Prognostic indicators for poor outcomes in low back pain patients consulted in primary care

Detalhes bibliográficos
Autor(a) principal: Cruz, Eduardo B.
Data de Publicação: 2020
Outros Autores: Canhão, Helena, Fernandes, Rita, Caeiro, Carmen, Branco, Jaime, Rodrigues, Ana M., Pimentel-Santos, Fernando, Gomes, Luís A., Paiva, Sofia, Pinto, Isabel, Moniz, Rubina, Nunes, Carla
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/95786
Resumo: SAICT-POL/23439/2016| LISBOA-01-0145-FEDER-023439). This Grant covers all the planned activities for this study including, the design of the study, data collection, data analysis and interpretation and the writing of this manuscript.The funder did not play any role in the study design, data collection and analysis, decision to publish, or preparation of this manuscript
id RCAP_c086d64182a5aa524bf537040deb20cb
oai_identifier_str oai:run.unl.pt:10362/95786
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Prognostic indicators for poor outcomes in low back pain patients consulted in primary careBiochemistry, Genetics and Molecular Biology(all)Agricultural and Biological Sciences(all)GeneralSAICT-POL/23439/2016| LISBOA-01-0145-FEDER-023439). This Grant covers all the planned activities for this study including, the design of the study, data collection, data analysis and interpretation and the writing of this manuscript.The funder did not play any role in the study design, data collection and analysis, decision to publish, or preparation of this manuscriptBackground Non-specific low back pain (NSLBP) is the most prevalent musculoskeletal condition in western countries and is associated with persistent disability and high consumption of health care resources. NSLBP patients first seek primary health care services but the outcomes are often uncertain. This study aimed to examine the clinical course of the outcomes and to identify prognostic indicators for poor outcomes in NSLBP patients who consulted primary care. Methods A prospective cohort study of 115 patients seeking treatment for NSLBP in primary care was conducted. Participants were consecutively recruited by their General Practitioners (GPs) and then assessed at baseline and 2 and 6 months later. Baseline assessment included socio-demographic and clinical data, psychosocial factors, pain, disability, and health related quality of life (HRQoL). Pain, disability, HRQoL and global perception of change were also assessed at 2 and 6-months’ follow-up. In addition, information regarding the GP’ practice was collected. Poor outcomes were determined according to the cut-off point used to define a persistent disabling condition and the minimal important change established for disability, pain and for global perception of change. The relationship between variables on baseline and poor outcomes was modulated through binary logistic regression analysis. The significance of associations was evaluated at ≤ 0.05 p-value with 95% confidence intervals (CI) and adjusted odds ratios (AOR). Results 110 (94.8%) and 104 (89.7%) participants completed the follow-up assessment at 2 and 6 months, respectively. The mean age (±SD) was 48.06 ± 11.41, with 53.9%, (N = 62) reporting an acute presentation of NSLBP. Six months after GP consultation, 53.8% (N = 56) of the participants reported a persistent disabling condition. An “LBP episode of less than 12 weeks” [AOR: 0.26; 95% CI (0.10, 0.65); AOR: 0.34; 95% CI (0.14, 0.81); AOR: 0.21; 95% CI (0.09, 0.53)],”maladaptive psychosocial factors” [AOR: 2.06; 95% CI (1.40, 3.04); AOR: 1.82; 95% CI (1.27, 2.59); AOR: 1.72; 95% CI (1.20, 2.47)] were significantly associated with poor outcomes on disability, pain and global perception of change, respectively. Besides these factors, being employed reduces the chances of poor outcomes on disability [AOR 0.31; 95% CI (0.11, 0.92)]. Conclusions A large proportion of LBP patients seeking primary health care reported poor outcomes 6 months after GP consultation. Patients who report chronic LBP, maladaptive psychosocial factors and are unemployed have a significant increase in the risk of poor outcome. These findings suggest the need of implementing effective models of care able to provide early screening and appropriate treatment to those at greatest risk of a poor outcome.Comprehensive Health Research Centre (CHRC) - pólo NMSNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Centro de Estudos de Doenças Crónicas (CEDOC)Escola Nacional de Saúde Pública (ENSP)Comprehensive Health Research Centre (CHRC) - Pólo ENSPCentro de Investigação em Saúde Pública (CISP/PHRC)RUNCruz, Eduardo B.Canhão, HelenaFernandes, RitaCaeiro, CarmenBranco, JaimeRodrigues, Ana M.Pimentel-Santos, FernandoGomes, Luís A.Paiva, SofiaPinto, IsabelMoniz, RubinaNunes, Carla2020-04-06T22:33:48Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/95786eng1932-6203PURE: 17643120https://doi.org/10.1371/journal.pone.0229265info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:43:44Zoai:run.unl.pt:10362/95786Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:38:26.062816Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Prognostic indicators for poor outcomes in low back pain patients consulted in primary care
title Prognostic indicators for poor outcomes in low back pain patients consulted in primary care
spellingShingle Prognostic indicators for poor outcomes in low back pain patients consulted in primary care
Cruz, Eduardo B.
