The longitudinal relationships between pain severity and disability versus health-related quality of life and costs among chronic low back pain patients
Purpose Previous studies found higher levels of pain severity and disability to be associated with higher costs and lower health-related quality of life. However, these findings were based on cross-sectional data and little is known about the longitudinal relationships between pain severity and disa...
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| Veröffentlicht in: | Quality of life research 2020-01, Vol.29 (1), p.275-287 |
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| creator | Mutubuki, E. N. Beljon, Y. Maas, E. T. Huygen, F. J. P. M. Ostelo, R. W. J. G. van Tulder, M. W. van Dongen, J. M. |
| description | Purpose
Previous studies found higher levels of pain severity and disability to be associated with higher costs and lower health-related quality of life. However, these findings were based on cross-sectional data and little is known about the longitudinal relationships between pain severity and disability versus health-related quality of life and costs among chronic low back pain patients. This study aims to cover this knowledge gap by exploring these longitudinal relationships in a consecutive cohort.
Methods
Data of 6316 chronic low back pain patients were used. Measurements took place at 3, 6, 9, and 12 months. Pain severity (Numeric pain rating scale; range: 0–100), disability (Oswestry disability index; range: 0–100), health-related quality of life (EQ-5D-3L: range: 0–1), societal and healthcare costs (cost questionnaire) were measured. Using linear generalized estimating equation analyses, longitudinal relationships were explored between: (1) pain severity and health-related quality of life, (2) disability and health-related quality of life, (3) pain severity and societal costs, (4) disability and societal costs, (5) pain severity and healthcare costs, and (6) disability and healthcare costs.
Results
Higher pain and disability levels were statistically significantly related with poorer health-related quality of life (pain intensity: − 0.0041; 95% CI − 0.0043 to − 0.0039; disability: − 0.0096; 95% CI − 0.0099 to − 0.0093), higher societal costs (pain intensity: 7; 95% CI 5 to 8; disability: 23; 95% CI 20 to 27) and higher healthcare costs (pain intensity: 3; 95% CI 2 to 4; disability: 9; 95% CI 7 to 11).
Conclusion
Pain and disability were longitudinally related to health-related quality of life, societal costs, and healthcare costs. Disability had a stronger association with all outcomes compared to pain. |
| doi_str_mv | 10.1007/s11136-019-02302-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmed_primary_31531837</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2293006899</sourcerecordid><originalsourceid>FETCH-LOGICAL-c540t-aa7c8663d3a3e0405db8c70d9546f85d7142cb6dc454b51246b2716f4127de83</originalsourceid><addsrcrecordid>eNqNksmO1DAYhCMEYpqBF-CALHFBQgEviRNfkFCLTRqJS98tx_7T8ZC2e2xnonkTHhd3MjTLAXHK4q-q7L9cFM8JfkMwbt5GQgjjJSaixJRhWs4Pig2pG1ZSXomHxQYLTkvBKnZRPInxGmPcCkwfFxeM1Iy0rNkU33cDoNG7vU2TsU6NKMCokvUuDvYYUQdpBnDoqKxDEW4h2HSHlDPI2Kg6O54-8984RTSAGtNQLgZg0M2kllXfo9H2sIi0jykidciBSA_BO6tz-ow6pb-tGcccDi7Fp8WjXo0Rnt0_L4vdxw-77efy6uunL9v3V6WuK5xKpRrdcs4MUwxwhWvTtbrBRtQV79vaNKSiuuNGV3XV1YRWvKMN4X1FaGOgZZfFu9X2OHUHMDpHBzXKY7AHFe6kV1b-ueLsIPf-VvI822yXDV7dGwR_M0FM8mCjhnFUDvwUJaWCYcxbITL68i_02k8hz3yhSEspZidDulI6-BgD9OfNECxPvcu1d5l7l0vvcs6iF78f4yz5WXQGXq_ADJ3vo84z1nDG8s2oiRCNEPmN0ky3_09vbVouzNZPLmUpW6Ux424P4dch_7H_H1-S3e0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2291822034</pqid></control><display><type>article</type><title>The longitudinal relationships between pain severity and disability versus health-related quality of life and costs among chronic low back pain patients</title><source>MEDLINE</source><source>SpringerNature Journals</source><source>JSTOR Archive Collection A-Z Listing</source><source>Web of Science - Science Citation Index Expanded - 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><source>Web of Science - Social Sciences Citation Index – 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><creator>Mutubuki, E. N. ; Beljon, Y. ; Maas, E. T. ; Huygen, F. J. P. M. ; Ostelo, R. W. J. G. ; van Tulder, M. W. ; van Dongen, J. M.</creator><creatorcontrib>Mutubuki, E. N. ; Beljon, Y. ; Maas, E. T. ; Huygen, F. J. P. M. ; Ostelo, R. W. J. G. ; van Tulder, M. W. ; van Dongen, J. M.</creatorcontrib><description>Purpose
Previous studies found higher levels of pain severity and disability to be associated with higher costs and lower health-related quality of life. However, these findings were based on cross-sectional data and little is known about the longitudinal relationships between pain severity and disability versus health-related quality of life and costs among chronic low back pain patients. This study aims to cover this knowledge gap by exploring these longitudinal relationships in a consecutive cohort.
