Evidence map›Paper›PMID 35156770›Full record

ArticlePain practice : the official journal of World Institute of Pain2022

Management of chronic low back pain and the impact on patients' personal and professional lives: Results from an international patient survey.

Brona Fullen, Bart Morlion, Steven J Linton, David Roomes, Joop van Griensven, Lucy Abraham, Craig Beck, Stefan Wilhelm, Cristina Constantinescu, Serge Perrot

Abstract read
In one paragraph

Article in Pain practice : the official journal of World Institute of Pain, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

10 authors.

Brona FullenUniversity College Dublin, Dublin, Ireland.ORCID 0000-0003-4408-2063
Bart MorlionEuropean Pain Federation EFIC, Brussels, Belgium.ORCID 0000-0002-6156-880X
Steven J LintonÖrebro University, Örebro, Sweden.
David RoomesChief Medical Officer, Rolls-Royce PLC, Derby, UK.
Joop van GriensvenPain Alliance Europe, Brussels, Belgium.
Lucy AbrahamPfizer Ltd, Tadworth, UK.
Craig BeckPfizer Ltd, Tadworth, UK.
Stefan WilhelmEli Lilly International, Bad Homburg, Germany.
Cristina ConstantinescuIpsos SA, Basel, Switzerland.
Serge PerrotCochin Hospital, University of Paris, Paris, France.ORCID 0000-0002-0509-1592

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe 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.

methodsA 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.

resultsResults 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.

conclusionChronic 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.

Indexed as

Chronic PainLow Back PainPrescription DrugsAnalgesics, OpioidHumansPain ManagementPain MeasurementSurveys and QuestionnairesAnalgesics, OpioidPrescription Drugsbiopsychosocial modelchronic low back paininternational patient surveypain managementpsychological comorbidity

Identifiers

PMID35156770
PMCPMC9306505

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LicenceCC BY-NC-ND
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Registered trials

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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.