The Quebec Low Back Pain Study: a protocol for an innovative 2-tier provincial cohort

Page, Gabrielle; Lacasse, Anaïs; Beaudet, Nicolas; Choinière, Manon; Deslauriers, Simon; Diatchenko, Luda; Dupuis, Laurent; Grégoire, Stéphanie; Hovey, Richard; Leclair, Erwan; Léonard, Guillaume; Meloto, Carolina B.; Montagna, Francesca; Parent, Alexandre; Rainville, Pierre; Roy, Jean‐Sébastien; Roy, Mathieu; Ware, Mark A.; Wideman, Timothy H.; Stone, Laura S.

doi:10.1097/pr9.0000000000000799

Cited by 14 publications

(16 citation statements)

References 43 publications

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“…All the participants in this study are part of the Quebec Low Back Pain Consortium, an organization that conducts research on local populations with low-back pain. As such, all the participants in our study were Quebec residents ( Pagé et al, 2020 ). This fact matters because Quebec had a particularly severe “first wave” of COVID-19, starting in March 2020.…”

Section: Covid-19 In Quebecmentioning

confidence: 99%

The Experiences of People Living With Chronic Pain During a Pandemic: “Crumbling Dreams With Uncertain Futures”

et al. 2021

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People living with chronic pain experience multiple challenges in their daily activities. Chronic pain is complex and often provokes life circumstances that create increased social isolation. Living with chronic pain during the pandemic may add additional layers of complexity to their daily lives. The researchers endeavored to explore the experiences of people living with chronic pain during the COVID-19 pandemic. Researchers conducted semi-structured, open-ended interviews about how the pandemic influenced participants’ lives. The interviews were recorded and analyzed using an applied philosophical hermeneutics approach. The findings were feeling socially isolated, losing their sense of livinghood, and experiencing augmented stress levels which, in most cases, aggravated their chronic pain. In addition to gaining an in-depth understanding of the needs of people living with chronic pain, these findings may guide policy decisions with the intention of improving health care access and the overall experiences of people living with chronic conditions during a pandemic.

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Section: Covid-19 In Quebecmentioning

confidence: 99%

The Experiences of People Living With Chronic Pain During a Pandemic: “Crumbling Dreams With Uncertain Futures”

et al. 2021

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“…The evidence at this point for acute low back pain shows benefit for multidisciplinary pain treatment, but not necessarily comparative superiority due to lack of granularity [119]. For larger-scale acute spine-related pain research, the Quebec Low Back Pain Cohort is proposing to build on work of existing international cohorts to expand data collection to include biomechanical, epigenetic, genetic, and neuroanatomical characteristics, which would address many of the Dimension 3, 4, and 5 gaps in knowledge [120]. At the environmental level, occupational factors influencing acute low back pain may include work-family imbalance, exposure to a hostile work environment, and job insecurity [36].…”

Section: Discussionmentioning

confidence: 99%

AAAPT Diagnostic Criteria for Acute Low Back Pain with and Without Lower Extremity Pain

et al. 2020

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Objective Low back pain is one of the most common reasons for which people visit their doctor. Between 12% and 15% of the US population seek care for spine pain each year, with associated costs exceeding $200 billion. Up to 80% of adults will experience acute low back pain at some point in their lives. This staggering prevalence supports the need for increased research to support tailored clinical care of low back pain. This work proposes a multidimensional conceptual taxonomy. Methods A multidisciplinary task force of the ACTTION-APS-AAPM Pain Taxonomy (AAAPT) with clinical and research expertise performed a focused review and analysis, applying the AAAPT five-dimensional framework to acute low back pain. Results Application of the AAAPT framework yielded the following: 1) Core Criteria: location, timing, and severity of acute low back pain were defined; 2) Common Features: character and expected trajectories were established in relevant subgroups, and common pain assessment tools were identified; 3) Modulating Factors: biological, psychological, and social factors that modulate interindividual variability were delineated; 4) Impact/Functional Consequences: domains of impact were outlined and defined; 5) Neurobiological Mechanisms: putative mechanisms were specified including nerve injury, inflammation, peripheral and central sensitization, and affective and social processing of acute low back pain. Conclusions The goal of applying the AAAPT taxonomy to acute low back pain is to improve its assessment through a defined evidence and consensus-driven structure. The criteria proposed will enable more rigorous meta-analyses and promote more generalizable studies of interindividual variation in acute low back pain and its potential underlying mechanisms.

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“…The Quebec Low Back Pain Study began recruiting LBP participants in November 2018 (clinicaltrials.gov: NCT04791891). In June 2021, 3367 participants 14 met the inclusion criteria: ≥18 years old, fluent in French or English, and suffering from LBP (LBP in the last 4 weeks that is strong enough to limit usual activities or change their daily routine for >1 day 6 ). Various recruitment strategies were used: online recruitment (eg, Facebook ads), newspapers ads, leaflets in clinical practices, etc.…”

Section: Methodsmentioning

confidence: 99%

“…Here, we compare the impact of 3 aLBP definitions on the number of aLBP cases and group characteristics using the Quebec Low Back Pain Study. 14 …”

Section: Introductionmentioning

confidence: 99%

Low back pain definitions: effect on patient inclusion and clinical profiles

Massé‐Alarie

Angarita-Fonseca

Lacasse

et al. 2022

PR9

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Introduction: Numerous definitions of acute low back pain (aLBP) exist. The use of different definitions results in variability in reported prevalence or incidence, conflicting data regarding factors associated with the transition to chronic LBP (cLBP), and hampers comparability among studies.Objective: Here, we compare the impact of 3 aLBP definitions on the number of aLBP cases and participants' characteristics and explore the distribution of participants across definitions. Methods: A sample of 1264 participants from the Quebec Low Back Pain Study was included. Three definitions of aLBP were used:(1) not meeting the National Institutes of Health (NIH) cLBP definition ("nonchronic"), (2) pain beginning ,3 months ago ("acute"), and (3) pain beginning ,3 months with a preceding LBP-free period ("new episode"). Results: There were 847, 842, and 489 aLBP cases meeting the criteria for the 3 definitions, respectively. Participants included in the "nonchronic" had lower pain interference, greater physical function scores, and fewer participants reporting .5 years of pain than in the other definitions. Half the participants meeting the "acute" definition and one-third of participants meeting the "new episode" definition were also classified as cLBP based on the NIH definition. Conclusions: Our results highlight the importance of the definition used for aLBP. Different definitions influence the sample size and clinical profiles (group's characteristics). We recommended that cohort studies examining the transition from aLBP to cLBP ensure that the definitions selected are mutually exclusive (ie, participants included [aLBP] differ from the expected outcome [cLBP]).

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The Quebec Low Back Pain Study: a protocol for an innovative 2-tier provincial cohort

Cited by 14 publications

References 43 publications

The Experiences of People Living With Chronic Pain During a Pandemic: “Crumbling Dreams With Uncertain Futures”

The Experiences of People Living With Chronic Pain During a Pandemic: “Crumbling Dreams With Uncertain Futures”

AAAPT Diagnostic Criteria for Acute Low Back Pain with and Without Lower Extremity Pain

Low back pain definitions: effect on patient inclusion and clinical profiles

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