Predictive factors for 1-year and 5-year outcome for disability in a working population of patients with low back pain treated in primary care

Pain
Paul EnthovenBirgitta Oberg

Abstract

Many patients seeking primary care for low back pain continue to report disability several years after their initial visit. The aims of this study were to assess the independent predictive value of a number of potential predictive factors for disability at the 1-year and 5-year follow-ups, and to examine whether prediction models were improved by replacing baseline health-state-related variables with corresponding variables after treatment. A further aim was to describe possible differences between those on sick leave, early retirement or disability pension, and those who were not. Baseline factors were age, gender, self-reported physical-activity-related and work-related factors, expectations of treatment, similar problems previously, duration of episode, more than one localization, sick leave, pain frequency, disability, and well-being. The study sample comprised 148 participants in a previous randomized trial who were eligible for sick-leave benefits. Multiple logistic regression was used to identify predictive factors. At the 5-year follow-up, 37% (n=19/52) of the patients with disability were on sick leave or were receiving early retirement or disability pension. For those without disability the corresponding figure was 9%...Continue Reading

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Citations

Feb 23, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jenny SjödahlBirgitta Öberg
Jun 27, 2008·Journal of Behavioral Medicine·Robert R Edwards
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Sep 18, 2007·Journal of Epidemiology and Community Health·Mika KivimäkiKristina Alexanderson
Jan 1, 2008·The Journal of Manual & Manipulative Therapy·Mark J HancockJane Latimer
Jul 25, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Marko WahlmanMarko H Neva
Dec 26, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Pieter H HelmhoutRob A de Bie
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