Cargando…

The relationship between pain severity and patient-reported outcomes among patients with chronic low back pain in Japan

OBJECTIVE: The aim of this study was to quantify the impact of pain severity on patient-reported outcomes among individuals diagnosed with chronic low back pain in Japan. METHODS: Data were provided by the 2012 Japan National Health and Wellness Survey (N=29,997), a web-based survey of individuals i...

Descripción completa

Detalles Bibliográficos
Autores principales: Montgomery, William, Vietri, Jeffrey, Shi, Jing, Ogawa, Kei, Kariyasu, Sawako, Alev, Levent, Nakamura, Masaya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4898257/
https://www.ncbi.nlm.nih.gov/pubmed/27330326
http://dx.doi.org/10.2147/JPR.S102063
_version_ 1782436322330279936
author Montgomery, William
Vietri, Jeffrey
Shi, Jing
Ogawa, Kei
Kariyasu, Sawako
Alev, Levent
Nakamura, Masaya
author_facet Montgomery, William
Vietri, Jeffrey
Shi, Jing
Ogawa, Kei
Kariyasu, Sawako
Alev, Levent
Nakamura, Masaya
author_sort Montgomery, William
collection PubMed
description OBJECTIVE: The aim of this study was to quantify the impact of pain severity on patient-reported outcomes among individuals diagnosed with chronic low back pain in Japan. METHODS: Data were provided by the 2012 Japan National Health and Wellness Survey (N=29,997), a web-based survey of individuals in Japan aged ≥18 years. This analysis included respondents diagnosed with low back pain of ≥3-month duration. Measures included the revised Medical Outcomes Study 36-Item Short-Form Survey Instrument, the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7 scale, the Work Productivity and Activity Impairment: General Health questionnaire, and self-reported all-cause health care visits (6 months). Generalized linear models were used to assess the relationship between outcomes and severity of pain in the past week as reported on a numeric rating scale ranging from 0 (no pain) to 10 (pain as bad as you can imagine), controlling for length of diagnosis, sociodemographics, and general health characteristics. RESULTS: A total of 290 respondents were included in the analysis; mean age was 56 years, 41% were females, and 56% were employed. Pain severity was 3/10 for the first quartile, 5/10 for the median, and 7/10 for the third quartile of this sample. Increasing severity was associated with lower scores for mental and physical component summaries and Short-Form 6D health utility, higher depression (Patient Health Questionnaire-9) and anxiety (Generalized Anxiety Disorder-7) scores, greater absenteeism and presenteeism, greater activity impairment, and more health care provider visits (all P<0.0001). CONCLUSION: The impact of chronic low back pain on health-related quality of life, depression and anxiety symptoms, impairment to work and daily activities, and health care use increases with the severity of pain. Interventions reducing the severity of pain may improve numerous health outcomes even if the pain cannot be eliminated.
format Online
Article
Text
id pubmed-4898257
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Dove Medical Press
record_format MEDLINE/PubMed
spelling pubmed-48982572016-06-21 The relationship between pain severity and patient-reported outcomes among patients with chronic low back pain in Japan Montgomery, William Vietri, Jeffrey Shi, Jing Ogawa, Kei Kariyasu, Sawako Alev, Levent Nakamura, Masaya J Pain Res Original Research OBJECTIVE: The aim of this study was to quantify the impact of pain severity on patient-reported outcomes among individuals diagnosed with chronic low back pain in Japan. METHODS: Data were provided by the 2012 Japan National Health and Wellness Survey (N=29,997), a web-based survey of individuals in Japan aged ≥18 years. This analysis included respondents diagnosed with low back pain of ≥3-month duration. Measures included the revised Medical Outcomes Study 36-Item Short-Form Survey Instrument, the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7 scale, the Work Productivity and Activity Impairment: General Health questionnaire, and self-reported all-cause health care visits (6 months). Generalized linear models were used to assess