Clinical Course in Patients Seeking Primary Care for Back or Neck Pain: A Prospective 5-Year Follow-Up of Outcome and Health Care Consumption with Subgroup Analysis

Abstract

In a cohort of individuals of working age seeking primary care for nonspecific back or neck pain, it can be expected that about half of the population will report pain and disability at the 5-year follow-up. A significant proportion will report recurrence or continual pain and health care consumption. Pain and disability were associated with recurrence or continual pain and health care consumption. Further analysis is needed to identify additional predictors for 5-year outcome, taking into account 1-year follow-up results. Since many patients will have recurrence or continual pain, health policies and clinical decision models for long-term outcome must allow for these aspects.

Musculoskeletal disorders among construction roofers—physical function and disability

“…The prevalence of musculoskeletal disorders among these roofers was consistent with the results of prior studies reporting a high rate of continuing symptoms after an episode of acute low-back pain in the general population (20)(21)(22)(23)(24), among workers with occupational low-back pain (22,25,26), and among construction workers with musculoskeletal disorders (27). Many workers with musculoskeletal disorders continue to work with pain (28)(29)(30) and report residual effects on work or daily living (28).…”

Effectiveness of an Instructional Program on Knowledge for Patients with Lumbar Disk Prolapse at Baghdad Teaching Hospitals

“…This result is in contrast with Nickel who reported that more than a half of his study sample having a previous disk surgery [15] . Concerning the previous admission to the hospital, the finding of this study reveals that the majority (60%) of the study group haven't hospital admission and (66.7%) for the control group haven't hospital admission, too.This study disagrees withEnthoven who reported that the patients with LDP are having more pain episodes that lead to hospital admission and try to find an extra health care [25] . For the variable of having symptoms of LDP lead to work absenteeism, the result of this study indicates that a (50%) of the study group don't have a governmental work, so they didn't have work absenteeism and (53.3%) of the control group having work absenteeism.…”

Impact of postpartum lumbopelvic pain on disability, pain intensity, health-related quality of life, activity level, kinesiophobia, and depressive symptoms

“…This suggests that in addition to the sensorydiscriminative components, affective-motivational and cognitive-evaluative components are included in the pain intensity estimation, indicating that postpartum lumbopelvic pain is a complex phenomenon [22]. Compared to patients seeking primary care for back pain, self-reported functioning of the women at 3 months postpartum was high, probably due to their young age and wide range in pain severity [7]. Three months after delivery, women classified with lumbar pain reported consequences similar to those of women with PGP and combined pain in terms of disability and pain.…”