Methods
Data of 6316 chronic low back pain patients were used. Measurements took place at 3, 6, 9, and 12 months. Pain severity (Numeric pain rating scale; range: 0–100), disability (Oswestry disability index; range: 0–100), health-related quality of life (EQ-5D-3L: range: 0–1), societal and healthcare costs (cost questionnaire) were measured. Using linear generalized estimating equation analyses, longitudinal relationships were explored between: (1) pain severity and health-related quality of life, (2) disability and health-related quality of life, (3) pain severity and societal costs, (4) disability and societal costs, (5) pain severity and healthcare costs, and (6) disability and healthcare costs.
Results
Higher pain and disability levels were statistically significantly related with poorer health-related quality of life (pain intensity: − 0.0041; 95% CI − 0.0043 to − 0.0039; disability: − 0.0096; 95% CI − 0.0099 to − 0.0093), higher societal costs (pain intensity: 7; 95% CI 5 to 8; disability: 23; 95% CI 20 to 27) and higher healthcare costs (pain intensity: 3; 95% CI 2 to 4; disability: 9; 95% CI 7 to 11).
Conclusion
Pain and disability were longitudinally related to health-related quality of life, societal costs, and healthcare costs. Disability had a stronger association with all outcomes compared to pain.</description><identifier>ISSN: 0962-9343</identifier><identifier>EISSN: 1573-2649</identifier><identifier>DOI: 10.1007/s11136-019-02302-w</identifier><identifier>PMID: 31531837</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject><![CDATA[Back pain ; Chronic Disease ; Costs ; Cross-Sectional Studies ; Disability Evaluation ; Female ; Health Care Costs - trends ; Health care expenditures ; Health Care Sciences & Services ; Health Policy & Services ; Humans ; Life Sciences & Biomedicine ; Longitudinal Studies ; Low Back Pain - economics ; Low Back Pain - therapy ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Pain Measurement - methods ; Public Health ; Public, Environmental & Occupational Health ; Quality of life ; Quality of Life - psychology ; Quality of Life Research ; Science & Technology ; Sociology ; Surveys and Questionnaires]]></subject><ispartof>Quality of life research, 2020-01, Vol.29 (1), p.275-287</ispartof><rights>The Author(s) 2019</rights><rights>Quality of Life Research is a copyright of Springer, (2019). All Rights Reserved. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>57</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000519979900022</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c540t-aa7c8663d3a3e0405db8c70d9546f85d7142cb6dc454b51246b2716f4127de83</citedby><cites>FETCH-LOGICAL-c540t-aa7c8663d3a3e0405db8c70d9546f85d7142cb6dc454b51246b2716f4127de83</cites><orcidid>0000-0001-6471-1432 ; 0000-0002-7589-8471 ; 0000-0002-1606-8742 ; 0000-0001-7679-7210</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11136-019-02302-w$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11136-019-02302-w$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,315,782,786,887,27933,27934,28257,28258,41497,42566,51328</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31531837$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mutubuki, E. N.</creatorcontrib><creatorcontrib>Beljon, Y.</creatorcontrib><creatorcontrib>Maas, E. T.</creatorcontrib><creatorcontrib>Huygen, F. J. P. M.</creatorcontrib><creatorcontrib>Ostelo, R. W. J. G.</creatorcontrib><creatorcontrib>van Tulder, M. W.</creatorcontrib><creatorcontrib>van Dongen, J. M.</creatorcontrib><title>The longitudinal relationships between pain severity and disability versus health-related quality of life and costs among chronic low back pain patients</title><title>Quality of life research</title><addtitle>Qual Life Res</addtitle><addtitle>QUAL LIFE RES</addtitle><addtitle>Qual Life Res</addtitle><description>Purpose
Previous studies found higher levels of pain severity and disability to be associated with higher costs and lower health-related quality of life. However, these findings were based on cross-sectional data and little is known about the longitudinal relationships between pain severity and disability versus health-related quality of life and costs among chronic low back pain patients. This study aims to cover this knowledge gap by exploring these longitudinal relationships in a consecutive cohort.
