Frequency and Interrelations of Risk Factors for Chronic Low Back Pain in a Primary Care Setting
Frequency and Interrelations of Risk Factors for Chronic Low Back Pain in a Primary Care Setting
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DOI：
10.1371/journal.pone.0004874
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发表时间：
2009-03-16
期刊：
影响因子：
3.7
通讯作者：
Poiraudeau, Serge
中科院分区：
文献类型：
--
作者：
Lefevre-Colau, Marie-Martine;Fayad, Fouad;Poiraudeau, Serge
前言：许多危险因素已被确定为慢性腰痛（cLBP），但只有一项研究评估了它们的相互关系。我们的目的是调查的频率cLBP的危险因素及其相互关系的患者咨询他们的全科医生（GP）cLBP.Methods：横断面，描述性，全国性调查进行。随机选择的3000名全科医生被要求包括至少一名咨询cLBP的患者。记录人口统计学、临床特征和cLBP危险因素的存在。结果：共调查2068名全科医生（68.9%），4522份调查问卷中至少有1名患者。在所有患者样本中，最常见的2个危险因素是复发性LBP病史（72.1%）和初始日常生活活动受限（66.4%）。对于工作患者，常见的职业风险因素是信念，LBP是由于在工作中保持特定的姿势（79.0%）和经常在工作中搬运重物（65.5%）。在MCA上，我们确定了工作和非工作患者的3个风险因素维度（轴）。工作患者的主要维度涉及专业风险因素，在这些因素中，患者的工作满意度和工作认可度在很大程度上有助于这一dimension.Discussion：我们的研究结果揭示了第一次的相互关系和先前确定的几个cLBP风险因素的各自贡献。他们认为，代表“工作相关”维度的风险因素是工作人群中最重要的cLBP风险因素。
Introduction: Many risk factors have been identified for chronic low back pain (cLBP), but only one study evaluated their interrelations. We aimed to investigate the frequency of cLBP risk factors and their interrelations in patients consulting their general practitioners (GPs) for cLBP.Methods: A cross-sectional, descriptive, national survey was performed. 3000 GPs randomly selected were asked to include at least one patient consulting for cLBP. Demographic, clinical characteristics and the presence of cLBP risk factors were recorded. The frequency of each cLBP risk factor was calculated and multiple correspondence analysis (MCA) was performed to study their interrelations.Results: A total of 2068 GPs (68.9%) included at least 1 patient, for 4522 questionnaires analyzed. In the whole sample of patients, the 2 risk factors most commonly observed were history of recurrent LBP (72.1%) and initial limitation of activities of daily living (66.4%). For working patients, common professional risk factors were beliefs, that LBP was due to maintaining a specific posture at work (79.0%) and frequent heavy lifting at work (65.5%). On MCA, we identified 3 risk-factor dimensions (axes) for working and nonworking patients. The main dimension for working patients involved professional risk factors and among these factors, patients' job satisfaction and job recognition largely contribute to this dimension.Discussion: Our results shed in light for the first time the interrelation and the respective contribution of several previously identified cLBP risk factors. They suggest that risk factors representing a "work-related'' dimension are the most important cLBP risk factors in the working population.