scholarly journals The impact of psychological factors on condition-specific, generic and individualized patient reported outcomes in low back pain

2017 ◽  
Vol 15 (1) ◽  
Author(s):  
Ida Løchting ◽  
Andrew M. Garratt ◽  
Kjersti Storheim ◽  
Erik L. Werner ◽  
Margreth Grotle
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Psychological Factors ◽  
Patient Reported Outcomes ◽  
Low Back ◽  
Patient Reported ◽  
The Impact

scholarly journals Pharmacological target therapy of neuropathic pain and patient-reported outcomes in patients with chronic low back pain in Korea

Medicine ◽  
2018 ◽  
Vol 97 (35) ◽  
pp. e11919
Author(s):  
Jae Taek Hong ◽  
Jin-Hwan Kim ◽  
Keun-Su Kim ◽  
Chong-Suh Lee ◽  
Hyun-Chul Shin ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Patient Reported Outcomes ◽  
Target Therapy ◽  
Low Back ◽  
Patient Reported ◽  
Pharmacological Target

scholarly journals Prevalence of Neuropathic Pain and Patient-Reported Outcomes in Korean Adults with Chronic Low Back Pain Resulting from Neuropathic Low Back Pain

2017 ◽  
Vol 11 (6) ◽  
pp. 917-927 ◽  
Author(s):  
Jin-Hwan Kim ◽  
Jae Taek Hong ◽  
Chong-Suh Lee ◽  
Keun-Su Kim ◽  
Kyung-Soo Suk ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Linear Regression ◽  
Chronic Low Back Pain ◽  
Patient Reported Outcomes ◽  
Functional Disability ◽  
Low Back ◽  
Patient Reported ◽  
Eq Vas

<sec><title>Study Design</title><p>A noninterventional, multicenter, cross-sectional study.</p></sec><sec><title>Purpose</title><p>We investigated the prevalence of neuropathic pain (NP) and patient-reported outcomes (PROs) of the quality of life (QoL) and functional disability in Korean adults with chronic low back pain (CLBP).</p></sec><sec><title>Overview of Literature</title><p>Among patients with CLBP, 20%–55% had NP.</p></sec><sec><title>Methods</title><p>Patients older than 20 years with CLBP lasting for longer than three months, with a visual analog scale (VAS) pain score higher than four, and with pain medications being used for at least four weeks before enrollment were recruited from 27 general hospitals between December 2014 and May 2015. Medical chart reviews were performed to collect demographic/clinical features and diagnosis of NP (douleur neuropathique 4, DN4). The QoL (EuroQoL 5-dimension, EQ-5D; EQ-VAS) and functional disability (Quebec Back Pain Disability Scale, QBPDS) were determined through patient surveys. Multiple linear regression analyses were performed to compare PROs between the NP (DN4≥4) and non-NP (DN4&lt;4) groups.</p></sec><sec><title>Results</title><p>A total of 1,200 patients (females: 65.7%; mean age: 63.4±13.0 years) were enrolled. The mean scores of EQ-5D, EQ-VAS, and QBPDS were 0.5±0.3, 55.7±19.4, and 40.4±21.1, respectively. Among all patients, 492 (41.0%; 95% confidence interval, 38.2%–43.8%) suffered from NP. The prevalence of NP was higher in male patients (46.8%; <italic>p</italic>&lt;0.01), in patients who had pain based on radiological and neurological findings (59.0%; <italic>p</italic>&lt;0.01), and in patients who had severe pain (49.0%; <italic>p</italic>&lt;0.01). There were significant mean differences in EQ-5D (NP group vs. non-NP group: 0.4±0.3 vs. 0.5±0.3; <italic>p</italic>&lt;0.01) and QBPDS (NP group vs. non-NP group: 45.8±21.2 vs. 36.3±20.2; <italic>p</italic>&lt;0.01) scores. In the multiple linear regression, patients with NP showed lower EQ-5D (β=−0.1; <italic>p</italic>&lt;0.01) and higher QBPDS (β=7.0; <italic>p</italic>&lt;0.01) scores than those without NP.</p></sec><sec><title>Conclusions</title><p>NP was highly prevalent in Korean patients with CLBP. Patients with CLBP having NP had a lower QoL and more severe dysfunction than those without NP. To enhance the QoL and functional status of patients with CLBP, this study highlights the importance of appropriately diagnosing and treating NP.</p></sec>

