ArticleJournal of occupational rehabilitation2012
Distressed, immobilized, or lacking employer support? A sub-classification of acute work-related low back pain.
Article in Journal of occupational rehabilitation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Individual recovery expectations and prognosis of outcomes in non-specific low back pain: prognostic factor review.The Cochrane database of systematic reviews · 2019Pooled it
- The Influence of Social Support and Social Integration Factors on Return to Work Outcomes for Individuals with Work-Related Injuries: A Systematic Review.Journal of occupational rehabilitation · 2019Pooled it
- The impact of family and work-related social support on musculoskeletal injury outcomes: a systematic review.Journal of occupational rehabilitation · 2015Pooled it
- Early psychologically informed interventions for workers at risk for pain-related disability: does matching treatment to profile improve outcome?Journal of occupational rehabilitation · 2014Trial
- Identifying latent subgroups in the older population seeking primary health care for a new episode of back pain - findings from the BACE-N cohort.BMC musculoskeletal disorders · 2024Observational
- The associations of depression, anxiety, and insomnia at baseline with disability at a five-year follow-up point among outpatients with chronic low back pain: a prospective cohort study.BMC musculoskeletal disorders · 2023Article
- The Use of Cluster Analysis by Partitioning around Medoids (PAM) to Examine the Heterogeneity of Patients with Low Back Pain within Subgroups of the Treatment Based Classification System.Journal of biomedical physics & engineering · 2023Article
- Pain intensity and psychological distress show different associations with interference and lack of life control: A clinical registry-based cohort study of >40,000 chronic pain patients from SQRP.Frontiers in pain research (Lausanne, Switzerland) · 2023Article
- Prediction of Work-Related Risk Factors among Bus Drivers Using Machine Learning.International journal of environmental research and public health · 2022Article
- Observational
- Subgroups of Long-Term Sick-Listed Based on Prognostic Return to Work Factors Across Diagnoses: A Cross-Sectional Latent Class Analysis.Journal of occupational rehabilitation · 2021Article
- Exploring pain phenotypes in workers with chronic low back pain: Application of IMMPACT recommendations.Canadian journal of pain = Revue canadienne de la douleur · 2021Article
- The effect of theory-based educational intervention on correct principles of manual material handling among men.Journal of education and health promotion · 2020Article
- Who benefits from multimodal rehabilitation - an exploration of pain, psychological distress, and life impacts in over 35,000 chronic pain patients identified in the Swedish Quality Registry for Pain Rehabilitation.Journal of pain research · 2019Article
- Clinical classes of injured workers with chronic low back pain: a latent class analysis with relationship to working status.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018Article
- Clinical Decision Support Tools for Selecting Interventions for Patients with Disabling Musculoskeletal Disorders: A Scoping Review.Journal of occupational rehabilitation · 2016Article
- A Systematic Review of the Effects of Exercise and Physical Activity on Non-Specific Chronic Low Back Pain.Healthcare (Basel, Switzerland) · 2016Review
- When Matching Fails: Understanding the Process of Matching Pain-Disability Treatment to Risk Profile.Journal of occupational rehabilitation · 2015Article
- Confirmatory factor analysis of the Injustice Experience Questionnaire in an Australian compensable population.Journal of occupational rehabilitation · 2014Article
- Healthcare consultation and sick leave before and after neck injury: a cohort study with matched population-based references.BMJ open · 2013Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOne possibility for reducing the disabling effects of low back pain (LBP) is to identify subgroups of patients who might benefit from different disability prevention strategies. The aim of this study was to test the ability to discern meaningful patient clusters for early intervention based on self-reported concerns and expectations at the time of an initial medical evaluation.
methodsWorkers seeking an initial evaluation for acute, work-related LBP (N = 496; 58 % male) completed self-report measures comprising of 11 possible risk factors for chronicity of pain and disability. Outcomes of pain, function, and return-to-work were assessed at 3-month follow-up. A K-means cluster analysis was used to derive patient subgroups based on risk factor patterns, and then these subgroups were compared with respect to 3-month outcomes.
resultsEight of the 11 measures showed significant associations with functional recovery and return-to-work, and these were entered into the cluster analysis. A 4-cluster solution met criteria for cluster separation and interpretability, and the four clusters were labeled: (a) minimal risk (29 %), (b) workplace concerns (26 %); (c) activity limitations (27 %); and (d) emotional distress (19 %). Functional outcomes were best in the minimal risk group, poorest in the emotional distress group, and intermediate in the other two groups. A global severity index at baseline also showed highest overall risk in the emotional distressed group.
conclusionsPatterns of early disability risk factors from this study suggest patients have differential needs with respect to overcoming emotional distress, resuming normal activity, and obtaining workplace support. Classifying patients in this manner may improve the cost-benefit of early intervention strategies to prevent long-term sickness absence and disability due to LBP.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.