Table 2.
|
|
One-year U-RTW 1 |
||
---|---|---|---|---|
Variables | Baseline | OR | 95% CI | P |
Clinical variables |
|
|
|
|
Sex: female/all (% female), reference female |
166/325 (51) |
0.74 |
0.47-1.66 |
0.196 |
Agew: mean (SD, range), reference 18 years |
41.7 (10.4, 18-60) |
1.00 |
0.98-1.02 |
0.743 |
Body Mass Index (BMI): mean (SD, range), ref. 18 kg/m2 |
26.7 (5.0, 18-53) |
1.01 |
0.97-1.06 |
0.597 |
No with radiculopathy/all, n (%), ref. non-specific |
111/325 (34) |
1.06 |
0.65-1.72 |
0.829 |
Low back pain classification, n (%) overall p |
|
|
|
0.011 |
Non-specific LBP without radiation below the knee |
96 (30) |
1 |
|
|
Non-specific LBP with pain below the kneew |
118 (36) |
2.19 |
1.21-3.97 |
|
Radiculopathyw |
111 (34) |
1.87 |
1.00-3.50 |
|
Intensity of back pain2p, mean (SD, range), ref. 0 |
17.6 (6.3, 0-30) |
1.12 |
1.08-1.17 |
<0.001 |
Intensity of leg pain2, mean (SD, range), ref. 0 |
14.2 (8.3, 0-30) |
1.06 |
1.03-1.09 |
<0.001 |
Pain score2p (back + leg pain), mean (SD, range), ref. 3 |
32.0 (12.2, 3-60) |
1.06 |
1.04-1.08 |
<0.001 |
Duration of actual painp: ref. ≤ 3 months (%) |
(51) |
1.35 |
0.85-2.13 |
0.200 |
Use of pain medication: (%5-7 days/week), ref. less often |
(58) |
1.75 |
1.09-2.80 |
0.021 |
Disability (Roland Morris)w: median (range), ref. 3 |
16 (3-23) |
1.19 |
1.03-1.16 |
0.003 |
No ‘much bothered by widespread painp the preceding two weeks’/all, n |
|
|
|
|
(%), reference: ‘not much bothered’ |
53/325 (16) |
1.43 |
0.77-2.66 |
0.254 |
Forward-flexion (Mod. Schober): mean (SD, range), ref. 0.5 cm |
5.3 (1.6, 0.5-10) |
0.96 |
0.83-1.11 |
0.574 |
Side-flexionp: mean (SD, range), reference 4 cm |
13.7 (3.8, 4-26.5) |
0.89 |
0.83-0.95 |
<0.001 |
Tender pointsp: median (range), reference 0 |
5 (0-18) |
1.07 |
1.01-1.13 |
0.017 |
Disc Degenerat. Score L1-4: 0-12, median (range), ref. 0 |
1 (0-8) |
0.95 |
0.80-1.12 |
0.521 |
Disc herniationp L4-5 without radiculopathy, ref. none |
12/325 (4) |
0.863 |
0.24-3.04 |
0.818 |
Disc herniationp L5-S1 without radiculopathy, ref. none |
14/325 (4) |
1.553 |
0.52-4.61 |
0.427 |
Psychosocial and life style variables |
|
|
|
|
Fear avoidancew: (0-30), dichotomised, reference <28 |
25 (3-30) |
1.62 |
1.27-2.06 |
<0.001 |
Waddell’s signsw: n/all (% with one or more), ref. none |
78/325 (24) |
2.33 |
1.37-3.97 |
0.002 |
Bodily distressw: 0-11, median (range), ref. 0 |
3 (0-11) |
1.19 |
1.08-1.30 |
<0.001 |
Worrying and health anxietyw: 0-7, median (range), ref. 0 |
2 (0-7) |
1.13 |
1.01-1.27 |
0.039 |
Mental distressw: 0-8, median (range), ref. 0 |
1 (0-8) |
1.13 |
1.03-1.24 |
0.011 |
Depressive symptomw: 0-6, median (range), ref. 0 |
0 (0-6) |
1.23 |
1.08-1.40 |
0.002 |
General health perceived as badw/all, reference: splendid, very good, good |
|
|
|
|
or not so good |
33/322 (10) |
3.25 |
1.53-6.89 |
0.002 |
No ‘blaming work for low back painp’/ all, n (%), ref. ‘not blaming work |
|
|
|
|
or only partly blaming work’ |
70/315 (22) |
2.40 |
1.40-4.12 |
0.002 |
No ‘not convinced about return to work within 6 monthsw’/all, n (%), ref. |
|
|
|
|
‘convinced about return to work’ |
119/323 (37) |
3.69 |
2.27-6.00 |
<0.001 |
