Title |
Low back pain and health-related quality of life in community-dwelling older adults
|
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Published in |
European Spine Journal, March 2016
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DOI | 10.1007/s00586-016-4483-7 |
Pubmed ID | |
Authors |
C. Cedraschi, C. Luthy, A. F. Allaz, F. R. Herrmann, C. Ludwig |
Abstract |
Investigation of self-reported of low back pain (LBP) over the last month and associated health-related quality of life (HRQoL) in a sample of a community-dwelling population aged ≥65. Cross-sectional study including older adults selected randomly from population records. Data were collected within a sample stratified by age and sex. Physical and psychological healths were investigated using a standardized definition of LBP and the EuroQoL-5D for HRQoL. Analyses were first conducted on the entire sample (N = 3042) and subsequently considering the subsample who reported LBP and a paired sample drawn from the pool of LBP-free respondents. 889 (29 %) respondents reported LBP within the past month, present 'most days' or 'every day' in 52 % and limiting activities in the same proportion. Average pain score was 4.6 (SD 2.2; 0-10 scale). Age was associated with pain frequency and duration, with younger groups more often reporting pain 'some days' and 'dating back <3 months'. Results of regression analyses showed that individuals suffering from LBP had significantly more problems than LBP non-sufferers on all EQ-5D subscales, except self-care: pain/discomfort (OR 5.33; 95 % CI [4.19-6.79]), mobility (OR 2.66; 95 % CI [2.04-3.46]), usual activities (OR 1.92; 95 % CI [1.42-2.60]), anxiety/depression (OR 1.59; 95 % CI [1.23-2.04]) and self-care (OR 1.29; 95 % CI [0.84-1.98]). LBP appears to be a more permanent condition in the older groups. LBP may be a part of the definition of a subgroup of elderly at risk of becoming frail in relation with higher levels of functional limitations, psychological difficulties and social restrictions, hence globally impaired HRQoL. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 1% |
Unknown | 80 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 8 | 10% |
Student > Doctoral Student | 8 | 10% |
Student > Bachelor | 8 | 10% |
Researcher | 7 | 9% |
Student > Ph. D. Student | 6 | 7% |
Other | 13 | 16% |
Unknown | 31 | 38% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 20 | 25% |
Nursing and Health Professions | 10 | 12% |
Agricultural and Biological Sciences | 2 | 2% |
Social Sciences | 2 | 2% |
Neuroscience | 2 | 2% |
Other | 8 | 10% |
Unknown | 37 | 46% |