Prognosis and course of work-participation in patients with chronic non-specific low back pain: A 12-month follow-up cohort study

Verkerk, Karin; Luijsterburg, Pim A J; Pool-Goudzwaard, Annelies; Heymans, Martijn W.; Ronchetti, Inge; Miedema, Harald S.; Koes, Bart W.

doi:10.2340/16501977-2006

Cited by 8 publications

(6 citation statements)

References 33 publications

(44 reference statements)

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“…The mean age of the participants was 44 years, and the cohort included a slightly higher percentage of women than men. These characteristics were in accordance with other studies [4,9,38,39], indicating that the population we studied is representative of a Norwegian population with CLBP. People with CLBP are assumed to have a poor prognosis concerning return to work (RTW) [40].…”

Section: Discussionsupporting

confidence: 92%

Do Patients with Chronic Low Back Pain Experiencepain Reduction and Functional Improvement Aftertreatment at a Multidisciplinary Outpatient Clinic?

Anja

Aina

Marit

et al. 2017

International Journal of Physiotherapy

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Background: Low back pain is the most common affliction of the musculoskeletal system. Patients with chronic low back pain cost the society great expenses in treatments and other social benefits; however, the effects of interventions are discussed. The purpose of this study was to determine whether patients with chronic low back pain experience pain reduction and functional improvement after treatment at a multidisciplinary outpatient clinic.Methods: A prospective study design was used, including 446 patients who participated in follow-up questionnaires with data collection at 6 and 12 months after treatment. The primary outcome was alterations in pain and function.Result: By 12 months after treatment, 71.3 % of the included patients had completed the follow-up questionnaires. Based on these questionnaires, we identified statistically significant changes from baseline at all end points, with clinically significant changes in approximately half of the participants (p = 0.000). Conclusion:Treatment of chronic low back pain at a multidisciplinary outpatient clinic resulted in clinically significant pain reduction and functional improvement within 12 months for approximately half of affected patients.

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Section: Discussionsupporting

confidence: 92%

Do Patients with Chronic Low Back Pain Experiencepain Reduction and Functional Improvement Aftertreatment at a Multidisciplinary Outpatient Clinic?

Anja

Aina

Marit

et al. 2017

International Journal of Physiotherapy

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“…However, there was a steady increase in the number of patients who recovered their work capability during the follow-up, which confirmed the program’s long-term benefits. Although research has shown that return-to-work interventions are most successful when administered to patients whose incapability to work was shorter [37], this factor was not found to significantly affect return to work in our population.…”

Section: Discussionmentioning

confidence: 68%

Recovering the capability to work among patients with chronic low Back pain after a four-week, multidisciplinary biopsychosocial rehabilitation program: 18-month follow-up study

Ibrahim

Weber

Courvoisier

et al. 2019

BMC Musculoskelet Disord

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Background Chronic low back pain (LBP) is a leading cause of disability worldwide. Biopsychosocial rehabilitation programs have been advocated for its management, especially since the widespread acceptance of the biopsychosocial model of chronic pain. Despite extensive evidence of its short-term benefits, few studies have reported on its long-term effect and more specifically on indirect outcomes such as return to work and quality of life (QoL). The present study evaluated the long-term effect of a multidisciplinary biopsychosocial rehabilitation (MBR) program for patients with chronic LBP, for which short- and intermediate-term efficacy had been established, with an emphasis on recovering work capability. Methods This prospective cohort study enrolled 201 patients on a four-week MBR program incorporating physical and occupational therapies and psychological counselling. Assessments occurred at program admission and discharge and at 6 and 18 months. Work capability, Oswestry Disability Index, Tampa Scale for Kinesiophobia, Core Outcome Measures Index (COMI), and Hospital Anxiety and Depression Scale were assessed. Multiple mixed models were used to detect changes in each outcome. Logistic regressions were calculated to identify predictors of recovery of work capability. Results Of the 201 patients who fulfilled the eligibility criteria, 160 (79.8%) attended the discharge assessment, 127 (63.2%) attended the 6-month follow-up, and 107 (53.3%) continued to the 18-month follow-up. Initially, 128 patients (71.5%) had been on sick leave. At 6 and 18 months, 72 (56.7%) and 84 (78.5%) participants had recovered their work capability, respectively. There were significant improvements in pain, disability, kinesiophobia, and anxiety and depression scores over time. Patients who recovered work capability showed significantly greater improvements in their total COMI score, general QoL, and disability, which were the best three predictors of recovering work capability. Conclusions This study extends previous results confirming the program’s contribution to recovering work capability among chronic LBP patients.

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“…One weakness of utilizing national databases to obtain sick leave information is that the reasons for taking sick leave are not adequately registered in these databases. 20,24 It is known that CLBP has a fluctuating course; thus, we chose to register part-time sick leave, which provided us with a more nuanced picture than that obtained by research that only distinguishes between full-time work and full-time sick leave. 17,25,26 …”

Section: Discussionmentioning

confidence: 99%

“…However, several recent studies have found that work-specific interventions are not preferable when RTW is the main outcome. 21,24,30 …”

Section: Discussionmentioning

confidence: 99%

Do Patients With Chronic Low Back Pain Benefit From Early Intervention Regarding Absence From Work?

Norbye

Omdal

Nygaard

et al. 2016

Spine

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Prognosis and course of work-participation in patients with chronic non-specific low back pain: A 12-month follow-up cohort study

Abstract: At 12 months 52% of patients reported ≥ 90% work-participation. The strongest prognostic factor was more work-participation at baseline for the recovery of chronic non-specific low back pain.

Cited by 8 publications

References 33 publications

Do Patients with Chronic Low Back Pain Experiencepain Reduction and Functional Improvement Aftertreatment at a Multidisciplinary Outpatient Clinic?

Do Patients with Chronic Low Back Pain Experiencepain Reduction and Functional Improvement Aftertreatment at a Multidisciplinary Outpatient Clinic?

Recovering the capability to work among patients with chronic low Back pain after a four-week, multidisciplinary biopsychosocial rehabilitation program: 18-month follow-up study

Do Patients With Chronic Low Back Pain Benefit From Early Intervention Regarding Absence From Work?

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