the relationship between outcomes and severity of pain in the past week as reported on a numeric rating scale ranging from 0 (no pain) to 10 (pain as bad as you can imagine), controlling for length of diagnosis, sociodemographics, and general health characteristics. RESULTS: A total of 290 respondents were included in the analysis; mean age was 56 years, 41% were females, and 56% were employed. Pain severity was 3/10 for the first quartile, 5/10 for the median, and 7/10 for the third quartile of this sample. Increasing severity was associated with lower scores for mental and physical component summaries and Short-Form 6D health utility, higher depression (Patient Health Questionnaire-9) and anxiety (Generalized Anxiety Disorder-7) scores, greater absenteeism and presenteeism, greater activity impairment, and more health care provider visits (all P<0.0001). CONCLUSION: The impact of chronic low back pain on health-related quality of life, depression and anxiety symptoms, impairment to work and daily activities, and health care use increases with the severity of pain. Interventions reducing the severity of pain may improve numerous health outcomes even if the pain cannot be eliminated. Dove Medical Press 2016-06-02 /pmc/articles/PMC4898257/ /pubmed/27330326 http://dx.doi.org/10.2147/JPR.S102063 Text en © 2016 Montgomery et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Montgomery, William
Vietri, Jeffrey
Shi, Jing
Ogawa, Kei
Kariyasu, Sawako
Alev, Levent
Nakamura, Masaya
The relationship between pain severity and patient-reported outcomes among patients with chronic low back pain in Japan
title The relationship between pain severity and patient-reported outcomes among patients with chronic low back pain in Japan
title_full The relationship between pain severity and patient-reported outcomes among patients with chronic low back pain in Japan
title_fullStr The relationship between pain severity and patient-reported outcomes among patients with chronic low back pain in Japan
title_full_unstemmed The relationship between pain severity and patient-reported outcomes among patients with chronic low back pain in Japan
title_short The relationship between pain severity and patient-reported outcomes among patients with chronic low back pain in Japan
title_sort relationship between pain severity and patient-reported outcomes among patients with chronic low back pain in japan
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4898257/
https://www.ncbi.nlm.nih.gov/pubmed/27330326
http://dx.doi.org/10.2147/JPR.S102063
work_keys_str_mv AT montgomerywilliam therelationshipbetweenpainseverityandpatientreportedoutcomesamongpatientswithchroniclowbackpaininjapan
AT vietrijeffrey therelationshipbetweenpainseverityandpatientreportedoutcomesamongpatientswithchroniclowbackpaininjapan
AT shijing therelationshipbetweenpainseverityandpatientreportedoutcomesamongpatientswithchroniclowbackpaininjapan
AT ogawakei therelationshipbetweenpainseverityandpatientreportedoutcomesamongpatientswithchroniclowbackpaininjapan
AT kariyasusawako therelationshipbetweenpainseverityandpatientreportedoutcomesamongpatientswithchroniclowbackpaininjapan
AT alevlevent therelationshipbetweenpainseverityandpatientreportedoutcomesamongpatientswithchroniclowbackpaininjapan
AT nakamuramasaya therelationshipbetweenpainseverityandpatientreportedoutcomesamongpatientswithchroniclowbackpaininjapan
AT montgomerywilliam relationshipbetweenpainseverityandpatientreportedoutcomesamongpatientswithchroniclowbackpaininjapan
AT vietrijeffrey relationshipbetweenpainseverityandpatientreportedoutcomesamongpatientswithchroniclowbackpaininjapan
AT shijing relationshipbetweenpainseverityandpatientreportedoutcomesamongpatientswithchroniclowbackpaininjapan
AT ogawakei relationshipbetweenpainseverityandpatientreportedoutcomesamongpatientswithchroniclowbackpaininjapan
AT kariyasusawako relationshipbetweenpainseverityandpatientreportedoutcomesamongpatientswithchroniclowbackpaininjapan
AT alevlevent relationshipbetweenpainseverityandpatientreportedoutcomesamongpatientswithchroniclowbackpaininjapan
AT nakamuramasaya relationshipbetweenpainseverityandpatientreportedoutcomesamongpatientswithchroniclowbackpaininjapan