Evidence map›Paper›PMID 41331477›Full record

Observational studyBMC musculoskeletal disorders2025

Change in self-reported activity in chronic low back pain after 13 years - a prospective longitudinal cohort study in primary healthcare.

L Nordeman, A Grimby-Ekman, C M Ho-Henriksson, E Enhörning, M Hellgren, A Bergenheim

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03974191 (13-year Follow-up of Women With Chronic Low Back Pain in Primary Care - a Prospective Longitudinal Cohort Study), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

NCT03974191 completednot on this map

13-year Follow-up of Women With Chronic Low Back Pain in Primary Care - a Prospective Longitudinal Cohort Study

TypeobservationalSponsorVastra Gotaland RegionRan2019 to 2020Enrolled87ConditionsLow Back Pain, Chronic Widespread Pain, Predictors, PainArmsChange in function, activity, participation and other health related factors in CLBP and to identify predictors for pain, activity and work ability after 13 years.
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
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

6 authors.

L NordemanResearch, Education, Development, and Innovation, Primary Healthcare, Region Västra Götaland, Sven Eriksonsplatsen 4, Gothenburg, 503 38 Borås, Sweden. lena.nordeman@vgregion.se.ORCID http://orcid.org/0000-0003-4691-9330
A Grimby-EkmanSchool of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
C M Ho-HenrikssonResearch, Education, Development, and Innovation, Primary Healthcare, Region Västra Götaland, Sven Eriksonsplatsen 4, Gothenburg, 503 38 Borås, Sweden.
E EnhörningNärhälsan Uddevalla Primary Care Rehabilitation center, Region Västra Götaland, Uddevalla, Sweden.
M HellgrenResearch, Education, Development, and Innovation, Primary Healthcare, Region Västra Götaland, Sven Eriksonsplatsen 4, Gothenburg, 503 38 Borås, Sweden.
A BergenheimResearch, Education, Development, and Innovation, Primary Healthcare, Region Västra Götaland, Sven Eriksonsplatsen 4, Gothenburg, 503 38 Borås, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe knowledge about the improvement of body function, activity and participation in chronic low back pain (CLBP) over a period of over ten years is still insufficient. The study aimed to investigate the long-term change for body function, self-reported activity due to CLBP e.g. Roland Morris Disability Questionnaire (RMDQ) and work participation.

methodsA 13-year prospective longitudinal cohort study of women with CLBP seeking primary healthcare. Women (n = 130) with CLBP (> 12 weeks) were included in 2004 to 2005 (baseline), after two and 13 years. The assessment included questions about socio-demographic data, comorbidity, and pharmacological treatment, physical capacity-tests, and patient reported outcome questionnaires. Changes in measurements, for physical capacity, pain intensity, pain localisations, RMDQ, symtoms of anxiety and depression, clinical stress symptoms, and health-related quality of life, between baseline and the 13-year follow-up were calculated. Depending on the data level and distribution, either parametric or non-parametric tests were applied. A mixed effect model was used to analyse repeated measures of RMDQ from baseline to the two-year and 13-year follow-ups, comparing the group with localised CLBP and CLBP + widespread pain (WP) group. The RMDQ was dependent variable and age, education level, pain intensity, 6-Minute Walk Test, symptoms of stress, and depression were included as confounding factors.

results67% (87/130) could be followed up after 13 years. 26% of the participants (22/86) fulfilled the criteria for WP at baseline. All measurements showed small improvements or were stable, except for hand grip strength. The mean change in RMDQ was − 3.3 (4.1) points. 73% (63/86) improved at least one point and 40% (34/86) improved ≥ 5 points on RMDQ from baseline. RMDQ improved in both the groups CLBP and CLBP + WP over the 13-year period (p < 0.001) when adjusting for age, education, pain intensity, 6-Minute Walk Test, symptoms of stress, and depression.

conclusionsAll outcome measurements, except for hand grip force either showed small improvements or remained stable over a period of 13 years. For activity related to CLBP, no differences were found between the CLBP group and the CLBP + WP group when adjusting for pain intensity, physical capacity, stress, and depression. 40% improved with clinical important change in self-reported activity related to CLBP over a period of 13-years, which is important information to provide to individuals seeking primary healthcare for CLBP.

trial registrationClinicalTrials.gov, ID: NCT03974191. Registration date: 27 May 2019.

Indexed as

Chronic PainLow Back PainPrimary Health CareSelf ReportAdultDisability EvaluationFemaleHumansLongitudinal StudiesMiddle AgedPain MeasurementProspective StudiesQuality of LifeTime FactorsCohortLow back painPrimary careWomen

Identifiers

PMID41331477
PMCPMC12781840

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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.