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Management of chronic low back pain and the impact on patients' personal and professional lives: Results from an international patient survey.
Fullen, Brona; Morlion, Bart; Linton, Steven J; Roomes, David; van Griensven, Joop; Abraham, Lucy; Beck, Craig; Wilhelm, Stefan; Constantinescu, Cristina; Perrot, Serge.
  • Fullen B; University College Dublin, Dublin, Ireland.
  • Morlion B; European Pain Federation EFIC, Brussels, Belgium.
  • Linton SJ; European Pain Federation EFIC, Brussels, Belgium.
  • Roomes D; University of Leuven, Leuven, Belgium.
  • van Griensven J; Örebro University, Örebro, Sweden.
  • Abraham L; Chief Medical Officer, Rolls-Royce PLC, Derby, UK.
  • Beck C; Pain Alliance Europe, Brussels, Belgium.
  • Wilhelm S; Pfizer Ltd, Tadworth, UK.
  • Constantinescu C; Pfizer Ltd, Tadworth, UK.
  • Perrot S; Eli Lilly International, Bad Homburg, Germany.
Pain Pract ; 22(4): 463-477, 2022 04.
Article en En | MEDLINE | ID: mdl-35156770
ABSTRACT

OBJECTIVE:

The objective of this study was to investigate the impact of chronic low back pain (CLBP) on patients' personal and professional lives, and management strategies applied to treat CLBP.

METHODS:

A 60-question survey was developed, and respondents from 16 countries with a self-reported physician's diagnosis of CLBP were recruited via an online market research survey panel. Respondents were stratified as having mild, moderate, or severe pain. Target sample sizes per country and for pain severity were set. Data were weighted according to the known population and prevalence of CLBP in each country and the number of respondents from that country.

RESULTS:

Results from 9642 CLBP patients indicated that almost a quarter of patients with severe CLBP report a psychological comorbidity. Prescription pain medications were more commonly used by patients with severe CLBP (56%) than those with mild (20%) or moderate (34%) CLBP. Among those with severe CLBP who had been prescribed pain medication, 58% were prescribed opioids, with 1 in 4 patients using opioids for more than 5 years. Patients were primarily managed by general practitioners/primary care physicians, physiotherapists, neurologists, or orthopedic surgeons. CLBP negatively impacted patients' daily activities, social lives, and work productivity.

CONCLUSION:

Chronic low back pain has pronounced effects on patients' personal relationships, ability to work, and daily living. Almost 1 in four patients with severe CLBP reported a psychological comorbidity. Adherence to guidelines appears inconsistent, which is noteworthy as a substantial subgroup of patients with severe CLBP had been prescribed opioid medication for more than 5 years. Improved education is required to support healthcare professionals (HCPs) in identifying and understanding the complex biopsychosocial needs of CLBP patients to optimize pain management and to encourage referral of CLBP patients to physiotherapists and psychologists.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Dolor de la Región Lumbar / Medicamentos bajo Prescripción / Dolor Crónico Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Humans Idioma: En Año: 2022 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Dolor de la Región Lumbar / Medicamentos bajo Prescripción / Dolor Crónico Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Humans Idioma: En Año: 2022 Tipo del documento: Article