Characteristics of Patients With Acute Low Back Pain Presenting to Primary Care in Australia

被引:31
作者
Henschke, Nicholas [2 ]
Maher, Christopher G. [2 ]
Refshauge, Kathryn M. [1 ]
Herbert, Robert D. [2 ]
Cumming, Robert G. [3 ]
Bleasel, Jane [4 ]
York, John [4 ]
Das, Anurina [1 ]
McAuley, James H. [1 ,2 ]
机构
[1] Univ Sydney, Fac Hlth Sci, Back Pain Res Grp, George Inst Int Hlth,Musculoskeletal Div, Lidcombe, NSW 1825, Australia
[2] Univ Australia, George Inst Int Hlth, Sydney, NSW, Australia
[3] Univ Sydney, Fac Med, Sch Publ Hlth, Sydney, NSW, Australia
[4] Royal Prince Alfred Hosp, Dept Rheumatol, Sydney, NSW, Australia
基金
英国医学研究理事会;
关键词
back pain; primary care; patient characteristics; PROGNOSTIC-FACTORS; GENERAL-PRACTICE; CLINICAL-COURSE; DISABILITY; PREVALENCE; SEEKING; ADULTS;
D O I
10.1097/AJP.0b013e3181817a8d
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Objectives: This study aimed to provide it comprehensive profile of it representative sample of patients with acute low back pain drawn from the primary care selling. A secondary aim wits to determine whether patient characteristics are associated with pain intensity or disability at the initial consultation. Methods: A total of 1172 Consecutive patients with acute low back pain presenting to clinics of primary care practitioners (general practitioners, physiotherapists, and chiropractors) ill Australia were recruited. Pain intensity and level of disability were measured at file first consultation, and it range of other variables were measured to describe the patient's characteristics. The characteristics were then grouped into 7 distinct factors: demographic, social, cultural, general health, psychologic, past low back pain history, and current low back pain history, Hierarchical linear regression models were used to determine each factor's independent relationship with pain intensity and disability. Results: The majority of patients reported having had a previous episode of low back pain (75.7%), and that the Current episode was Of sudden onset (76.7%). Only a small proportion (14.3%) had compensable back pain. Pain intensity and disability were associated With each Other (P < 0.01), Current low back pain history (P < 0.01), and psychologic (P < 0.01) characteristics. Discussion: In it representative sample of acute low back pain patients in primary care, we found that file profile included Only a small proportion of patients with compensable low back pain. Those without compensation were more likely to remain at work despite low back pain. Psychologic and other patient characteristics were associated with pain intensity and level of disability at the initial consultation.
引用
收藏
页码:5 / 11
页数:7
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