Definitions of Chronic Low Back Pain From a Scoping Review, and Analyses of Narratives and Self-Reported Health of Adults With Low Back Pain.
Definitions of Chronic Low Back Pain From a Scoping Review, and Analyses of Narratives and Self-Reported Health of Adults With Low Back Pain.
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DOI：
10.1016/j.jpain.2022.10.012
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发表时间：
2023-03
期刊：
影响因子：
4
通讯作者：
Coulter, Ian D.
中科院分区：
文献类型：
--
作者：
Herman, Patricia M.;Qureshi, Nabeel;Arick, Susan D.;Edelen, Maria O.;Hays, Ron D.;Rodriguez, Anthony;Weir, Rebecca L.;Coulter, Ian D.
在腰痛(LBP)患者中，慢性LBP(CLBP)患者面临不同的治疗建议，并承担大部分痛苦和成本。然而，定义CLBP的方式差异很大。这项研究使用范围回顾和对LBP患者数据的定性和定量分析来探索这种变异。在最近的随机对照试验(RCT)中，以疼痛持续时间来定义CLBP，最常见的是≥3个月。然而，LBP患者最常通过频率来定义CLBP。CLBP也是使用持续时间和频率的组合来定义的(16%的RCT和20%的个体)，包括6%的最近遵循NIH疼痛联盟研究工作组(RTF)定义的RCT。尽管CLBP对于个人来说不是一个决定性的特征，但最近的随机对照试验中，几乎15%的患者要求CLBP有医疗保健提供者的诊断。在我们的下腰痛样本中，从≥到RTF定义的3个月将CLBP组的规模减少了25%，结果是该组使用了更多的疼痛管理选项，并且在所有结果指标中报告的健康状况更差。疼痛持续时间定义提供了应用的简便性。然而，对这一定义的改进(例如，RTF)可以确定哪些人可能是更好的干预目标。本文介绍了研究人员和个人对慢性下腰痛的定义，以及这些定义对疼痛管理和健康结果的影响。这些信息可能有助于研究人员选择更好的研究纳入标准和临床医生，以更好地了解他们的患者对慢性下腰痛的看法。
Among those with low back pain (LBP), individuals with chronic LBP (CLBP) face different treatment recommendations and incur the majority of suffering and costs. However, the way CLBP has been defined varies greatly. This study used a scoping review and qualitative and quantitative analyses of data from LBP patients to explore this variation. CLBP in most recent randomized controlled trials (RCTs) was defined by duration of pain, most commonly ≥3 months. However, individuals with LBP most often define CLBP by frequency. CLBP has also been defined using a combination of duration and frequency (16% of RCTs and 20% of individuals), including 6% of recent RCTs that followed the NIH Pain Consortium research task force (RTF) definition. Although not a defining characteristic of CLBP for individuals, almost 15% of recent RCTs required CLBP to have a healthcare provider diagnosis. In our LBP sample moving from ≥3 months to the RTF definition reduced the CLBP group size by 25% and resulted in a group that used more pain management options and reported worse health across all outcome measures. A pain duration definition offers ease of application. However, refinements to this definition (e.g., RTF) can identify those who may be better intervention targets. This article presents the definitions used for chronic low back pain by researchers and individuals, and the impact of these definitions on pain management and health outcomes. This information may help researchers choose better study inclusion criteria and clinicians to better understand their patients’ beliefs about chronic low back pain.
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影响因子：
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作者：
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发表时间：
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影响因子：
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