Prognostic factors associated with low back pain outcomes.
INTRODUCTION: An improved understanding of prognostic factors associated with low back pain (LBP) outcomes will refine expectations for patients, clinicians and funders alike and improve allocation of health resources to treat the condition. AIM: To establish the link between a range of clinical and...
| Publicado en: | Journal of Primary Health Care Vol. 6; no. 1; pp. 23 - 31 |
|---|---|
| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
CSIRO Publishing
Mar2014
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107893126&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107893126 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11726164 92I9 jtl: Journal of Primary Health Care issn: 11726164 maglogo: N pubinfo: dt: Mar2014 vid: 6 iid: 1 pid: 1568 pub: CSIRO Publishing place: Canberra ACT, <Blank> artinfo: ui: 107893126 94894484 10.1071/hc14023 NLM24624408 107893126 ppf: 23 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Prognostic factors associated with low back pain outcomes. aug: au: Gregg, Chris D. McIntosh, Greg Hall, Hamilton Hoffman, Chris W. affil: Back Institute, New Zealand sug: subj: Low Back Pain Prognosis Treatment Outcomes Evaluation Patient Assessment Evaluation Human Retrospective Design Nonexperimental Studies Multiple Logistic Regression Record Review Odds Ratio Adult Middle Age Male Female Low Back Pain Therapy Employment Status Questionnaires Descriptive Statistics Confidence Intervals P-Value ROC Curve Aged Functional Status Job Re-Entry Evaluation Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: INTRODUCTION: An improved understanding of prognostic factors associated with low back pain (LBP) outcomes will refine expectations for patients, clinicians and funders alike and improve allocation of health resources to treat the condition. AIM: To establish the link between a range of clinical and sociodemographic prognostic variables for LBP against three separate, clinically relevant outcome measures. METHODS: This was a retrospective, non-experimental study of 1076 consecutive LBP cases treated during a three-year period. Multivariate logistic regression analysis was used to determine the association between potential prognostic variables and outcome measures: clinically relevant reduction in pain, improvement in perceived function, and successful return to work six months after rehabilitation. RESULTS: Patients with clinically relevant improvements in LBP were more likely to have a shorter duration of pain (odds ratio [OR] 1.89), lower baseline pain (OR 1.19), a directional preference for extension activities (OR 1.45) and a history of spine surgery (OR 1.38). Clinically relevant gains in perceived function were observed in patients who were younger (OR 0.98) or those with shorter symptom duration (OR 1.74). Prognostic variables associated with a successful return to work included being female (OR 1.79), having a job available (OR 2.36), intermittent pain (OR 1.48) or a directional preference for extension activities (OR 1.78). DISCUSSION: This study demonstrated that there are a variety of prognostic variables to consider when determining outcome for an individual with LBP. The relative importance of each variable may differ depending on the outcome measured. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|