Are self-reported pain characteristics, classified using the paindetect questionnaire, predictive of outcome in people with low back pain and associated leg pain?
Objective: This study was designed to investigate whether the PainDETECT Questionnaire (PDQ) classification was predictive of outcomes at 3 and 12 months follow-up in low back pain (LBP) patients with associated leg pain. Identification of clinically important subgroups and targeted treatment is bel...
| Main Authors: | , , |
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| Format: | Journal Article |
| Published: |
Lippincott Williams & Wilkins
2011
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| Online Access: | http://hdl.handle.net/20.500.11937/54707 |
| _version_ | 1848759438982250496 |
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| author | Morsø, L. Kent, Peter Albert, H. |
| author_facet | Morsø, L. Kent, Peter Albert, H. |
| author_sort | Morsø, L. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective: This study was designed to investigate whether the PainDETECT Questionnaire (PDQ) classification was predictive of outcomes at 3 and 12 months follow-up in low back pain (LBP) patients with associated leg pain. Identification of clinically important subgroups and targeted treatment is believed to be important in LBP care. The PD-Q is designed to classify whether a person has neuropathic pain, based on their self-reported pain characteristics. However, it is unknown whether this classification is a prognostic factor or predicts treatment response. Method: One hundred forty-five participants were recruited in the secondary care. Inclusion criteria were 3 to 12 months of LBP and related leg pain. Baseline PDQ scores classified participants into 3 groups ("likely" to have neuropathic pain, "uncertain," and "unlikely") but did not affect treatment decisions. The outcome measures were LBP, leg pain, activity limitation, and self-reported general health. Scores were compared between those with "likely" neuropathic pain (neuropathic group) and "unlikely" (non-neuropathic group), using Mann-Whitney, Friedman, and ? tests. Results: At baseline, the neuropathic group had worse scores on all outcome measures, and analgesic use, sick leave, and sense of coherence (P=0.000 to 0.044). At 3 months and 12 months, both groups improved (P=0.001 to 0.032). However, the groups remained different at each time point on all outcome measures (P=0.000 to 0.033) except LBP (P=0.054 to 0.214). DISCUSSION AND CONCLUSIONS: The PDQ classification was a prognostic factor but was not predictive of response to treatment that was not targeted to neuropathic pain. Further studies should investigate whether PD-Q groups are predictive of treatment response when targeted to neuropathic pain. |
| first_indexed | 2025-11-14T09:59:54Z |
| format | Journal Article |
| id | curtin-20.500.11937-54707 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:59:54Z |
| publishDate | 2011 |
| publisher | Lippincott Williams & Wilkins |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-547072017-09-13T16:11:35Z Are self-reported pain characteristics, classified using the paindetect questionnaire, predictive of outcome in people with low back pain and associated leg pain? Morsø, L. Kent, Peter Albert, H. Objective: This study was designed to investigate whether the PainDETECT Questionnaire (PDQ) classification was predictive of outcomes at 3 and 12 months follow-up in low back pain (LBP) patients with associated leg pain. Identification of clinically important subgroups and targeted treatment is believed to be important in LBP care. The PD-Q is designed to classify whether a person has neuropathic pain, based on their self-reported pain characteristics. However, it is unknown whether this classification is a prognostic factor or predicts treatment response. Method: One hundred forty-five participants were recruited in the secondary care. Inclusion criteria were 3 to 12 months of LBP and related leg pain. Baseline PDQ scores classified participants into 3 groups ("likely" to have neuropathic pain, "uncertain," and "unlikely") but did not affect treatment decisions. The outcome measures were LBP, leg pain, activity limitation, and self-reported general health. Scores were compared between those with "likely" neuropathic pain (neuropathic group) and "unlikely" (non-neuropathic group), using Mann-Whitney, Friedman, and ? tests. Results: At baseline, the neuropathic group had worse scores on all outcome measures, and analgesic use, sick leave, and sense of coherence (P=0.000 to 0.044). At 3 months and 12 months, both groups improved (P=0.001 to 0.032). However, the groups remained different at each time point on all outcome measures (P=0.000 to 0.033) except LBP (P=0.054 to 0.214). DISCUSSION AND CONCLUSIONS: The PDQ classification was a prognostic factor but was not predictive of response to treatment that was not targeted to neuropathic pain. Further studies should investigate whether PD-Q groups are predictive of treatment response when targeted to neuropathic pain. 2011 Journal Article http://hdl.handle.net/20.500.11937/54707 10.1097/AJP.0b013e318208c941 Lippincott Williams & Wilkins restricted |
| spellingShingle | Morsø, L. Kent, Peter Albert, H. Are self-reported pain characteristics, classified using the paindetect questionnaire, predictive of outcome in people with low back pain and associated leg pain? |
| title | Are self-reported pain characteristics, classified using the paindetect questionnaire, predictive of outcome in people with low back pain and associated leg pain? |
| title_full | Are self-reported pain characteristics, classified using the paindetect questionnaire, predictive of outcome in people with low back pain and associated leg pain? |
| title_fullStr | Are self-reported pain characteristics, classified using the paindetect questionnaire, predictive of outcome in people with low back pain and associated leg pain? |
| title_full_unstemmed | Are self-reported pain characteristics, classified using the paindetect questionnaire, predictive of outcome in people with low back pain and associated leg pain? |
| title_short | Are self-reported pain characteristics, classified using the paindetect questionnaire, predictive of outcome in people with low back pain and associated leg pain? |
| title_sort | are self-reported pain characteristics, classified using the paindetect questionnaire, predictive of outcome in people with low back pain and associated leg pain? |
| url | http://hdl.handle.net/20.500.11937/54707 |