The clinical course of pain and function in older adults with a new primary care visit for back pain

Journal of the American Geriatrics Society
Sean D RundellJeffrey G Jarvik

Abstract

To report the clinical course of older adults presenting for a new primary care visit for back pain, no healthcare visit for back pain within the prior 6 months, by describing pain intensity, disability, pain interference, and resolution of back pain over 12 months. Prospective inception cohort study. Primary care settings of three integrated healthcare systems in the United States that participated in the Back pain Outcomes using Longitudinal Data (BOLD) registry. Five thousand two hundred eleven (99.5%) of the 5,239 adults aged 65 and older who had reached their 12-month follow-up date. Baseline demographic characteristics, EQ-5D score, duration of back pain, expectation for recovery, depression, and anxiety. Participant-reported outcomes of back-related disability (Roland Morris Disability Questionnaire), numerical pain rating scale, pain interference, and resolution of back pain were collected at baseline and 3, 6, and 12 months. Most improvement occurred within the first 3 months. The number and proportion with 30% improvement in back pain increased from 1,950 (42.3%) at 3 months to 1,994 (44.8%) by 12 months, and 1,331 (28.8%) and 1,576 (35.4%) had 30% improvement in disability at 3 and 12 months. Only 23.0% reported that...Continue Reading

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Citations

Mar 5, 2016·Journal of Clinical Epidemiology·Benjamin D SchaletDavid Cella
Oct 1, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Sean D RundellJeffrey G Jarvik
Oct 22, 2016·The Journal of Pain : Official Journal of the American Pain Society·Jason M BeneciukNadine E Foster
Sep 4, 2016·Archives of Physical Medicine and Rehabilitation·J Megan SionsGregory E Hicks
Apr 14, 2017·Gerontology & Geriatric Medicine·Laura S GoldJeffrey G Jarvik
Mar 31, 2018·Qualitative Health Research·Meredith Stensland, Sara Sanders
Nov 26, 2019·The Cochrane Database of Systematic Reviews·Jill A HaydenRachel Ogilvie
Sep 13, 2019·Applied Health Economics and Health Policy·Jenny ClelandJulie Ratcliffe
Feb 3, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Shirley MusichCharlotte S Yeh
Oct 26, 2018·Arthritis Care & Research·Michele MaiersGert Bronfort
Sep 11, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Debra K WeinerSubashan Perera
Dec 12, 2018·Journal of the American Geriatrics Society·Paulo Roberto Carvalho do NascimentoMartin Bilodeau
Feb 6, 2020·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Karen J ShermanJudith A Turner
Jul 15, 2020·International Journal of Environmental Research and Public Health·Ziyan LiAngel Tang
Jul 23, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Evan S MadillDebra K Weiner
Apr 7, 2018·Archives of Physical Medicine and Rehabilitation·Pradeep SuriDaniel C Cherkin
May 23, 2021·Archives of Orthopaedic and Trauma Surgery·Diogo Carvalho FelícioLeani S M Pereira
Jul 25, 2021·International Journal of Environmental Research and Public Health·Mohsen BazarganShahrzad Bazargan-Hejazi
Dec 12, 2017·Best Practice & Research. Clinical Rheumatology·Manuela L Ferreira, Katie de Luca

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