Quality of sleep in patients with chronic low back pain: a case-control study

Marty, Marc; Rozenberg, Sylvie; Duplan, B.; Thomas, Priya L.; Duquesnoy, B; Allaert, François-André

doi:10.1007/s00586-008-0660-7

Cited by 145 publications

(125 citation statements)

References 21 publications

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“…Using the sleep item from the Roland and Morris Disability Questionnaire ''I sleep less well because of my back'', we found that 58.9% (95% CI 56.4-60.7%) of the participants reported that their back pain disturbed their sleep. This is slightly higher than the prevalence rates reported in previous studies conducted in smaller more homogeneous samples where the rates ranged from 50 to 55% [7,11,20,21]. Given the effects of poor sleep, for example increased fatigue, daytime sleepiness and low mood [12], the presence of disturbed sleep is likely to lead to poor outcomes and to complicate the management of LBP.…”

Section: Discussionmentioning

confidence: 63%

“…Previous studies on low back pain and sleep disturbance were conducted on patients with persistent pain [7,19,20,22]. Our study is the first to consider sleep disturbance in patients with acute LBP.…”

Section: Discussionmentioning

confidence: 93%

“…LBP which lasts for more than 3 months [6]. There are several important consequences of LBP including work loss [7], disability and depression [8]. Considerable attention has been applied to understanding and managing these problems [9], often with limited success.…”

Section: Introductionmentioning

confidence: 99%

“…Other research suggests that improved sleep quality might reduce pain and daytime symptoms of patients with arthritis [16]. It is currently unclear how common sleep disturbance is for patients who are seeking care for their LBP, as estimates have been based on either highly selected groups of patients, such as the elderly or those attending specialist pain clinics [17][18][19], or small samples of chronic LBP patients [7,20,21]. These studies are likely to provide prevalence estimates that may not generalise to more heterogeneous samples of patients who are seeking care for their LBP.…”

Section: Introductionmentioning

confidence: 99%

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Erratum to: Prevalence of sleep disturbance in patients with low back pain

et al. 2011

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Erratum to: Prevalence of sleep disturbance in patients with low back pain

et al. 2011

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“…2 Chronic pain is associated with multiple negative effects, including mood disorders, 3 sleep impairment, 4 and decreased quality of life. 5 Despite the significance of chronic pain, patients report that their pain is undertreated, and many patients change physicians due to lack of satisfaction with their level of pain control.…”

mentioning

confidence: 99%

Teaching Chronic Pain in the Family Medicine Residency

Zoberi

Everard

2018

Fam Med

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Background and Objectives: Chronic pain is a significant condition affecting many Americans. Primary care physicians play an important role in chronic pain management, but many residents and physicians feel poorly prepared to manage it. Methods: Data were collected as part of the 2016 Council of Academic Family Medicine Educational Research Alliance (CERA) Program Director Survey, which was sent electronically to 484 program directors in the United States. The authors sought to determine whether residency directors’ attitudes about treating chronic pain were associated with the amount of time devoted to teaching family medicine residents about chronic pain assessment, therapy (use of opioids, use adjuvant pain medications, use of other nonopioids, use of nonpharmacological treatments), and risk management (risk assessment, use of pain management contracts, informed consent when prescribing opioids, and urine drug monitoring). Attitudes were assessed by asking whether: (1) chronic pain is best managed by a primary care physician (PCP); (2) prescribing opioid medications is time consuming; (3) prescribing opioids is high-risk; (4) prescribing opioids contributes to opioid misuse; and (4) effective nonopioid treatments exist. An additional question assessed confidence in treating chronic pain. Results: The response rate was 53%. The average family medicine residency devotes about 33 hours to education about pain management topics including 5.4 hours on chronic pain assessment, 16.2 hours on therapy, and 11.4 hours on risk assessment. Residency directors’ belief that there are effective nonopioid treatments for chronic pain was the only attitude item that was associated with teaching about chronic pain. Conclusions: Residency directors’ attitudes do not predict the time devoted to teaching chronic pain in family medicine residencies.

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Epidemiology of Chronic Low Back Pain in US Adults: Data From the 2009–2010 National Health and Nutrition Examination Survey

Shmagel

Foley

Ibrahim

2016

Arthritis Care & Research

345

206

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Objective To describe epidemiologic characteristics and associations with increased healthcare utilization in US adults with chronic low back pain (cLBP). Methods NHANES back pain survey 2009–2010, administered to adults aged 20–69 (N = 5103). cLBP was defined as pain in the area between the lower posterior margin of the ribcage and the horizontal gluteal fold, with a history of pain lasting almost every day for at least 3 months. Demographic and behavioral characteristics were compared between those with cLBP and without. Factors, associated with ≥10 healthcare visits/year were evaluated in the cLBP subgroup (N=700). Results cLBP associations with adjusted odds ratios (aORs) ≥2 included age 50–69, education less than high school, annual household income <$20 000, income from disability, depression, sleep disturbances, and medical comorbidities. Subjects with cLBP were more likely to be covered by government-sponsored insurance plans: aOR 3.23 ([95% CI] 2.19–4.75) for Medicaid, aOR 2.25 (1.57–3.22) for Medicare (p < 0.0001), and visited healthcare providers more frequently: aOR 3.35 (2.40–4.67) for ≥10 healthcare visits in the past year (p < 0.0001). In the cLBP subgroup aORs ≥2 were found for associations between ≥10 visits per year and unemployment, income from disability, depression, and sleep disturbances. Conclusion US adults with cLBP are socioeconomically disadvantaged, make frequent healthcare visits and are often covered by government-sponsored health insurance. The clustering of behavioral, psychosocial, and medical issues should be considered in the care of Americans with cLBP.

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Quality of sleep in patients with chronic low back pain: a case-control study

Cited by 145 publications

References 21 publications

Erratum to: Prevalence of sleep disturbance in patients with low back pain

Erratum to: Prevalence of sleep disturbance in patients with low back pain

Teaching Chronic Pain in the Family Medicine Residency

Epidemiology of Chronic Low Back Pain in US Adults: Data From the 2009–2010 National Health and Nutrition Examination Survey

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