Determinants of quality of life in individuals with chronic low back pain: a systematic review

Tom, Aleena Agnus; Rajkumar, Eslavath; John, Romate; George, Allen Joshua

doi:10.1080/21642850.2021.2022487

Cited by 53 publications

(34 citation statements)

References 74 publications

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“…It is also evident that older adults with pain usually rate relatively lower life satisfaction due to various limiting factors including severe health and environmental problems [ 47 ]. Varying factors like kinesiophobia, fear avoidance belief, or pain belief; occupation-related factors; pain and disability; disease; activity; and lack of pain treatment also reduces the QoL among adults with pain [ 48 ]. As pain treatment is very limited in India and over one-fourth of middle-aged and older adults with pain do not use any medication [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Association of pain and quality of life among middle-aged and older adults of India

Goyal

Mohanty

2022

BMC Geriatr

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Background India is passing through a phase of demographic and epidemiological transition where ageing and chronic morbidities are being more common. Though studies have examined the prevalence and risk factors of pain and other chronic morbidities, nationally representative research examining the association of pain and quality of life (QoL) is limited in India. This study examines the association between pain and QoL among middle-aged and older adults in India. Methods This study uses the data from wave 1 of the Longitudinal Ageing Study in India (LASI) conducted in 2017-18. This study is restricted to 58,328 individuals from all states (except Sikkim), aged 45 years and above. The quality of life is measured in 6 domains (physical, psychological, social, environment, general health and life satisfaction) with 21 variables that range from 0 to 100. The principal component analysis was used to generate a composite score of QoL and the multiple linear regression was used to show the association between pain and quality of life. Results It is estimated that approximately 37% of Indian middle-aged and older populations were often troubled with pain. Pain prevalence increase with age and is more common among older adults aged 75 + years (43.37%; 95% CI, 40.95–45.80), and female (41.38%; 95% CI, 39.36–43.39). The average QoL score among those with pain was 81.6 compared to 85.2 among those without pain. QoL was lower among elderly age 75 and above, females, rural residents and illiterates. Controlling for socio-demographic factors, pain reduces the QoL by 2.57 points (β= −2.57; 95% CI, −3.02 - −2.11). Conclusion Pain reduces the quality of life among middle-aged adults and older adults in India. This evidence could potentially help the policymakers to consider pain as a significant determinant of quality of life in India.

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Section: Discussionmentioning

confidence: 99%

Association of pain and quality of life among middle-aged and older adults of India

Goyal

Mohanty

2022

BMC Geriatr

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“…In populations with persisting problems, among which survivors of infectious diseases, a decreased HRQoL is often reported ( 12 – 14 ). Persons with persisting pain for several months [i.e., the presence of chronic pain ( 15 )], such as patients with chronic low back and leg pain or patients with fibromyalgia, also suffer from a poor HRQoL ( 16 , 17 ). Due to the presence of pain, fatigue and dyspnea in COVID-19 infected persons, indicating symptoms that persist after the resolution of acute COVID-19 infection ( 18 ), it is our hypothesis that HRQoL of COVID-19 survivors will be in line with values reported by chronic pain patients.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life in persons post-COVID-19 infection in comparison to normative controls and chronic pain patients

