What is the prognosis of back pain?

Hayden, Jill A.; Dunn, Kate M.; Windt, Daniëlle A. van der; Shaw, William S.

doi:10.1016/j.berh.2009.12.005

Cited by 193 publications

(144 citation statements)

References 68 publications

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“…Our recovery rate was 40%, which might seem poor, but it agrees with the available evidence for patients with chronic LBP [17]. Education was a prognostic factor, which means that the patients with education at the university level had a higher rate of recovery, than the patients with lower education.…”

Section: Discussionsupporting

confidence: 79%

Are Modic changes prognostic for recovery in a cohort of patients with non-specific low back pain?

et al. 2011

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Background There is evidence for an association between Modic type 1 and pain in patients with low back pain (LBP), but little knowledge about its effect on clinical outcomes. Purpose (1) To assess the prevalence of Modic changes, (2) to determine if Modic changes influence the clinical course of LBP, and (3) to identify prognostic factors for recovery. Study design/setting Prospective clinical cohort study, with a 1-year follow-up. The treatment consisted of brief intervention and instruction in stretching. Patient's sample Two hundred and sixty-nine patients with chronic low back pain. Outcome measures Socio-demographic variables, education, profession, self-reported measures, degenerative changes on MRI. Methods Linear growth model and Cox regression analysis.Results Five percent had a normal MRI, 14 and 50% had Modic 1 and Modic 2 changes. Modic changes were not significant covariates for the clinical course of pain, function or fear avoidance beliefs. Education was a strong prognostic factor for recovery. Conclusions Modic changes did not influence the clinical course of back pain and were not prognostic factors for recovery. Education was strongly associated with recovery.

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Section: Discussionsupporting

confidence: 79%

Are Modic changes prognostic for recovery in a cohort of patients with non-specific low back pain?

et al. 2011

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“…However, recurrences and flare-ups are common, and individuals with chronic LBP tend to show a more persistent course. 13 Thus, LBP is best viewed as a recurrent disorder that can occur anytime in a person's life and fluctuates between no/mild pain to debilitating pain. 12 Important prognostic factors are related to the back pain episode, individual and psychological characteristics, as well as the work and social environment.…”

Section: Back Pain-an Overviewmentioning

confidence: 99%

“…12 Important prognostic factors are related to the back pain episode, individual and psychological characteristics, as well as the work and social environment. 13 About 1 in 2 people who experience LBP seek health care during an episode.…”

Section: Back Pain-an Overviewmentioning

confidence: 99%

“…36,37,38 Specifically, 10 CPGs sponsored by 10 different international organizations during the past decade were compared and summarized in a recent text. 13 Both acute and chronic LBP complaints were represented, providing an overview of the best available evidence to inform clinical judgment. Although each new CPG may emphasize a distinct aspect of care or a specific subgroup, the collective recommendations have been largely consistent, with only minor changes throughout the years based on new evidence.…”

Section: Review Of Clinical Practice Guidelines For Low Back Painmentioning

confidence: 99%

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Conservative Spine Care: Opportunities to Improve the Quality and Value of Care

Kosloff

Elton

Shulman

et al. 2013

Population Health Management

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Low back pain (LBP) has received considerable attention from researchers and health care systems because of its substantial personal, social, work-related, and economic consequences. A narrative review was conducted summarizing data about the epidemiology, care seeking, and utilization patterns for LBP in the adult US population. Recommendations from a consensus of clinical practice guidelines were compared to findings about the current state of clinical practice for LBP. The impact of the first provider consulted on the quality and value of care was analyzed longitudinally across the continuum of episodes of care. The review concludes with a description of recently published evidence that has demonstrated that favorable health and economic outcomes can be achieved by incorporating evidence-informed decision criteria and guidance about entry into conservative low back care pathways. (Population Health Management 2013;16:390-396)

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“…Previous studies have identified factors associated with prognosis in chronic LBP [3][4][5][6]; however, the lack of quality studies means prognostic factors for chronic LBP remain unclear [7]. A large Australian cohort study [8] found previous sick leave due to LBP, high disability levels or high pain intensity at onset of chronicity, low levels of education, greater perceived risk of persistent pain, and being born outside Australia (immigrants) were associated with delayed recovery.…”

Section: Introductionmentioning

confidence: 99%

Prognosis of chronic low back pain in patients presenting to a private community-based group exercise program

et al. 2013

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Purpose To examine the prognosis and prognostic factors for patients with chronic low back pain presenting to a private, community-based, group exercise program. Methods A total of 118 consecutive patients with chronic LBP were recruited. Baseline assessments included sociodemographic characteristics, back pain history and clinical examination findings. Primary outcome measures were pain intensity and disability at 3, 6 and 12 months. Potential prognostic factors to predict pain intensity and disability at 12 months were assessed using a multivariate regression model. Results 112 (95 %) participants were followed up at 12 months. The majority of participants were female (73 %), had high educational levels (82 %) and resided in suburbs with a high socio-economic status (99 %). Pain intensity improved markedly during the first 6 months (35 %) with further minimal reductions up to 12 months (39 %). Interestingly, disability improved to a greater degree than pain (48 % improvement at 6 months) and continued to improve throughout the 12 months (60 %). Baseline pain intensity accounted for 10 % of the variance in the 1 year pain outcomes. Duration of current episode, baseline disability and educational level accounted for 15 % of the variation in disability at 12 months. Conclusions During a period of 12 months, patients with chronic LBP presenting to a private, community-based, group exercise program improved markedly, with greater improvements in disability than pain. The predictors investigated accounted for only 10 and 15 % of pain and disability outcomes, respectively.

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What is the prognosis of back pain?

Cited by 193 publications

References 68 publications

Are Modic changes prognostic for recovery in a cohort of patients with non-specific low back pain?

Are Modic changes prognostic for recovery in a cohort of patients with non-specific low back pain?

Conservative Spine Care: Opportunities to Improve the Quality and Value of Care

Prognosis of chronic low back pain in patients presenting to a private community-based group exercise program

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