Prognosis and course of work-participation in patients with chronic non-specific low back pain: a 12-month follow-up cohort study
| Autor: | Inge Ronchetti, Karin Verkerk, Annelies Pool-Goudzwaard, Harald S. Miedema, Pim A J Luijsterburg, Martijn W. Heymans, Bart W. Koes |
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| Přispěvatelé: | Neuromechanics, Methodology and Applied Biostatistics, Kinesiology, Research Institute MOVE, EMGO+ - Musculoskeletal Health, General Practice, Neurosciences, Orthopedics and Sports Medicine, Epidemiology and Data Science, EMGO - Musculoskeletal health, MOVE Research Institute |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment rugpijn back pain Physical Therapy Sports Therapy and Rehabilitation arbeid Logistic regression Cohort Studies Return to Work work-participation Internal medicine lage rugpijn medicine Humans In patient Prospective Studies Prospective cohort study low back pain Rehabilitation business.industry chronic non-specific low back pain prognostic factors General Medicine Odds ratio Prognosis work participation Low back pain Confidence interval revalidatie Surgery werkparticipatie chronic Female medicine.symptom business Follow-Up Studies Cohort study |
| Zdroj: | Verkerk, K, Lijsterberg, P A, Pool-Goudzwaard, A L, Heymans, M W, Ronchetti, I, Miedema, H S & Koes, B W 2015, ' Prognosis and course of work-participation in patients with chronic non-specific low back pain: a 12-month follow-up cohort study ', Journal of Rehabilitation Medicine, vol. 47, no. 9, pp. 854-859 . https://doi.org/10.2340/16501977-2006 Journal of Rehabilitation Medicine, 47(9), 854-859 Journal of Rehabilitation Medicine, 47(9), 854-859. Foundation for Rehabilitation Information |
| ISSN: | 1650-1977 |
| Popis: | OBJECTIVE:To investigate the clinical course of, and prognostic factors for, work-participation in patients with chronic non-specific low back pain.METHODS:A total of 1,608 patients with chronic non-specific low back pain received a multidisciplinary therapy and were evaluated at baseline and 2-, 5- and 12-month follow-ups. Recovery was defined as absolute recovery if the patient worked 90% of his contract hours at follow-up. Potential factors were identified using multivariable logistic regression analysis.RESULTS:Patients reported a mean increase in work-participation from 38% at baseline to 82% after 12 months. Prognostic factors for ≥ 90% work-participation at 5 months were being married (odds ratio (OR) 1.72 (95% confidence interval (95% CI) 1.12-2.65)), male (OR 1.99 (95% CI 1.24-3.20)), a higher score on disability (OR 1.00 (95% CI 0.997-1.02)) and physical component scale (Short-Form 36 (SF-36)) (OR 1.05 (95% CI 1.02-1.07)), previous rehabilitation (OR 1.85 (95% CI 1.14-2.98)), not receiving sickness benefits (OR 0.52 (95% CI 0.24-1.10)) and more work-participation (OR 4.86 (95% CI 2.35-10.04)). More work-participation (OR 5.22 (95% CI 3.47-7.85)) and male sex (OR 1.79 (95% CI 1.25-2.55)) were also prognostic factors at 12-month follow-up.CONCLUSION: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 |
| Databáze: | OpenAIRE |
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