Moens

Duarte

Smedt

et al. 2022

Front. Public Health

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The Coronavirus disease 2019 (COVID-19) pandemic exerted a tremendous pressure on the healthcare system, people's social life, mental health and financial status with profound implications for the general population. The exact impact of the pandemic on the overall physical, mental and social wellbeing of COVID-19 infection survivors on the long term has not yet been explored in a thorough way. Based on the reporting of persistent pain, fatigue and dyspnea symptoms by these survivors, it is our hypothesis that their quality of life will be extremely impacted, as is observed in patients with chronic pain. Therefore, the first aim of this study was to perform an in-depth evaluation of the quality of life of post-COVID-19 infected persons. The second aim was to compare the quality of life of these persons with a normative population and with patients with chronic pain. Health-related quality of life, as a measure for a person's overall physical, mental, and social wellbeing, was measured with the 3-level EQ5D in 547 post-COVID-19 infected persons. These data were compared to reference data from normal population records for Belgium and to data from patients with chronic pain after spinal surgery with two-way analyses of variance. In total, 89.58% of the post-COVID-19 infected persons reported pain/discomfort and 82.45% indicated limitations when performing usual activities, when evaluated 287 days (SD: 150) after the infection. Self-care was preserved in most post-COVID-19 persons, whereby only 13.16% indicated problems. The mean EQ5D-3L index score was 0.57 (SD: 0.23) and EQ5D VAS mean score was 56.6 (SD: 18.2). The mean index score for the normative population was significantly higher than for COVID-19 infected persons [mean difference of 0.31 (95% from 0.29 to 0.33), p < 0.01] while the mean score of chronic pain patients was significantly lower than the score of COVID-19 infected persons [mean difference of −0.31 (95% from −0.29 to −0.33), p < 0.01]. Compared to age-and sex adjusted reference data, health-related quality of life of persons with long COVID is severely impacted. In relation to patients with chronic pain after spinal surgery, the quality of life of post-COVID-19 infected persons seemed to be better.Clinical trial registrationhttps://www.clinicaltrials.gov/, identifier: NCT04912778.

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“…Patients with nonspecific LBP at low levels of physical activity had strong kinesiophobia [ 46 ]. Moreover, kinesiophobia was a determinant of HRQOL and pain [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Validation of a Model Predicting That Physical Activities Improve Health-Related Quality of Life in Older Japanese Adults with Pain, Dysesthesia, and Kinesiophobia after Lumbar Surgery: Structural Equation Modeling

Higuchi

Watanabe²,

Kondo³

et al. 2022

Pain Research and Management

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Objectives. This study assessed the validity of a hypothesized model predicting that physical activity improves health-related quality of life (HRQOL) in older Japanese adults with pain, dysesthesia, and kinesiophobia following lumbar surgery. Methods. We included 431 elderly patients who underwent surgery for lumbar spinal stenosis at two hospitals. The frequency of physical activity, pain, dysesthesia, kinesiophobia (somatic focus and activity avoidance), and HRQOL were investigated using a questionnaire. Missing values were complemented by the stochastic regression imputation. We constructed the following model. (i) physical activity affects pain, dysesthesia, and kinesiophobia. (ii) pain, dysesthesia, and kinesiophobia separately affect HRQOL. This hypothetical model was tested by structural equation modeling. The model was improved based on a modified index. Results. Of the 431 respondents, 297 (median age 72 years, range 65–91 years; 158 men and 139 women) were analyzed (68.9%). The fit of the model improved based on the modification index and was acceptable comparative fit index, 0.948; Tucker–Lewis index, 0.919; root mean square error of approximation, 0.048 (90% confidence interval, 0.026–0.069), and standardized root mean square residual (0.046). The paths by which physical activities reduced pain or dysesthesia (standardized pass coefficients, −0.406) and somatic focus (−0.301) and consequently improved HRQOL were significant (pain/dysesthesia, −0.684; somatic focus, −0.218). Discussion. Our hypothesized model predicting that physical activity improves HRQOL in terms of pain, dysesthesia, and kinesiophobia in older Japanese adults after lumbar surgery was validated using cross-sectional data. Interventional studies on physical activity based on this model are required to establish the model.

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Determinants of quality of life in individuals with chronic low back pain: a systematic review

Cited by 53 publications

References 74 publications

Association of pain and quality of life among middle-aged and older adults of India

Association of pain and quality of life among middle-aged and older adults of India

Health-related quality of life in persons post-COVID-19 infection in comparison to normative controls and chronic pain patients

Validation of a Model Predicting That Physical Activities Improve Health-Related Quality of Life in Older Japanese Adults with Pain, Dysesthesia, and Kinesiophobia after Lumbar Surgery: Structural Equation Modeling

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