Can We Screen for Problematic Back Pain? A Screening Questionnaire for Predicting Outcome in Acute and Subacute Back Pain

Linton, Steven J.; Halldén, Karin

doi:10.1097/00002508-199809000-00007

Cited by 530 publications

(392 citation statements)

References 15 publications

Supporting

Mentioning

367

Contrasting

Unclassified

Order By: Relevance

“…This is in line with previous studies [7]. High FABQ-W is identified as a predictor for future sick listing or disability in patients with acute and sub-acute LBP [37].…”

Section: Discussionsupporting

confidence: 92%

Predictors of outcome after surgery with disc prosthesis and rehabilitation in patients with chronic low back pain and degenerative disc: 2-year follow-up

et al. 2012

View full text Add to dashboard Cite

Purpose A prospective study to evaluate whether certain baseline characteristics can predict outcome in patients treated with disc prosthesis or multidisciplinary rehabilitation. Methods Secondary analysis of 154 patients with chronic low back pain (LBP) for at least 1 year and degenerative discs originally recruited for a randomized trial. Outcome measures were Oswestry Disability Index (ODI) dichotomized to \ or C15 points improvement and whether subjects were working at 2-year follow-up. A multiple logistic regression analysis was used. Results In patients treated with disc prosthesis, long duration of LBP and high Fear-Avoidance Beliefs for work (FABQ-W) predicted worse ODI outcome [odds ratio (OR) = 1.9, 95% confidence interval (CI) 1.2-3.2 and OR = 1.7, CI 1.2-2.4 for every 5 years or 5 points]. Modic type I or II predicted better ODI outcome (OR = 5.3, CI

show abstract

“…This is in line with previous studies [7]. High FABQ-W is identified as a predictor for future sick listing or disability in patients with acute and sub-acute LBP [37].…”

Section: Discussionsupporting

confidence: 92%

Predictors of outcome after surgery with disc prosthesis and rehabilitation in patients with chronic low back pain and degenerative disc: 2-year follow-up

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Also, some prospective studies suggest that fear-avoidance beliefs and pain catastrophizing are precursors of pain-related disability rather than consequences (Burton, Tillotson, Main, & Hollis, 1995;Klenerman et al, 1995;Linton, Buer, Vlaeyen, & Hellsing, 2000;Linton & Hallden, 1998). Overall, the results of these studies are consistent with the fear-avoidance model developed by Vlaeyen, Kole Snijders, Boeren, and van Eek (1995), which suggests that pain catastrophizing and fear of movement or (re)injury foster the development of chronic pain problems.…”

supporting

confidence: 69%

Pain Catastrophizing Is Associated With Health Indices in Musculoskeletal Pain: A Cross-Sectional Study in the Dutch Community.

Severeijns¹,

Hout²,

Picavet³

2004

Health Psychology

View full text Add to dashboard Cite

Cross-sectional associations were examined between pain catastrophizing and several health indices in 1,164 people with musculoskeletal pain from a Dutch community sample. Health indices included in the present study were specialist consultation, use of medication, and absenteeism or work disability. The results demonstrate that for people with a current episode of musculoskeletal pain, pain catastrophizing, pain intensity, and the presence of multiple pain locations were significantly associated with specialist consultation, use of pain medication, and absenteeism or work disability. The authors conclude that the role of pain itself has perhaps been underestimated in recent models of chronic pain-related disability. Some clinical implications and suggestions for further research are given.

show abstract

“…The idea of focusing on basic, relevant information is not new. With regard to predicting chronicity in LBP patients, the Swedish Örebro Musculoskeletal Pain Screening Questionnaire by Linton and Hallden has already proved the importance of using few specific items [22]. Likewise, in this study, we demonstrate that anticipating biopsychosocial therapeutic success can be derived from asking specifically selected questions.…”

Section: Discussionsupporting

confidence: 59%

Effects of multidisciplinary pain treatment can be predicted without elaborate questionnaires

Fischer

Neubauer

Adams

et al. 2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose Low back pain is one of the most common and expensive diseases of Western societies. Psychosocial factors such as low social status, depression, or work dissatisfaction are known to promote chronicity of low back pain. With a multidisciplinary approach, better outcomes can be achieved than with purely biomedical treatment. Optimal patient selection for multidisciplinary therapy reduces costs and labour. This study investigated whether elaborated questionnaires exceed simple items in predicting multimodal therapy success. Methods In this prospective longitudinal clinical study, 330 patients were followed up for six months after multidisciplinary therapy. We applied the patient questionnaire Heidelberg Short Early Risk Assessment Questionnaire for the Prediction of Chronicity in Low Back Pain (HKF-R10) that is approved and established for predicting chronicity in patients with acute low back pain to forecast the therapeutic outcome. Outcome criteria were QOL, pain reduction and back to work. Results With regard to outcome criteria, the HKF-R10 was unable to anticipate therapeutic success, but education level, depression, best pain condition, and helplessness predicted therapy success with an 80 % probability for QOL improvement. Conclusions It is not necessary to confront patients with an extensive and complicated questionnaire to predict the outcome of multidisciplinary therapy. In fact, assessing a few specific items allows better and easier prognosis estimation.

show abstract

Can We Screen for Problematic Back Pain? A Screening Questionnaire for Predicting Outcome in Acute and Subacute Back Pain

Abstract: Potent psychosocial risk factors associated with future sick absenteeism were identified. Because the total score was related to outcome, the instrument may have use in screening patients with acute or subacute spinal pain in clinical situations.

Cited by 530 publications

References 15 publications

Predictors of outcome after surgery with disc prosthesis and rehabilitation in patients with chronic low back pain and degenerative disc: 2-year follow-up

Predictors of outcome after surgery with disc prosthesis and rehabilitation in patients with chronic low back pain and degenerative disc: 2-year follow-up

Pain Catastrophizing Is Associated With Health Indices in Musculoskeletal Pain: A Cross-Sectional Study in the Dutch Community.

Effects of multidisciplinary pain treatment can be predicted without elaborate questionnaires

Contact Info

Product

Resources

About