Development of a screening tool predicting the transition from acute to chronic low back pain for patients in a GP setting: Protocol of a multinational prospective cohort study

Melloh, Markus; Aebli, Nikolaus; Röder, Christoph; Zweig, Thomas; Barz, Thomas; Herbison, Peter; Hendrick, Paul; Bajracharya, Suraj; Stout, Kirsten; Theis, Jean‐Claude

doi:10.1186/1471-2474-9-167

Cited by 19 publications

(13 citation statements)

References 84 publications

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“…To optimise the decision-making process of physicians these factors should be included in future screening instruments for the identification of prognostic factors at an early stage. Furthermore, psychological and occupational factors should be part of a minimum core set in future prospective studies as referred to in an ongoing study of the authors' looking into predictors of the transition from acute to chronic LBP, including the impact of different health care systems [13].…”

Section: Discussionmentioning

confidence: 99%

Identification of prognostic factors for chronicity in patients with low back pain: a review of screening instruments

Melloh

Elfering

Presland

et al. 2009

International Orthopaedics (SICOT)

122

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Low back pain (LBP) is currently the most prevalent and costly musculoskeletal problem in modern societies. Screening instruments for the identification of prognostic factors in LBP may help to identify patients with an unfavourable outcome. In this systematic review screening instruments published between 1970 and 2007 were identified by a literature search. Nine different instruments were analysed and their different items grouped into ten structures. Finally, the predictive effectiveness of these structures was examined for the dependent variables including "work status", "functional limitation", and "pain". The strongest predictors for "work status" were psychosocial and occupational structures, whereas for "functional limitation" and "pain" psychological structures were dominating. Psychological and occupational factors show a high reliability for the prognosis of patients with LBP. Screening instruments for the identification of prognostic factors in patients with LBP should include these factors as a minimum core set.Résumé La lombalgie (LBP) est un problème important notamment sur le poste des dépenses dans nos sociétés modernes. Sur le plan évolutif, il est primordial de pouvoir dépister des facteurs pronostics négatifs de ces patients. entre 1970 et 2007, un certain nombre d'éléments permettant cette analyse ont été identifiés dans la littérature. Ces instruments d'analyse nous semblent importants de façon à déterminer la limitation fonctionnelle, les possibilités de travail et la douleur.

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Section: Discussionmentioning

confidence: 99%

Identification of prognostic factors for chronicity in patients with low back pain: a review of screening instruments

Melloh

Elfering

Presland

et al. 2009

International Orthopaedics (SICOT)

122

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“…Recurrent LBP was defined according to Stanton et al as LBP with a minimum of 30 painfree days between the last two LBP episodes and a pain score on the Visual Analogue Scale (VAS) higher than 20 out of a maximum of 100 points 22) . The protocol of our study has been published previously 20) .…”

Section: Methodsmentioning

confidence: 99%

“…We performed a prospective cohort study investigating 310 patients presenting to a health practitioner with a new episode of acute/ subacute LBP, or with recurrent LBP 20) . Our study was conducted according to the recommendations of the Declaration of Helsinki (2008) and was approved by the local Lower South Regional Ethics Committee (LRS/08/03/008).…”

Section: Methodsmentioning

confidence: 99%

Predictors of Sickness Absence in Patients with a New Episode of Low Back Pain in Primary Care

et al. 2012

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This study examines predictors of sickness absence in patients presenting to a health practitioner with acute/ subacute low back pain (LBP). Aims of this study were to identify baselinevariables that detect patients with a new LBP episode at risk of sickness absence and to identify prognostic models for sickness absence at different time points after initial presentation. Prospective cohort study investigating 310 patients presenting to a health practitioner with a new episode of LBP at baseline, three-, six-, twelve-week and six-month follow-up, addressing work-related, psychological and biomedical factors. Multivariate logistic regression analysis was performed to identify baseline-predictors of sickness absence at different time points. Prognostic models comprised 'job control', 'depression' and 'functional limitation' as predictive baseline-factors of sickness absence at three and six-week follow-up with 'job control' being the best single predictor (OR 0.47; 95%CI 0.26-0.87). The six-week model explained 47% of variance of sickness absence at six-week follow-up (p<0.001). The prediction of sickness absence beyond six-weeks is limited, and health practitioners should re-assess patients at six weeks, especially if they have previously been identified as at risk of sickness absence. This would allow timely intervention with measures designed to reduce the likelihood of prolonged sickness absence.

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“…These factors, mainly psychological and occupational, have proved more reliable as predictors of chronic low back pain. These indicators, identified by Melloh et al (2008) 27 ( Figure 1) should be taken into account by professional therapists and clinicians working with these patients and include them as areas that should be involved in the treatment plan.…”

Section: Identifiers In Acute Chronic Low Back Painmentioning

confidence: 99%

Physiotherapy Treatment on Chronic Non Specific Low Back Pain

Cuesta-Vargas¹,

Gónzalez-Sánchez²,

Manzanares³

et al. 2012

Low Back Pain

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Development of a screening tool predicting the transition from acute to chronic low back pain for patients in a GP setting: Protocol of a multinational prospective cohort study

Cited by 19 publications

References 84 publications

Identification of prognostic factors for chronicity in patients with low back pain: a review of screening instruments

Identification of prognostic factors for chronicity in patients with low back pain: a review of screening instruments

Predictors of Sickness Absence in Patients with a New Episode of Low Back Pain in Primary Care

Physiotherapy Treatment on Chronic Non Specific Low Back Pain

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