Evidence map›Paper›PMID 26940056›Full record

Observational studyEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2016

Emotional distress drives health services overuse in patients with acute low back pain: a longitudinal observational study.

Adrian C Traeger, Markus Hübscher, Nicholas Henschke, Christopher M Williams, Christopher G Maher, G Lorimer Moseley, Hopin Lee, James H McAuley

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in 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, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Adrian C TraegerNeuroscience Research Australia, Barker Street, Randwick, Sydney, Australia.
Markus HübscherNeuroscience Research Australia, Barker Street, Randwick, Sydney, Australia.
Nicholas HenschkeInstitute of Public Health, University of Heidelberg, Heidelberg, Germany.
Christopher M WilliamsHunter Medical Research Institute and School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.
Christopher G MaherHunter Medical Research Institute and School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.
G Lorimer MoseleyNeuroscience Research Australia, Barker Street, Randwick, Sydney, Australia.
Hopin LeeNeuroscience Research Australia, Barker Street, Randwick, Sydney, Australia.
James H McAuleyNeuroscience Research Australia, Barker Street, Randwick, Sydney, Australia. j.mcauley@neura.edu.au.
UNSW Sydney · AUHunter Medical Research Institute · AUHeidelberg University · DEUniversity of South Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine whether emotional distress reported at the initial consultation affects subsequent healthcare use either directly or indirectly via moderating the influence of symptoms.

methodsLongitudinal observational study of 2891 participants consulting primary care for low back pain. Negative binomial regression models were constructed to estimate independent effects of emotional distress on healthcare use. Potential confounders were identified using directed acyclic graphs.

resultsAfter the initial consultation, participants had a mean (SD) of one (1.2) visit for back pain over 3 months, and nine (14) visits for back pain over 12 months. Higher reports of anxiety during the initial consultation led to increased short-term healthcare use (IRR 1.06, 95 % CI 1.01-1.11) and higher reports of depression led to increased long-term healthcare use (IRR 1.04, 95 % CI 1.02-1.07). The effect sizes suggest that a patient with a high anxiety score (8/10) would consult 50 % more frequently over 3 months, and a person with a high depression score (8/10) would consult 30 % more frequently over 12 months, compared to a patient with equivalent pain and disability and no reported anxiety or depression.

conclusionsEmotional distress in the acute stage of low back pain increased subsequent consultation rates. Interventions that target emotional distress during the initial consultation are likely to reduce costly and potentially inappropriate future healthcare use for patients with non-specific low back pain.

Indexed as

Acute DiseaseAdultAnxietyAustraliaDepressionFemaleHumansLongitudinal StudiesLow Back PainMaleMedical OveruseMiddle AgedStress, PsychologicalDepressive symptomsLow back painMedical overusePrimary healthcare

Identifiers

PMID26940056
OpenAlexW2290113032

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.