Expectations about recovery from acute non-specific low back pain predict absence from usual work due to chronic low back pain: a systematic review

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

QUESTION: Do negative expectations in patients after the onset of acute low back pain increase the odds of absence from usual work due to progression to chronic low back pain?

DESIGN: Systematic review with meta-analysis of prospective inception cohort studies.

PARTICIPANTS: Adults with acute or subacute non-specific low back pain.

OUTCOME MEASURE: Absence from usual work at a given time point greater than 12 weeks after the onset of pain due to ongoing pain.

RESULTS: Ten studies involving 4683 participants were included in the review. Participants with acute or subacute pain and negative expectations about their recovery had significantly greater odds of being absent from usual work at a given time point more than 12 weeks after the onset of pain: OR 2.17 (95% CI 1.61 to 2.91). The exclusion of five studies with the greatest risk of bias showed that the result was similar when more rigorous quality criteria were applied: OR 2.52 (95% CI 1.47 to 4.31).

CONCLUSION: The odds that adults with acute or subacute non-specific low back pain and negative recovery expectations will remain absent from work due to progression to chronic low back pain are two times greater than for those with more positive expectations. These results were consistent across the included studies despite variations in the risk of bias.

Original languageEnglish
Pages (from-to)165-172
JournalJournal of physiotherapy
Volume58
Issue number3
DOIs
Publication statusPublished - 2012

Keywords

  • physiotherapy
  • chronic diseases
  • low back pain
  • prognosis

Cite this

@article{52dc986f94f044c6bfd5ff1bdc861f92,
title = "Expectations about recovery from acute non-specific low back pain predict absence from usual work due to chronic low back pain: a systematic review",
abstract = "QUESTION: Do negative expectations in patients after the onset of acute low back pain increase the odds of absence from usual work due to progression to chronic low back pain?DESIGN: Systematic review with meta-analysis of prospective inception cohort studies.PARTICIPANTS: Adults with acute or subacute non-specific low back pain.OUTCOME MEASURE: Absence from usual work at a given time point greater than 12 weeks after the onset of pain due to ongoing pain.RESULTS: Ten studies involving 4683 participants were included in the review. Participants with acute or subacute pain and negative expectations about their recovery had significantly greater odds of being absent from usual work at a given time point more than 12 weeks after the onset of pain: OR 2.17 (95{\%} CI 1.61 to 2.91). The exclusion of five studies with the greatest risk of bias showed that the result was similar when more rigorous quality criteria were applied: OR 2.52 (95{\%} CI 1.47 to 4.31).CONCLUSION: The odds that adults with acute or subacute non-specific low back pain and negative recovery expectations will remain absent from work due to progression to chronic low back pain are two times greater than for those with more positive expectations. These results were consistent across the included studies despite variations in the risk of bias.",
keywords = "physiotherapy, chronic diseases, low back pain, prognosis, fysiotherapie, chronische ziekten, lage rugpijn, prognoses, ziekteverlof",
author = "Joannes Hallegraeff and Krijnen, {Wim P.} and {van der Schans}, Cees and {de Greef}, Mathieu",
note = "Copyright {\circledC} 2012 Australian Physiotherapy Association. Published by .. All rights reserved.",
year = "2012",
doi = "10.1016/S1836-9553(12)70107-8",
language = "English",
volume = "58",
pages = "165--172",
journal = "Journal of physiotherapy",
issn = "1836-9553",
publisher = "Elsevier",
number = "3",

}

TY - JOUR

T1 - Expectations about recovery from acute non-specific low back pain predict absence from usual work due to chronic low back pain

T2 - a systematic review

AU - Hallegraeff, Joannes

AU - Krijnen, Wim P.

AU - van der Schans, Cees

AU - de Greef, Mathieu

N1 - Copyright © 2012 Australian Physiotherapy Association. Published by .. All rights reserved.

PY - 2012

Y1 - 2012

N2 - QUESTION: Do negative expectations in patients after the onset of acute low back pain increase the odds of absence from usual work due to progression to chronic low back pain?DESIGN: Systematic review with meta-analysis of prospective inception cohort studies.PARTICIPANTS: Adults with acute or subacute non-specific low back pain.OUTCOME MEASURE: Absence from usual work at a given time point greater than 12 weeks after the onset of pain due to ongoing pain.RESULTS: Ten studies involving 4683 participants were included in the review. Participants with acute or subacute pain and negative expectations about their recovery had significantly greater odds of being absent from usual work at a given time point more than 12 weeks after the onset of pain: OR 2.17 (95% CI 1.61 to 2.91). The exclusion of five studies with the greatest risk of bias showed that the result was similar when more rigorous quality criteria were applied: OR 2.52 (95% CI 1.47 to 4.31).CONCLUSION: The odds that adults with acute or subacute non-specific low back pain and negative recovery expectations will remain absent from work due to progression to chronic low back pain are two times greater than for those with more positive expectations. These results were consistent across the included studies despite variations in the risk of bias.

AB - QUESTION: Do negative expectations in patients after the onset of acute low back pain increase the odds of absence from usual work due to progression to chronic low back pain?DESIGN: Systematic review with meta-analysis of prospective inception cohort studies.PARTICIPANTS: Adults with acute or subacute non-specific low back pain.OUTCOME MEASURE: Absence from usual work at a given time point greater than 12 weeks after the onset of pain due to ongoing pain.RESULTS: Ten studies involving 4683 participants were included in the review. Participants with acute or subacute pain and negative expectations about their recovery had significantly greater odds of being absent from usual work at a given time point more than 12 weeks after the onset of pain: OR 2.17 (95% CI 1.61 to 2.91). The exclusion of five studies with the greatest risk of bias showed that the result was similar when more rigorous quality criteria were applied: OR 2.52 (95% CI 1.47 to 4.31).CONCLUSION: The odds that adults with acute or subacute non-specific low back pain and negative recovery expectations will remain absent from work due to progression to chronic low back pain are two times greater than for those with more positive expectations. These results were consistent across the included studies despite variations in the risk of bias.

KW - physiotherapy

KW - chronic diseases

KW - low back pain

KW - prognosis

KW - fysiotherapie

KW - chronische ziekten

KW - lage rugpijn

KW - prognoses

KW - ziekteverlof

U2 - 10.1016/S1836-9553(12)70107-8

DO - 10.1016/S1836-9553(12)70107-8

M3 - Article

VL - 58

SP - 165

EP - 172

JO - Journal of physiotherapy

JF - Journal of physiotherapy

SN - 1836-9553

IS - 3

ER -