Table 4.
Study | Predictive factors/instruments | Odds ratio | Outcome | |
---|---|---|---|---|
Karjalainen 2003 [20] N at follow up: 156 |
Age | 3.57 (2.55–4.58) | Oswestry disability index at 12 months | |
BMI | 2.63 (1.84–3.42) | |||
Intensity of pain at baseline | 2.21 (1.54–2.89) | |||
Oswestry disability index at baseline | 5.22 (3.79–6.65) | |||
Perceived risk of not recovering (0–10) | 2.21 (1.54–2.89) | |||
Loisel 2002 [27] N at follow up: 90 |
QTFC 1 (pain without radiation) | 1 | Functional disability (Oswestry) at 12 months | |
QTFC 2 (pain with proximal radiation (above the knee)) | 2.80 (0.44–17.73) | |||
QTFC 3–4 (Pain w. distal radiation & Pain w. dist. radiation and neurologic signs) | 3.68 (0.76 to 20.48) | |||
Loisel 2002 [27] N at follow up: 90 |
QTFC 1 | 1 | Functional disability (SIP) at 12 months | |
QTFC 2 | 3.15 (0.47–21.92) | |||
QTFC 3–4 | 5.72 (1.18–36.01) | |||
Van der Weide 1999 [39] N at follow up: 108 |
Intervention group | 0.92 (0.32–2.6) | Functional disability (Roland disability questionnaire) 3 months | |
Avoidance coping style | 4.1 (1.20–15.0) | |||
Pain intensity at inclusion (OR per 10 scale units) | 1.5 (1.1–2.0) | |||
Van der Weide 1999 [39] N at follow up: 107 |
Intervention group | 2.2 (0.7–7.0) | Functional disability (Roland disability questionnaire) 12 months Cut-off point for functional disability = 75th percentile |
|
Lack of energy | 9.9 (2.4–41.0) | |||
Social isolation | 4.3 (1.3–14.0) | |||
Emotional effort (per 10 units) | 0.6 (0.4–0.9) | |||
Lack of variation in work (per 10 units) | 1.3 (1.1–2.0) | |||
Von Korff 1993 [42] N at follow up 999 |
Age 18–24 | 1.00 | Poor outcome at 12 months (Grade III: high disability-moderately limiting back pain, Grade IV: high disability-severely limiting back pain) Cut-off point for functional disability = 75th percentile |
|
Age 25–44 | 0.48 |
P = 0.09 NS |
||
Age 45–64 | 0.67 | NS | ||
Age 65–74 | 0.70 | NS | ||
Male | 1.00 | |||
Female | 1.53 | P = 0.04 | ||
College | 1.00 | |||
graduate | 1.85 | P = 0.005 | ||
High School graduate <12 years |
3.17 | P = 0.004 | ||
White | 1.00 | |||
Black | 1.21 | NS | ||
Other | 1.02 | NS | ||
Pain grade I | 1.00 | |||
Pain grade II | 1.77 | P = 0.06 | ||
Pain grade III | 6.14 | P < 0.001 | ||
Pain grade IV | 8.10 | P < 0.001 | ||
Pain days 1–30 | 1.00 | |||
Pain days 31–89 | 2.45 | P = 0.002 | ||
Pain days 90 + | 4.64 | P < 0.001 | ||
Recency <6 months | 1.00 | |||
Recency 6 months to 2 years | 0.95 | NS | ||
Recentness 2–10 year | 1.31 | NS | ||
Recentness 11+year | 1.99 | P = 0.02 | ||
Disability payments: | ||||
Never | 1.00 | |||
Past only | 1.51 | NS | ||
Current | 1.08 | NS |
Odds ratios above 1 indicate higher chance for restricted function (risk factor), values below 1 indicate reduced chance for restricted function (protective factor)
P values (reported where no confidence interval was available): whether the odds ratio for each category is significantly different from one (1) after adjusting for covariates
QTFC Quebec Task Force Classification: a commonly used classification based on simple clinical criteria including signs and symptoms (pain and neurological examination data), imaging test results, and response to treatment (in this study only QTFC categories 1–4 were used; 1 Pain without radiation, 2 Pain with proximal radiation (above knee), 3 Pain with distal radiation (below knee), 4 Pain distal radiation and neurological signs
SIP Sickness Impact Profile
Intervention group In the two analyses from van der Weide et al. patients were randomized to one of two groups: an occupational physician group (intervention group) or a reference group. Belonging to the intervention group was not statistically significant associated with more restricted function at follow up, but was retained as a control-factor
Recentness time since first back pain episode
Physical therapy, Heat and cold (treatment), Back School: patients who had physical therapy, treatment with cold and heat or attended Back-Schools had more restricted function at follow up