ArticleEuropean journal of pain (London, England)2020
Predictive factors of high societal costs among chronic low back pain patients.
Article in European journal of pain (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Efficacy and safety of non-invasive brain stimulation for chronic low back pain: a systematic review and meta-analysis of randomised controlled trials.Journal of neuroengineering and rehabilitation · 2026Pooled it
- Single and multilevel decompression alone in patients with multilevel lumbar spinal stenosis: a systematic review and meta-analysis.Neurosurgical review · 2025Pooled it
- Traditional Chinese exercises on pain and disability in middle-aged and elderly patients with lumbar disc herniation: a systematic review and meta-analysis of randomized controlled trials.Frontiers in medicine · 2023Pooled it
- Modifiable prognostic factors of high societal costs among people on sick leave due to musculoskeletal disorders: a replication study.BMC musculoskeletal disorders · 2024Trial
- Technical Feasibility of Supervision of Stretching Exercises by a Humanoid Robot Coach for Chronic Low Back Pain: The R-COOL Randomized Trial.BioMed research international · 2022Trial
- Healthcare expenditure and its predictors in a cohort of Australians living with sciatica.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 · 2021Trial
- Prognostic Factors of High Healthcare Utilization Costs Among People With Spinal Disorders Using a Spine Registry Linked to Public Healthcare Data.European journal of pain (London, England) · 2026Article
- Empowering Self-Management of Chronic Low Back Pain Among Spanish and Cantonese Speakers in the United States.Cureus · 2025Article
- Catastrophizing and fear avoidance beliefs in chronic low back pain: a cross-sectional study.European journal of physical and rehabilitation medicine · 2025Article
- Exploring the association between patient-drawn pain diagrams and psychological and physical health variables: A large-scale study of patients with low back pain.European journal of pain (London, England) · 2025Article
- Patient characteristics and healthcare use for high-cost patients with musculoskeletal disorders in Norway: a cohort study.BMC health services research · 2024Article
- Societal costs of older adults with low back pain seeking chiropractic care: findings from the BACE-C cohort study.Chiropractic & manual therapies · 2024Article
- Review
- Healthcare resource utilization for chronic low back pain among high-utilizers.The spine journal : official journal of the North American Spine Society · 2024Article
- Article
- Pain relief and associated factors: a cross-sectional observational web-based study in a Quebec cohort of persons living with chronic pain.Frontiers in pain research (Lausanne, Switzerland) · 2024Article
- International Society for the Advancement of Spine Surgery Statement: Restorative Neurostimulation for Chronic Mechanical Low Back Pain Resulting From Neuromuscular Instability.International journal of spine surgery · 2023Article
- Chronic Low Back Pain: Prevalence, Impact on Quality of Life, and Predictors of Future Disability.Cureus · 2023Article
- Combination of health care service use and the relation to demographic and socioeconomic factors for patients with musculoskeletal disorders: a descriptive cohort study.BMC health services research · 2023Article
- Endoscopic Facet Joint Denervation on the Lumbar Spine: A Retrospective Analysis.Asian spine journal · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSocietal costs of low back pain (LBP) are high, yet few studies have been performed to identify the predictive factors of high societal costs among chronic LBP patients. This study aimed to determine which factors predict high societal costs in patients with chronic LBP.
methodsData of 6,316 chronic LBP patients were used. In the main analysis, high societal costs were defined as patients in the top 10% of cost outcomes. Sensitivity analyses were conducted using patients in the top 5% and top 20% of societal costs. Potential predictive factors included patient expectations, demographic factors (e.g. age, gender, nationality), socio-economic factors (e.g. employment, education level) and health-related factors (e.g. body mass index [BMI], general health, mental health). The final prediction models were obtained using backward selection. The model's prognostic accuracy (Hosmer-Lemeshow X
resultsPoor physical health, high functional disability, low health-related quality of life, high impact of pain experience, non-Dutch nationality and decreasing pain were found to be predictive of high societal costs in all models, and were therefore considered robust. After internal validation, the models' fit was good, their explained variance was relatively low (≤14.1%) and their AUCs could be interpreted as moderate (≥0.71).
conclusionFuture studies should focus on understanding the mechanisms associated with the identified predictors for high societal costs in order to design effective cost reduction initiatives. SIGNIFICANCE: Identifying low back pain patients who are at risk (risk stratification) of becoming high-cost users and making appropriate initiatives could help in reducing high costs.
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