Cluster analysis of SF-36 scales as a predictor of spinal pain patients response to a multidisciplinary pain management approach beginning with epidural steroid injection.
Cluster analysis of SF-36 scales as a predictor of spinal pain patients response to a multidisciplinary pain management approach beginning with epidural steroid injection.
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SF-36 量表的聚类分析作为脊柱疼痛患者对从硬膜外类固醇注射开始的多学科疼痛管理方法的反应的预测因子。
DOI：
10.1111/j.1526-4637.2006.00158.x
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发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Baird,JohnC
中科院分区：
文献类型：
--
作者：
Loyd,Ryan;Fanciullo,GilbertJ;Hanscom,Brett;Baird,JohnC
Objective.To investigate whether grouping of patients with back pain into similar behavioral patient profiles using SF-36 scores is predictive of outcome following 1-year treatment in a multidisciplinary spine center beginning with referral for epidural steroid injection.Design.A prospective observational study was conducted on 81 consecutive patients selected for epidural steroid injections by independent physicians following common institutional criteria. Each patient completed a baseline SF-36 questionnaire as well as a numerical response pain scale. The initial SF-36 data were used to place each patient into one of three subgroups (Highly Functional, Emotional Adapters, and Dysfunctional). Follow-up SF-36 and numerical response pain scale questionnaires were completed by the patients at 1 month and 12 months following the initial epidural steroid injection.Results.Results revealed significant improvement among all three patient subgroups following multidisciplinary treatment at both 1 month and 12 months. Few differences in outcome occurred among the subgroups.Conclusion.The SF-36-determined subgroups did not predict response to a multidisciplinary pain clinic. All three subgroups showed similar improvement following treatment.
