Predicting the transition from acute to persistent low back pain
Background: Most people experience low back pain (LBP) at least once in their lifetime. Only a minority of them go on to develop persistent LBP. However, the socioeconomic costs of persistent LBP significantly exceed the costs of the initial acute LBP episode. Aims: To identify factors that influenc...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
| Published: |
2011
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| Online Access: | http://hdl.handle.net/20.500.11937/14183 |
| _version_ | 1848748554311434240 |
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| author | Melloh, Markus Elfering, A. Presland, C. Röder, C. Hendrick, P. Darlow, B. Theis, J. |
| author_facet | Melloh, Markus Elfering, A. Presland, C. Röder, C. Hendrick, P. Darlow, B. Theis, J. |
| author_sort | Melloh, Markus |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Background: Most people experience low back pain (LBP) at least once in their lifetime. Only a minority of them go on to develop persistent LBP. However, the socioeconomic costs of persistent LBP significantly exceed the costs of the initial acute LBP episode. Aims: To identify factors that influence the progression of acute LBP to the persistent state at an early stage. Methods: Prospective inception cohort study of patients attending a health practitioner for their first episode of acute LBP or recurrent LBP after a pain free period of at least 6 months. Patients were assessed at baseline addressing occupational and psychological factors as well as pain, disability, quality of life and physical activity and followed up at 3, 6, 12 weeks and 6 months. Variables were combined to the three indices 'working condition', 'depression and maladaptive cognitions' and 'pain and quality of life'. Results: The index 'depression and maladaptive cognitions' was found to be a significant baseline predictor for persistent LBP up to 6 months (OR 5.1; 95% CI: 1.04-25.1). Overall predictive accuracy of the model was 81%. Conclusions: In this study of patients with acute LBP in a primary care setting psychological factors at baseline correlated with a progression to persistent LBP up to 6 months. The benefit of including factors such as 'depression and maladaptive cognition' in screening tools is that these factors can be addressed in primary and secondary prevention. © The Author 2011. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. |
| first_indexed | 2025-11-14T07:06:53Z |
| format | Journal Article |
| id | curtin-20.500.11937-14183 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:06:53Z |
| publishDate | 2011 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-141832017-09-13T14:06:27Z Predicting the transition from acute to persistent low back pain Melloh, Markus Elfering, A. Presland, C. Röder, C. Hendrick, P. Darlow, B. Theis, J. Background: Most people experience low back pain (LBP) at least once in their lifetime. Only a minority of them go on to develop persistent LBP. However, the socioeconomic costs of persistent LBP significantly exceed the costs of the initial acute LBP episode. Aims: To identify factors that influence the progression of acute LBP to the persistent state at an early stage. Methods: Prospective inception cohort study of patients attending a health practitioner for their first episode of acute LBP or recurrent LBP after a pain free period of at least 6 months. Patients were assessed at baseline addressing occupational and psychological factors as well as pain, disability, quality of life and physical activity and followed up at 3, 6, 12 weeks and 6 months. Variables were combined to the three indices 'working condition', 'depression and maladaptive cognitions' and 'pain and quality of life'. Results: The index 'depression and maladaptive cognitions' was found to be a significant baseline predictor for persistent LBP up to 6 months (OR 5.1; 95% CI: 1.04-25.1). Overall predictive accuracy of the model was 81%. Conclusions: In this study of patients with acute LBP in a primary care setting psychological factors at baseline correlated with a progression to persistent LBP up to 6 months. The benefit of including factors such as 'depression and maladaptive cognition' in screening tools is that these factors can be addressed in primary and secondary prevention. © The Author 2011. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. 2011 Journal Article http://hdl.handle.net/20.500.11937/14183 10.1093/occmed/kqq194 unknown |
| spellingShingle | Melloh, Markus Elfering, A. Presland, C. Röder, C. Hendrick, P. Darlow, B. Theis, J. Predicting the transition from acute to persistent low back pain |
| title | Predicting the transition from acute to persistent low back pain |
| title_full | Predicting the transition from acute to persistent low back pain |
| title_fullStr | Predicting the transition from acute to persistent low back pain |
| title_full_unstemmed | Predicting the transition from acute to persistent low back pain |
| title_short | Predicting the transition from acute to persistent low back pain |
| title_sort | predicting the transition from acute to persistent low back pain |
| url | http://hdl.handle.net/20.500.11937/14183 |