Prognosis and course of pain in patients with chronic non-specific low back pain: A 1-year follow-up cohort study

2015 ◽  
Vol 19 (8) ◽  
pp. 1101-1110 ◽  
Author(s):  
K. Verkerk ◽  
P.A.J. Luijsterburg ◽  
M.W. Heymans ◽  
I. Ronchetti ◽  
A.L. Pool-Goudzwaard ◽  
...  
Keyword(s):  
Cohort Study ◽  
Low Back Pain ◽  
Back Pain ◽  
Low Back

scholarly journals Prognosis and Course of Disability in Patients With Chronic Nonspecific Low Back Pain: A 5- and 12-Month Follow-up Cohort Study

2013 ◽  
Vol 93 (12) ◽  
pp. 1603-1614 ◽  
Author(s):  
Karin Verkerk ◽  
Pim A.J. Luijsterburg ◽  
Martijn W. Heymans ◽  
Inge Ronchetti ◽  
Annelies L. Pool-Goudzwaard ◽  
...  
Keyword(s):  
Cohort Study ◽  
Low Back Pain ◽  
Prognostic Factors ◽  
Back Pain ◽  
Short Form ◽  
Low Back ◽  
Multidisciplinary Therapy ◽  
Patient Reported ◽  
Specific Disability

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.

scholarly journals Prognosis and course of work-participation in patients with chronic non-specific low back pain: A 12-month follow-up cohort study

2015 ◽  
Vol 47 (9) ◽  
pp. 854-859 ◽  
Author(s):  
K Verkerk ◽  
P Luijsterburg ◽  
A Pool-Goudzwaard ◽  
M Heymans ◽  
I Ronchetti ◽  
...  
Keyword(s):  
Cohort Study ◽  
Low Back Pain ◽  
Back Pain ◽  
Work Participation ◽  
Low Back

scholarly journals The added prognostic value of MRI findings for recovery in patients with low back pain in primary care: a 1-year follow-up cohort study

2016 ◽  
Vol 25 (4) ◽  
pp. 1234-1241 ◽  
Author(s):  
Evelien I. T. de Schepper ◽  
Bart W. Koes ◽  
Edwin H. G. Oei ◽  
Sita M. A. Bierma-Zeinstra ◽  
Pim A. J. Luijsterburg
Keyword(s):  
Primary Care ◽  
Cohort Study ◽  
Low Back Pain ◽  
Back Pain ◽  
Prognostic Value ◽  
Low Back ◽  
Mri Findings

Identifying prognostic factors to determine the level of recovery in servicemembers with chronic low back pain: a prospective cohort study.

2020 ◽  
Author(s):  
Bianca Maria Pietertje Mourits ◽  
Mariette Zwanette Meulekamp ◽  
Peter van der Wurff ◽  
Cees Lucas
Keyword(s):  
Cohort Study ◽  
Low Back Pain ◽  
Prognostic Factors ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Rehabilitation Program ◽  
Service Members ◽  
Low Back ◽  
Regression Analyses

Abstract Background In the Dutch Armed Forces (DAF), low back pain is the third most reported musculoskeletal disorder. For the prognosis of chronic low back pain (CLBP) only limited evidence is available. This observation results in a lack of clarity on prognostic factors that might affect recovery from CLBP in service members.The main objective is to identify general and military-related factors that are associated with the level of recovery in DAF service members with CLBP who followed a rehabilitation program. Methods One hundred five consecutive service members with CLBP who completed the rehabilitation program have been included in this prospective observational cohort study. The primary outcome measurement, level of disability, was used to distinguish a recovered and non-recovered group. Level of pain and self-perceived recovery were used as secondary outcome measurements. Disability and pain were measured at baseline and 12 weeks follow-up and self-perceived recovery only at follow-up. Differences were evaluated within and between the groups using the Student’s t-test, according to the normality of the data distribution. Bivariate logistic regression analyses were used for identifying the prognostic factors related to various outcomes of recovery. Results After following the rehabilitation program, 64.8% of the service members recovered from CLBP. In the recovered group, there are significant effect sizes of -6.72 (CI: -7.57 - -5.87) in the level of disability and − 2.58 (CI: -3.17- -1.98) in level of pain, whereas the non-recovered group shows a non-significant effect size of -0.49 (CI: -1.27 - -0.29) in level of disability and a significant effect size of -0.94 (CI: -1.62 - -0.25) in level of pain. The self-perceived recovery in the recovered group is on average “much improved” and in the non-recovered group “slightly improved”. The results of the bivariate regression analyses show no significant independent prognostic factors related to recovery. Conclusion In this study, no significant independent prognostic factors could be identified that are associated to the various outcomes of recovery in service members with CLBP who followed a rehabilitation program.

scholarly journals Individual courses of low back pain in adult Danes: a cohort study with 4-year and 8-year follow-up

2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Per Kjaer ◽  
Lars Korsholm ◽  
Charlotte Leboeuf-Yde ◽  
Lise Hestbaek ◽  
Tom Bendix
Keyword(s):  
Cohort Study ◽  
Low Back Pain ◽  
Back Pain ◽  
Low Back
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