scholarly journals “Keep it simple”: Perspectives of patients with low back pain on how to qualify a patient‐centred consultation using patient‐reported outcomes

2019 ◽  
Vol 17 (4) ◽  
pp. 313-326
Author(s):  
Charlotte Ibsen ◽  
Berit Schiøttz‐Christensen ◽  
Thomas Maribo ◽  
Claus Vinther Nielsen ◽  
Mogens Hørder ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Patient Reported Outcomes ◽  
Low Back ◽  
Patient Reported

Effect of a Waiting Room Communication Strategy on Imaging Rates and Awareness of Public Health Messages for Low Back Pain

2021 ◽  
Author(s):  
Sweekriti Sharma ◽  
Adrian C Traeger ◽  
Elise Tcharkhedian ◽  
Paul M Middleton ◽  
Louise Cullen ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Patient Satisfaction ◽  
Back Pain ◽  
Patient Reported Outcomes ◽  
Communication Strategies ◽  
Communication Strategy ◽  
Low Back ◽  
Waiting Room ◽  
Patient Reported ◽  
Campaign Messages

Abstract Background Few studies have investigated the effects of waiting room communication strategies on healthcare behavior. We aimed to determine the effect of a waiting room communication strategy, designed to raise awareness of potential harms of unnecessary imaging, on lumbar imaging rates in the Emergency Department (ED). Methods We conducted a controlled experimental study with BABA or ‘replicated time series’ design. Design included a 6-week run-in time. Following this there were alternating one-week intervention and control periods. The intervention group received a communication strategy describing the potential harms of unnecessary imaging for low back pain, shown on the same 55” screen as the standard messaging. The communication strategy was designed by a creative innovation agency and included five digital posters and a patient leaflet. The control group received standard messaging for the waiting room at the time, shown on a 55” LCD screen, and the patient leaflet. The primary outcome was the number and proportion of people presenting to ED with low back pain who received at least one lumbar imaging test, measured using routinely collected ED data. Secondary patient-reported outcomes (patient satisfaction, awarenesss of campaign messages) were collected from a sample of people presenting for any condition who responded to a text message-based survey. Results For the imaging outcome, 337 people presenting to ED with low back pain were included over a 4-month period (intervention n= 99; control n= 238). All had available data on lumbar imaging. Use of lumbar imaging was 25% in those exposed to the communication strategy (95% CI= 18% to 35%) compared with 29% in those exposed to the standard waiting room messaging (95% CI= 23% to 35%) (OR= 0.83; 95% CI= 0.49 to 1.41). For the patient-reported outcomes, 349 patients presenting to ED for any condition responded to the survey (intervention n=170; control n=179; response rate =33%). There was uncertain evidence that the intervention increased awareness of the communication strategy leaflet (OR= 2.00, 95% CI= 0.90 to 4.47). Other measures did not suggest between-group differences in patient satisfaction or awareness of the campaign messages. Conclusion A communication strategy displayed in the emergency department waiting room may slightly reduce the proportion of patients with low back pain who receive lumbar imaging; though there is uncertainty due to imprecision. The campaign did not appear to increase awareness of campaign messages or affect patient satisfaction in a sample of patients presenting to the ED for any reason. Larger studies should investigate whether simple, low-cost waiting room communication strategies can raise awareness of unnecessary healthcare and influence healthcare quality. Trial registration : ACTRN12620000300976, 05/03/2020

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