Transition from localized low back pain to chronic widespread pain in general practice: Identification of risk factors, preventive factors, and key elements for treatment.
- Conditions
- chronic widespread pain,M54.8Other dorsalgia
- Registration Number
- DRKS00003123
- Lead Sponsor
- Philipps-Universität Marburg
- Brief Summary
The 1-year incidence for the onset of CWP among patients with CLBP was 23.8%. We identified the 3 risk factors, female sex, long duration of back pain, and a high rate of psychosomatic symptoms, for the onset of CWP among patients with CLBP. Coping resources and resilience had no impact on the transition from CLBP to CWP.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Complete
- Sex
- All
- Target Recruitment
- 484
Inclusion Criteria
all patients consulting their family doctor because of chronic* low back pain during a time of 4 month.
* chronic = pain during most days in the last three month.
** low back pain = Pain in the back area under the costal arch an over the bottum fold.+/- radiation.
Exclusion Criteria
- lack of fluency
- age < 18 years
- pregnancy
Study & Design
- Study Type
- observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Primary endpoint: Propability getting a chronic widespread pain for patients with chronic local low back pain during one year. Measuring: questionnaires, every 3 months. The questionnaire constists of a body pain drawing (Pfau et al. 2009*) where patients drawing in their pain. The analysis will done by the definition of Wolfe et al 1999*.<br><br>* Pfau Doreen B. et al. Somatosensory profiles in subgroups of patients with myogenic<br>temporomandibular disorders and fibromyalgia syndrome. Pain. 147 (2009) 72–83.<br><br>* Wolfe et al.The american college of rheumatology 1999 criteria for the classification of fibromyalgie. Arthritis and Rheumatism, Vol. 33, No. 2 (February 1990).<br>
- Secondary Outcome Measures
Name Time Method prevalence of local chronic low back pain and prevalence of chronic widespread pain in primary care setting. Measurement: questionnaire, to point of time To.