (SD=15.6) at baseline to 31.7 (SD=15.2), 31.1 (SD=18.2), and 29.1 (SD=20.0) at 2, 5, and 12 months, respectively. The prognostic factors identified for recovery at 5 and 12 months were younger age and high scores on disability and on the 36-Item Short-Form Health Survey (SF-36) (Physical and Mental Component Summaries) at baseline. In addition, at 5-month follow-up, a shorter duration of complaints was a positive predictor, and having no comorbidity and less pain at baseline were additional predictors at 12-month follow-up. LIMITATIONS: Missing values at 5- and 12-month follow-ups were 11.1% and 45.2%, respectively. CONCLUSION: After multidisciplinary treatment, the course of disability in patients with CNSLBP continued to decline over a 12-month period. At 5- and 12-month follow-ups, prognostic factors were identified for a clinically relevant decrease in disability scores on the QBPDS.
BACKGROUND: Few data are available on the course of and predictors for disability in patients with chronic nonspecific low back pain (CNSLBP). OBJECTIVE: The purpose of this study was to describe the course of disability and identify clinically important prognostic factors of low-back-pain-specific disability in patients with CNSLBP receiving multidisciplinary therapy. DESIGN: A prospective cohort study was conducted. METHODS: A total of 1,760 patients with CNSLBP who received multidisciplinary therapy were evaluated for their course of disability and prognostic factors at baseline and at 2-, 5-, and 12-month follow-ups. Recovery was defined as 30% reduction in low back pain-specific disability at follow-up compared with baseline and as absolute recovery if the score on the Quebec Back PainDisability Scale (QBPDS) was ≤20 points at follow-up. Potential prognostic factors were identified using multivariable logistic regression analysis. RESULTS: Mean patient-reported disability scores on the QBPDS ranged from 51.7 (SD=15.6) at baseline to 31.7 (SD=15.2), 31.1 (SD=18.2), and 29.1 (SD=20.0) at 2, 5, and 12 months, respectively. The prognostic factors identified for recovery at 5 and 12 months were younger age and high scores on disability and on the 36-Item Short-Form Health Survey (SF-36) (Physical and Mental Component Summaries) at baseline. In addition, at 5-month follow-up, a shorter duration of complaints was a positive predictor, and having no comorbidity and less pain at baseline were additional predictors at 12-month follow-up. LIMITATIONS: Missing values at 5- and 12-month follow-ups were 11.1% and 45.2%, respectively. CONCLUSION: After multidisciplinary treatment, the course of disability in patients with CNSLBP continued to decline over a 12-month period. At 5- and 12-month follow-ups, prognostic factors were identified for a clinically relevant decrease in disability scores on the QBPDS.
Authors: Jason M Beneciuk; Jonathan C Hill; Paul Campbell; Ebenezer Afolabi; Steven Z George; Kate M Dunn; Nadine E Foster Journal: J Pain Date: 2016-10-17 Impact factor: 5.820
Authors: Carolin Donath; Lisa Dorscht; Elmar Graessel; Reinhard Sittl; Christoph Schoen Journal: BMC Health Serv Res Date: 2015-07-17 Impact factor: 2.655
Authors: Mona L Martin; Steven I Blum; Hiltrud Liedgens; Donald M Bushnell; Kelly P McCarrier; Noël V Hatley; Abhilasha Ramasamy; Rainer Freynhagen; Mark Wallace; Charles Argoff; Mariёlle Eerdekens; Maurits Kok; Donald L Patrick Journal: Pain Date: 2018-06 Impact factor: 7.926
Authors: Elizabeth N Mutubuki; Mariette A Luitjens; Esther T Maas; Frank J P M Huygen; Raymond W J G Ostelo; Maurits W van Tulder; Johanna M van Dongen Journal: Eur J Pain Date: 2019-10-10 Impact factor: 3.931
Authors: Elena Tseli; Katja Boersma; Britt-Marie Stålnacke; Paul Enthoven; Björn Gerdle; Björn O Äng; Wilhelmus J A Grooten Journal: Clin J Pain Date: 2019-02 Impact factor: 3.442