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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove Medical Press
2016
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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 |
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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 |
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