Risk of Recurrence of Low Back Pain: A Systematic Review
Risk of Recurrence of Low Back Pain: A Systematic Review
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DOI：
10.2519/jospt.2017.7415
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发表时间：
2017-05-01
影响因子：
6.1
通讯作者：
Hancock, Mark J.
中科院分区：
文献类型：
--
作者：
da Silva, Tatiane;Mills, Kathryn;Hancock, Mark J.
研究设计：系统回顾。背景：虽然大多数急性下腰痛（LBP）患者恢复迅速，但复发被认为是常见的。据我们所知，没有发表高质量的系统评价评估复发性LBP的风险或预测LBP复发的因素。结论：本研究的目的是调查LBP复发的风险和预后因素，LBP患者在过去一年内从既往LBP发作中恢复。我们纳入了对在12个月内从先前的LBP发作中恢复的成人的纵向研究。主要结局为新发LBP。次要结果是其他类型的复发（例如，发作引起寻求护理）。结果：8项研究纳入审查：7项观察性研究和1项随机试验（2篇出版物）。6项研究报告了LBP发作的主要结局的复发比例。由于研究质量低和异质性，未进行荟萃分析。只有1项研究被认为是初始队列研究;它报告了33%的1年复发率。历史上的前一次发作的LBP之前，最近一次发作是唯一的因素，一贯预测复发的LBP.CONCLUSION：现有的研究并没有提供强大的估计LBP复发的风险，并提供很少的信息，预测复发的人最近从一次发作的LBP。
STUDY DESIGN: Systematic review.BACKGROUND: While most people with acute low back pain (LBP) recover quickly, recurrences are believed to be common. To our knowledge, no published high-quality systematic review has assessed the risk of recurrent LBP or the factors that would predict LBP recurrence.OBJECTIVES: The aim of this study was to investigate the risk of, and prognostic factors for, a recurrence of LBP in patients who have recovered from a previous episode of LBP within the last year.METHODS: Systematic searches were conducted in the MEDLINE, Embase, and CINAHL databases. We included longitudinal studies of adults who had recovered from a previous episode of LBP within 12 months. The primary outcome was a new episode of LBP. Secondary outcomes were other types of recurrence (eg, episodes causing care seeking).RESULTS: Eight studies were included in the review: 7 observational studies and 1 randomized trial (2 publications). Six studies reported recurrence proportions for the primary outcome of an episode of LBP. Meta-analysis was not conducted due to the low quality and heterogeneity of studies. Only 1 study was considered an inception cohort study; it reported a 1-year recurrence proportion of 33%. A history of previous episodes of LBP prior to the most recent episode was the only factor that consistently predicted recurrence of LBP.CONCLUSION: The available research does not provide robust estimates of the risk of LBP recurrence and provides little information about factors that predict recurrence in people recently recovered from an episode of LBP.