Reduced work capacity after lumbar disc surgery: the role of cognitive-behavioral and work-related risk factors.
Pain
; 126(1-3): 72-8, 2006 Dec 15.
Article
em En
| MEDLINE
| ID: mdl-16843598
ABSTRACT
A significant number of patients who have had surgery for lumbosacral radicular syndrome still have a reduced work capacity several months later. In a prospective cohort study of 182 people who underwent lumbar disc surgery, we determined the predictive value of preoperatively measured cognitive-behavioral and work-related factors on work capacity 6 months after surgery. Logistic regression analyses indicated that these factors independently predicted work capacity 6 months after surgery. Specifically, fear of movement/(re)injury, more passive pain coping, and higher physical work-load predicted reduced work capacity in multiple logistic regression analyses, taking into account the role of a wide range of control variables including demographic variables, preoperative disability and pain intensity, neurological deficits, intake of analgesics, duration of complaints, and pain intensity 3 days postoperatively. The study supports the need to develop and evaluate preoperative risk screening measures that include both cognitive-behavioral and work-related factors and to evaluate the effectiveness of cognitive-behavioral and work-related interventions in patients at risk of reduced work capacity after surgery for LRS.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Avaliação da Capacidade de Trabalho
/
Dor nas Costas
/
Avaliação da Deficiência
/
Disco Intervertebral
/
Vértebras Lombares
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Pain
Ano de publicação:
2006
Tipo de documento:
Article