Biochemistry, Genetics and Molecular Biology(all)
Agricultural and Biological Sciences(all)
General
title_short Prognostic indicators for poor outcomes in low back pain patients consulted in primary care
title_full Prognostic indicators for poor outcomes in low back pain patients consulted in primary care
title_fullStr Prognostic indicators for poor outcomes in low back pain patients consulted in primary care
title_full_unstemmed Prognostic indicators for poor outcomes in low back pain patients consulted in primary care
title_sort Prognostic indicators for poor outcomes in low back pain patients consulted in primary care
author Cruz, Eduardo B.
author_facet Cruz, Eduardo B.
Canhão, Helena
Fernandes, Rita
Caeiro, Carmen
Branco, Jaime
Rodrigues, Ana M.
Pimentel-Santos, Fernando
Gomes, Luís A.
Paiva, Sofia
Pinto, Isabel
Moniz, Rubina
Nunes, Carla
author_role author
author2 Canhão, Helena
Fernandes, Rita
Caeiro, Carmen
Branco, Jaime
Rodrigues, Ana M.
Pimentel-Santos, Fernando
Gomes, Luís A.
Paiva, Sofia
Pinto, Isabel
Moniz, Rubina
Nunes, Carla
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Comprehensive Health Research Centre (CHRC) - pólo NMS
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Centro de Estudos de Doenças Crónicas (CEDOC)
Escola Nacional de Saúde Pública (ENSP)
Comprehensive Health Research Centre (CHRC) - Pólo ENSP
Centro de Investigação em Saúde Pública (CISP/PHRC)
RUN
dc.contributor.author.fl_str_mv Cruz, Eduardo B.
Canhão, Helena
Fernandes, Rita
Caeiro, Carmen
Branco, Jaime
Rodrigues, Ana M.
Pimentel-Santos, Fernando
Gomes, Luís A.
Paiva, Sofia
Pinto, Isabel
Moniz, Rubina
Nunes, Carla
dc.subject.por.fl_str_mv Biochemistry, Genetics and Molecular Biology(all)
Agricultural and Biological Sciences(all)
General
topic Biochemistry, Genetics and Molecular Biology(all)
Agricultural and Biological Sciences(all)
General
description SAICT-POL/23439/2016| LISBOA-01-0145-FEDER-023439). This Grant covers all the planned activities for this study including, the design of the study, data collection, data analysis and interpretation and the writing of this manuscript.The funder did not play any role in the study design, data collection and analysis, decision to publish, or preparation of this manuscript
publishDate 2020
dc.date.none.fl_str_mv 2020-04-06T22:33:48Z
2020
2020-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/95786
url http://hdl.handle.net/10362/95786
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1932-6203
PURE: 17643120
https://doi.org/10.1371/journal.pone.0229265
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799138000335011840

Registros relacionados