Clinical Course and Prognostic Factors in Acute Neck Pain: An Inception Cohort Study in General Practice
作者： Cees J. Vos , Arianne P. Verhagen , Jan Passchier , Bart W. Koes
DOI: 10.1111/J.1526-4637.2008.00456.X
关键词: Internal medicine 、 Referral 、 Neck pain 、 Medicine 、 Sick leave 、 Multivariate analysis 、 Logistic regression 、 Physical therapy 、 Odds ratio 、 Confidence interval 、 Prospective cohort study
摘要: Objective. To describe the natural course of patients with acute neck pain presenting in general practice and to identify prognostic factors for recovery sick leave. Design. We conducted a prospective cohort study 1-year follow-up practice. Questionnaires were collected at baseline after 6, 12, 26, 52 weeks. Days leave dichotomized into two groups: below above 7 days leave. Logistic regression was used leave. Patients. Consecutive nonspecific lasting no longer than 6 weeks invited participate. Results. One hundred eighty-seven included 138 (74%) provided data. After 1 year, 76% stated be fully recovered or much improved, although 47% reported have ongoing pain. Almost half on returned work within days. Multivariate analysis showed that highest association advice practitioner (GP) “to wait see” (odds ratio [OR] 6.7, 95% confidence interval [CI] 1.6–31.8). For leave, referral by GP, physical therapy medical specialist, (OR 2.8, CI 1.0–8.4). Conclusion. Acute had good prognosis majority patients, but still relatively high proportion follow-up. The given GP associated recovery, “referral” prolonged
oup.com
oxfordjournals.org
sci-hub.se 参考文章(30)
Dagmar Westerling, Björn G. Jonsson, Pain from the neck-shoulder region and sick leave. Scandinavian journal of social medicine. ,vol. 8, pp. 131- 136 ,(1980) , 10.1177/140349488000800308
M. D. Miller, Daron Gale Ferris, Measurement of subjective phenomena in primary care research: the Visual Analogue Scale. The Family practice research journal. ,vol. 13, pp. 15- 24 ,(1993)
J. S. A. G. Schouten, J. Passchier, H. A. Valkenburg, L. K. J. Van Romunde, J. Van Der Donk, The associations of neck pain with radiological abnormalities of the cervical spine and personality traits in a general population. The Journal of Rheumatology. ,vol. 18, pp. 1884- 1889 ,(1991)
Henrica C. W. de Vet, Lex M. Bouter, P. Dick Bezemer, Anna J. H. M. Beurskens, Reproducibility and responsiveness of evaluative outcome measures : Theoretical considerations illustrated by an empirical example International Journal of Technology Assessment in Health Care. ,vol. 17, pp. 479- 487 ,(2001) , 10.1017/S0266462301107038
Matti Mäkela, Markku Heliövaara, Kai Sievers, Olli Impivaara, Paul Knekt, Arpo Aromaa, Prevalence, Determinants, and Consequences of Chronic Neck Pain in Finland American Journal of Epidemiology. ,vol. 134, pp. 1356- 1367 ,(1991) , 10.1093/OXFORDJOURNALS.AJE.A116038
Michel Guez, Christer Hildingsson, Marie Nilsson, Göran Toolanen, The prevalence of neck pain : A population-based study from northern Sweden Acta Orthopaedica Scandinavica. ,vol. 73, pp. 455- 459 ,(2002) , 10.1080/00016470216329
Willy Eriksen, B??rd Natvig, Stein Knardahl, Dag Bruusgaard, Job characteristics as predictors of neck pain. A 4-year prospective study. Journal of Occupational and Environmental Medicine. ,vol. 41, pp. 893- 902 ,(1999) , 10.1097/00043764-199910000-00010
Marija J. Norusis, SPSS 15.0 Guide to Data Analysis ,(2000)
Steven J. Linton, Karin Halldén, Can we screen for problematic back pain? A screening questionnaire for predicting outcome in acute and subacute back pain The Clinical Journal of Pain. ,vol. 14, pp. 209- 215 ,(1998) , 10.1097/00002508-199809000-00007
Jonathan Hill, Martyn Lewis, Ann C. Papageorgiou, Krysia Dziedzic, Peter Croft, Predicting persistent neck pain: a 1-year follow-up of a population cohort. Spine. ,vol. 29, pp. 1648- 1654 ,(2004) , 10.1097/01.BRS.0000132307.06321.3C