Baseline pain severity predicts worse long-term LBP outcomes

Baseline pain severity predicts worse long-term LBP outcomes
Patients' baseline pain and the perception that their pain will persist are significant predictors of poor outcomes for low back pain over the short and long term, according to a study published in the August issue of The Journal of Pain.

(HealthDay)—Patients' baseline pain and the perception that their pain will persist are significant predictors of poor outcomes for low back pain (LBP) over the short and long term, according to a study published in the August issue of The Journal of Pain.

Paul Campbell, Ph.D., from Keele University in the United Kingdom, and colleagues studied 488 patients who saw their physician about LBP. Patients were assessed at six months and five years. A score of 2, 3, or 4 on the Chronic Pain Grade defined clinically significant LBP at follow-up. Thirty-two potential predictive factors were categorized as demographic, physical, psychological, and occupational.

The researchers found that baseline intensity conferred a 12 percent increased risk of poor outcomes at six months (relative risk [RR], 1.12), and patients' belief that their LBP would persist conferred a 4 percent increased risk (RR, 1.04). The same factors seen in the six-month model —pain intensity (RR, 1.09) and a belief that their LBP would persist (RR, 1.06)—also predicted outcomes at five years.

"This study has shown that experienced during a period of primary care consultation, and ' perception about whether their back pain will persist, were significant predictors of poor outcome at six months and at five years," the authors write.

More information: Abstract
Full Text

add to favorites email to friend print save as pdf

Related Stories

Catastrophizing doesn't predict low back pain evolution

Aug 16, 2012

(HealthDay) -- For adult patients with acute or chronic low back pain (LBP), assessing the baseline score for catastrophizing does not help clinicians in routine clinical practice predict the evolution of ...

Patients with acute low back pain have poor prognosis

Apr 24, 2012

(HealthDay) -- Few patients with acute low back pain (LBP), with or without sciatica, declare sick leave; however, approximately half have one or more recurrences and a considerable proportion experience chronic ...

Recommended for you

Recorded Ebola deaths top 7,000

4 hours ago

The worst Ebola outbreak on record has now killed more than 7,000 people, with many of the latest deaths reported in Sierra Leone, the World Health Organization said as United Nations Secretary-General Ban ...

Liberia holds Senate vote amid Ebola fears (Update)

9 hours ago

Health workers manned polling stations across Liberia on Saturday as voters cast their ballots in a twice-delayed Senate election that has been criticized for its potential to spread the deadly Ebola disease.

Evidence-based recs issued for systemic care in psoriasis

Dec 19, 2014

(HealthDay)—For appropriately selected patients with psoriasis, combining biologics with other systemic treatments, including phototherapy, oral medications, or other biologic, may result in greater efficacy ...

Bacteria in caramel apples kills at least four in US

Dec 19, 2014

A listeria outbreak believed to originate from commercially packaged caramel apples has killed at least four people in the United States and sickened 28 people since November, officials said Friday.

Steroid-based treatment may answer needs of pediatric EoE patients

Dec 19, 2014

A new formulation of oral budesonide suspension, a steroid-based treatment, is safe and effective in treating pediatric patients with eosinophilic esophagitis (EoE), according to a new study in Clinical Gastroenterology and Hepatology, the official clinical practice journal ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.