Early identification of patients at risk of developing a persistent back problem: The predictive validity of the Örebro musculoskeletal pain questionnaire
2003 (English)In: The Clinical Journal of Pain, ISSN 0749-8047, E-ISSN 1536-5409, Vol. 19, no 2, p. 80-86Article in journal (Refereed) Published
Abstract [en]
Objective: To test the predictive utility of the Orebro Musculoskeletal Pain Screening Questionnaire in identifying patients at risk for developing persistent back pain problems. Design: Prospective, where participants completed the questionnaire and their cases were followed for 6 months to assess outcome with regard to pain, function, and absenteeism due to sickness. Participants: One hundred seven patients, recruited from seven primary care units. Results: Discriminant analyses showed that the items on the questionnaire were significantly related to future problems. For absenteeism due to sickness, 68% of the patients were correctly classified into one of three groups, whereas an even distribution would have produced 33%. The analyses for function correctly classified 81%, and for pain 71%, into one of two groups, compared with a chance level of 50%. A total score analysis demonstrated that a cutoff score of 90 points had a sensitivity of 89% and a specificity of 65% for absenteeism due to sickness, and a sensitivity of 74% and a specificity of 79% for functional ability. Conclusions: The results underscore that psychological variables are related to outcome 6 months later, and they replicate and extend earlier findings indicating that the Örebro Screening Questionnaire is a clinically reliable and valid instrument. The total score was a relatively good predictor of future absenteeism due to sickness as well as function, but not of pain. The results suggest that the instrument could be of value in isolating patients in need of early interventions and may promote the use of appropriate interventions for patients with psychological risk factors.
Place, publisher, year, edition, pages
2003. Vol. 19, no 2, p. 80-86
Keywords [en]
Absenteeism, Back pain, Early identification, Predictive, Questionnaire, Screening, adult, aged, article, chronic disease, coping behavior, early diagnosis, female, high risk patient, human, low back pain, major clinical study, male, musculoskeletal disease, occupational disease, pain, prediction, priority journal, prospective study, psychological aspect, recurrent disease, validation process, Acute Disease, Cohort Studies, Disability Evaluation, Humans, Middle Aged, Musculoskeletal Diseases, Neck Pain, Pain Measurement, Predictive Value of Tests, Prospective Studies, Questionnaires, Recovery of Function, Reproducibility of Results, Risk Factors, Shoulder Pain, Sick Leave, Sweden, Treatment Outcome
National Category
Psychiatry Applied Psychology Physiotherapy
Identifiers
URN: urn:nbn:se:oru:diva-88049DOI: 10.1097/00002508-200303000-00002ISI: 000181430700002PubMedID: 12616177Scopus ID: 2-s2.0-0037335694OAI: oai:DiVA.org:oru-88049DiVA, id: diva2:1509940
Note
Cited By :311; Export Date: 15 December 2020; Article; CODEN: CJPAE; Correspondence Address: Linton, S.J.; Department of Occupational Medicine, Örebro University Hospital, Örebro, Sweden; email: steven.linton@orebroll.se; References: Linton, S.J., A review of psychological risk factors in back and neck pain (2000) Spine, 25, pp. 1148-1156; Burton, A.K., Battié, M.C., Main, C.J., The relative importance of biomechanical and psychosocial factors in low back injuries (1999) The Occupational Ergonomics Handbook, pp. 1127-1138. , Karwowski W, Marras W. eds. Boca Raton, FL: CRC Press; Bongers, P.M., De Winter, C.R., Kompier, M.A., Psychosocial factors at work and musculoskeletal disease (1993) Scand J Work Environ Health, 19, pp. 297-312; Hoogendoorn, W.E., Van Poppel, M.N.M., Bongers, P.M., Systematic review of psychosocial factors at work and in the personal situation as risk factors for back pain (2000) Spine, 25, pp. 2114-2125; Turk, D.C., The role of demographic and psychosocial factors in transition from acute to chronic pain (1997) Proceedings of the Eighth World Congress on Pain: Progress in Pain Research and Management, 8, pp. 185-213. , Jensen TS, Turner JA, Wiesenfeld-Hallin Z, eds. Seattle, WA: IASP Press; Waddell, G., (1998) The Back Pain Revolution, , Edinburgh: Churchill Livingstone; Kendall, N.A.S., Linton, S.J., Main, C.J., (1997) Guide to Assessing Psychosocial Yellow Flags in Acute Low Back Pain: Risk Factors for Long-Term Disability and Work Loss, , Wellington, NZ: Accident Rehabilitation and Compensation Insurance Corporation of New Zealand and the National Health Committee; Linton, S.J., Halldén, K., Can we screen for problematic back pain? A screening questionnaire for predicting outcome in acute and subacute back pain (1998) Clin J Pain, 14, pp. 209-215; Linton, S.J., Halldén, K., Risk factors and the natural course of acute and recurrent musculoskeletal pain: Developing a screening instrument (1997) Proceedings of the Eighth World Congress on Pain: Progress in Pain Research and Management, 8, pp. 527-536. , Jensen TS, Turner JA, Wiesenfeld-Hallin Z, eds. Seattle, WA: IASP Press; Hurley, D., Dusoir, T., McDonough, S., Biopsychosocial screening questionnaire for patients with low back pain: Preliminary report of utility in physiotherapy practice in Northern Ireland (2000) Clin J Pain, 16, pp. 214-228; Linton, S.J., (1999) Manual for the Orebro Musculoskeletal Pain Screening Questionnaire: The Early Identification of Patients at Risk for Chronic Pain, p. 71. , Örebro: SJ Linton; De Wit, R., Moens, G., D'Hondt, M., An investigation into the validity of self-reported sick leave (1998) Med Trav Ergonomie, 35, pp. 165-168; Linton, S.J., Halldén, K., Hellsing, A.L., The reliability of self-reported sick absenteeism: A pilot study (1995) Scand J Behav Ther, 24, pp. 145-150
2020-12-152020-12-152025-02-11Bibliographically approved