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Prevalence and Characteristics of Flare-ups of Chronic Nonspecific Back Pain in Primary Care
| Content Provider | Scilit |
|---|---|
| Author | Suri, Pradeep Saunders, Kathleen W. Korff, Michael Von |
| Copyright Year | 2012 |
| Description | Journal: The Clinical journal of pain Objectives: To describe the prevalence and characteristics of flare-ups of chronic nonspecific back pain (CNSBP) among primary care patients, and to examine associations with measures of pain severity and psychosocial factors. Methods: Six hundred thirty-four participants with nonspecific back pain were interviewed by telephone 2 years after an initial primary care visit for back pain. Participants experiencing flare-ups in the last 6 months reported on frequency, duration, and other characteristics of flare-ups. Using bivariate and multivariate analyses, we compared individuals with and without CNSBP flare-ups with respect to demographic characteristics, measures of pain severity, and psychosocial factors. Results: Approximately 51% of the participants reported flare-ups. Physical activities, including lifting and bending, were the most common perceived triggers of flare-ups. Participants with flare-ups experienced greater levels of pain intensity, disability, opioid medication use, and psychosocial comorbidities. After adjustment for demographic factors, pain intensity, and pain frequency, participants with flare-ups were more disabled than those without [mean (95% confidence interval) disability score 4.2 (3.9-4.4) vs. 3.3 (2.9-3.6); P<0.0001] and demonstrated higher levels of passive coping [mean passive coping score 4.1(3.8-4.3) vs. 3.4 (3.1-3.7); P=0.0008]. Discussion: Flare-ups of CNSBP are common among primary care patients, and are independently associated with higher levels of pain intensity, disability, and passive coping. The presence of flare-ups and the perception of activity as a trigger may predispose patients with flare-ups to experience disability not explained by pain intensity alone. Further longitudinal studies are required to better characterize CNSBP flare-ups and determine their clinical implications. |
| Related Links | http://europepmc.org/articles/pmc3414658?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3414658/pdf |
| Ending Page | 580 |
| Page Count | 8 |
| Starting Page | 573 |
| ISSN | 07498047 |
| e-ISSN | 15365409 |
| DOI | 10.1097/ajp.0b013e31823ae173 |
| Journal | The Clinical journal of pain |
| Issue Number | 7 |
| Volume Number | 28 |
| Language | English |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Publisher Date | 2012-09-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: The Clinical journal of pain Back Pain, Flare, Flare-up, Exacerbation, Disability, Coping |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neurology (clinical) Anesthesiology and Pain Medicine |
