A systematic review of the burden, epidemiology, costs and treatment of chronic low back pain

Police, R.; Zhao, Yinning; Russell, Mary Jo; Foster, Timothy P.

doi:10.1016/j.jpain.2009.01.024

Cited by 1 publication

(2 citation statements)

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“…The conceptual model, developed using the qualitative data from this study, illustrates the symptoms and everyday functional impacts associated with CLBP that are salient to those with this condition. This demonstrates the burden of CLBP on both the individual and society, which is supportive of existing research [ 2 – 5 ].…”

Section: Discussionsupporting

confidence: 84%

“…A 2015 systematic review of studies evaluating CLBP in adults reported that all studies showed an increasing prevalence of CLBP with age; the lowest prevalence rates were in the younger age group (aged 20 to 30 years) and rates increased to peak in those 50 to 60 years of age [ 1 ]. CLBP has a substantial burden on both the individual and society, with high levels of disability and physical function impairment, sick leave and work loss, greater health care utilization and treatment costs, and an increased risk of coronary events and other comorbidities all commonly reported [ 2 – 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Measuring the impact of chronic low back pain on everyday functioning: content validity of the Roland Morris disability questionnaire

Burbridge

Randall

Abraham

et al. 2020

J Patient Rep Outcomes

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Background: Robust outcome measures are needed to assess and monitor the impact of chronic low back pain (CLBP) on physical functioning. The Roland Morris Disability Questionnaire (RMDQ) is a well-established measure designed to capture the impacts of back pain on everyday functioning, with a particular emphasis on physical functioning. It has documented evaluation of psychometric properties. However, there is no documented qualitative evidence to confirm the content validity of the tool, nor have changes made for electronic administration been debriefed in participants with CLBP. Methods: In-depth, semi-structured, concept elicitation and cognitive debriefing interviews were conducted with 23 US participants with confirmed CLBP. Interviews allowed participants to describe the impact of CLBP on their day-today functioning and discuss comprehension and suitability of the RMDQ. Interviews were transcribed verbatim and analyzed using thematic analysis. Results: Concept elicitation and cognitive debriefing revealed the substantial burden associated with CLBP, highlighting 15 key areas of functional impact. These were grouped into overarching themes of mobility (walking, stairs, sitting/standing, bending/kneeling, lifting, lying down), activities (chores/housework, dressing, washing, driving, work) and other (relationships/ socializing, mood, sleep, appetite), which are consistent with those evaluated within the RMDQ. All participants found the RMDQ to be relevant with most reporting that the instructions, recall period, and response options were suitable. A few suggested minor changes, however, none were consistent or necessary to support content validity. Updates to the measure for electronic administration and to clarify the response options were well received. Conclusion: The qualitative data from individuals with CLBP confirmed that the RMDQ has content validity and, alongside documented psychometric evidence, supports the use of the RMDQ as a reliable and valid tool to assess the impact of CLBP on physical functioning.

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Section: Discussionsupporting

confidence: 84%