Yellow flag on prognostic factors for non-specific chronic low back pain patients subjected to mini-invasive treatment : a cohort study
OBJECTIVES: Research was conducted to study the efficacy of analgesic infiltration treatment in a well-selected population of patients with non-specific drug-resistant chronic low back pain. It studied the pain on a numeric rating scale and the physical and mental condition of patients using a short-form health survey-36, before and six months after invasive pain treatment.
DESIGN: This is a prospective observational single center cohort study.
SETTING: The study took place in the Multimodal Pain Therapy Unit of the IRCCS Institute of Neurological Sciences in Bologna, Italy.
SUBJECTS: Four hundred and thirteen out of a total 538 patients admitted to the unit with non-specific drug-resistant chronic low back pain were enrolled in the study.
METHOD: Patients were enrolled with written consent between April 2017 and November 2018. The study assessed NRS, BDI and SF-36 scores before and six months after mini-invasive treatment.
RESULTS: There is an inverse correlation between Mental Component Scale (MCS) and Physical component scale as measured by SF-36. Older patients in a worse physical condition but with a more positive outlook on their quality of life were more likely to improve after invasive treatment (p < 0.001). The BDI scale is more effective in the diagnosis of depression than MCS.
CONCLUSIONS: The prognostic value of MCS given to the patient before mini-invasive treatment could lead physicians to adopt a multimodal approach that includes consideration of the psychological features of pain and possibly antidepressant therapy.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:29 |
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| Enthalten in: |
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society - 29(2020), 8 vom: 03. Aug., Seite 1879-1886 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Zackova, Monica [VerfasserIn] |
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| Links: |
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| Themen: |
Chronic low back pain |
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| Anmerkungen: |
Date Completed 23.06.2021 Date Revised 19.08.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00586-020-06475-8 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM310749336 |
|---|
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| 100 | 1 | |a Zackova, Monica |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Yellow flag on prognostic factors for non-specific chronic low back pain patients subjected to mini-invasive treatment |b a cohort study |
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| 500 | |a Date Completed 23.06.2021 | ||
| 500 | |a Date Revised 19.08.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVES: Research was conducted to study the efficacy of analgesic infiltration treatment in a well-selected population of patients with non-specific drug-resistant chronic low back pain. It studied the pain on a numeric rating scale and the physical and mental condition of patients using a short-form health survey-36, before and six months after invasive pain treatment | ||
| 520 | |a DESIGN: This is a prospective observational single center cohort study | ||
| 520 | |a SETTING: The study took place in the Multimodal Pain Therapy Unit of the IRCCS Institute of Neurological Sciences in Bologna, Italy | ||
| 520 | |a SUBJECTS: Four hundred and thirteen out of a total 538 patients admitted to the unit with non-specific drug-resistant chronic low back pain were enrolled in the study | ||
| 520 | |a METHOD: Patients were enrolled with written consent between April 2017 and November 2018. The study assessed NRS, BDI and SF-36 scores before and six months after mini-invasive treatment | ||
| 520 | |a RESULTS: There is an inverse correlation between Mental Component Scale (MCS) and Physical component scale as measured by SF-36. Older patients in a worse physical condition but with a more positive outlook on their quality of life were more likely to improve after invasive treatment (p < 0.001). The BDI scale is more effective in the diagnosis of depression than MCS | ||
| 520 | |a CONCLUSIONS: The prognostic value of MCS given to the patient before mini-invasive treatment could lead physicians to adopt a multimodal approach that includes consideration of the psychological features of pain and possibly antidepressant therapy | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a Chronic low back pain | |
| 650 | 4 | |a Drug resistance | |
| 650 | 4 | |a Health-related quality of life | |
| 650 | 4 | |a Mental component scale | |
| 650 | 4 | |a Pain management | |
| 650 | 4 | |a Physical component scale | |
| 650 | 4 | |a SF-36 | |
| 700 | 1 | |a Aspide, Raffaele |e verfasserin |4 aut | |
| 700 | 1 | |a Braghittoni, Anita |e verfasserin |4 aut | |
| 700 | 1 | |a Zenesini, Corrado |e verfasserin |4 aut | |
| 700 | 1 | |a Palandri, Giorgio |e verfasserin |4 aut | |
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