No with compensation claimw/all, n (%), ref. no claim |
77/316 (24) |
2.16 |
1.27-3.65 |
0.004 |
School educationp, n (%) overall p |
|
|
|
0.353 |
< 10 years |
99 (31) |
1 |
|
|
10 years |
120 (37) |
0.69 |
0.40-1.21 |
|
high school or alike |
70 (22) |
0.60 |
0.31-1.18 |
|
something else |
33 (10) |
0.55 |
0.23-1.28 |
|
Vocational education, n (%) overall p |
|
|
|
0.611 |
none |
55 (17) |
1 |
|
|
unskilled, one or more courses |
41 (13) |
1.12 |
0.49-2.59 |
|
skilled education, craftsman, clerk |
110 (35) |
0.74 |
0.38-1.45 |
|
short and intermediate education < 4 years |
81 (25) |
0.67 |
0.33-1.37 |
|
long education > 4 years |
8 (3) |
0.38 |
0.07-2.07 |
|
Marital status overall p |
|
|
|
0.085 |
married |
158 (49) |
1 |
|
|
living together, not married |
85 (27) |
1.26 |
0.72-2.23 |
|
alone, not previously living together |
12 (4) |
0.17 |
0.02-1.38 |
|
alone (previous married or living together) |
48 (15) |
1.41 |
0.72-2.73 |
|
something else |
16 (5) |
3.10 |
1.05-9.16 |
|
No with no children/all, n (%), ref. having children |
71/320 (22) |
0.91 |
0.50-1.66 |
0.755 |
No with no home ownership/all, n (%), ref. home ownership |
108/318 (34) |
2.61 |
1.60-4.27 |
<0.001 |
Jobw overall p |
|
|
|
0.978 |
unskilled |
104 (33) |
1 |
|
|
skilled |
73 (23) |
1.11 |
0.60-2.07 |
|
salaried employee |
66 (21) |
1.00 |
0.51-1.95 |
|
independent |
17 (5) |
0.76 |
0.25-2.34 |
|
something else |
56 (18) |
1.04 |
0.52-2.06 |
|
Job: No leader/all, n (%), ref. not leader |
37/308 (12) |
0.49 |
0.22-1.10 |
0.085 |
Personal incomep €, n (%) overall p |
|
|
|
0.019 |
<20,137 |
33 (11) |
1 |
|
|
20,137-33,561 |
153 (50) |
0.57 |
0.26-1.24 |
|
33,562-50,341 |
99 (32) |
0.34 |
0.14-0.79 |
|
>50,341 |
22 (7) |
0.18 |
0.05-0.67 |
|
Income of family €, n (%) overall p |
|
|
|
0.278 |
< 33,562 |
46 (16) |
1 |
|
|
33,562-50,341 |
70 (25) |
1.52 |
0.71-3.26 |
|
50,342-67,123 |
106 (37) |
0.91 |
0.44-1.87 |
|
> 67,123 |
63 (22) |
0.48 |
0.21-1.11 |
|
Smokingp, n (%) overall p |
|
|
|
0.065 |
never smoking |
101 (31) |
1 |
|
|
previously smoking |
85 (26) |
1.41 |
0.76-2.63 |
|
smoking currently |
136 (42) |
1.93 |
1.11-3.36 |
|
No drinking alcohol less than once per monthp/all, n (%), ref. drinking |
|
|
|
|
regularly, at least once/month |
77/322 (24) |
1.76 |
1.03-2.98 |
0.037 |
Exercise in leisure timep, dichotomised |
|
|
|
|
Vigorous or regular exercise several times a week including heavy |
|
|
|
|
gardening or housework, n (%) |
108 (34) |
1 |
|
|
Walking, cycling or light exercise some hours a week or no exercise at |
|
|
|
|
all, n (%) | 212 (66) | 1.27 | 0.78-2.06 | 0.340 |
Outcome: unsuccessful return to work at one year (one-year U-RTW). The analyses adjusted for age and sex, except age and sex.
1 Not succeeding in working for at least 4 weeks up to the one-year date or registered as unemployed for at least 4 weeks up to the one-year date: 124 patients (38.2%).
2 Transformed to VAS scale 0-10: mean back pain 5.9, mean leg pain 4.7 and mean pain score 5.3.
3 Patients not examined by MRI were excluded as the diagnosis requires MRI of the lumbar spine.
w Well-known risk factor. p Potential risk factor.
OR: Odds Ratio. CI: confidence interval.