Methods
Data of 6316 chronic low back pain patients were used. Measurements took place at 3, 6, 9, and 12 months. Pain severity (Numeric pain rating scale; range: 0–100), disability (Oswestry disability index; range: 0–100), health-related quality of life (EQ-5D-3L: range: 0–1), societal and healthcare costs (cost questionnaire) were measured. Using linear generalized estimating equation analyses, longitudinal relationships were explored between: (1) pain severity and health-related quality of life, (2) disability and health-related quality of life, (3) pain severity and societal costs, (4) disability and societal costs, (5) pain severity and healthcare costs, and (6) disability and healthcare costs.
Results
Higher pain and disability levels were statistically significantly related with poorer health-related quality of life (pain intensity: − 0.0041; 95% CI − 0.0043 to − 0.0039; disability: − 0.0096; 95% CI − 0.0099 to − 0.0093), higher societal costs (pain intensity: 7; 95% CI 5 to 8; disability: 23; 95% CI 20 to 27) and higher healthcare costs (pain intensity: 3; 95% CI 2 to 4; disability: 9; 95% CI 7 to 11).
Conclusion
Pain and disability were longitudinally related to health-related quality of life, societal costs, and healthcare costs. Disability had a stronger association with all outcomes compared to pain.</description><subject>Back pain</subject><subject>Chronic Disease</subject><subject>Costs</subject><subject>Cross-Sectional Studies</subject><subject>Disability Evaluation</subject><subject>Female</subject><subject>Health Care Costs - trends</subject><subject>Health care expenditures</subject><subject>Health Care Sciences & Services</subject><subject>Health Policy & Services</subject><subject>Humans</subject><subject>Life Sciences & Biomedicine</subject><subject>Longitudinal Studies</subject><subject>Low Back Pain - economics</subject><subject>Low Back Pain - therapy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Pain Measurement - methods</subject><subject>Public Health</subject><subject>Public, Environmental & Occupational Health</subject><subject>Quality of life</subject><subject>Quality of Life - psychology</subject><subject>Quality of Life Research</subject><subject>Science & Technology</subject><subject>Sociology</subject><subject>Surveys and Questionnaires</subject><issn>0962-9343</issn><issn>1573-2649</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>AOWDO</sourceid><sourceid>ARHDP</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNksmO1DAYhCMEYpqBF-CALHFBQgEviRNfkFCLTRqJS98tx_7T8ZC2e2xnonkTHhd3MjTLAXHK4q-q7L9cFM8JfkMwbt5GQgjjJSaixJRhWs4Pig2pG1ZSXomHxQYLTkvBKnZRPInxGmPcCkwfFxeM1Iy0rNkU33cDoNG7vU2TsU6NKMCokvUuDvYYUQdpBnDoqKxDEW4h2HSHlDPI2Kg6O54-8984RTSAGtNQLgZg0M2kllXfo9H2sIi0jykidciBSA_BO6tz-ow6pb-tGcccDi7Fp8WjXo0Rnt0_L4vdxw-77efy6uunL9v3V6WuK5xKpRrdcs4MUwxwhWvTtbrBRtQV79vaNKSiuuNGV3XV1YRWvKMN4X1FaGOgZZfFu9X2OHUHMDpHBzXKY7AHFe6kV1b-ueLsIPf-VvI822yXDV7dGwR_M0FM8mCjhnFUDvwUJaWCYcxbITL68i_02k8hz3yhSEspZidDulI6-BgD9OfNECxPvcu1d5l7l0vvcs6iF78f4yz5WXQGXq_ADJ3vo84z1nDG8s2oiRCNEPmN0ky3_09vbVouzNZPLmUpW6Ux424P4dch_7H_H1-S3e0</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Mutubuki, E. N.</creator><creator>Beljon, Y.</creator><creator>Maas, E. T.</creator><creator>Huygen, F. J. P. M.</creator><creator>Ostelo, R. W. J. G.</creator><creator>van Tulder, M. W.</creator><creator>van Dongen, J. 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N. ; Beljon, Y. ; Maas, E. T. ; Huygen, F. J. P. M. ; Ostelo, R. W. J. G. ; van Tulder, M. W. ; van Dongen, J. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c540t-aa7c8663d3a3e0405db8c70d9546f85d7142cb6dc454b51246b2716f4127de83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Back pain</topic><topic>Chronic Disease</topic><topic>Costs</topic><topic>Cross-Sectional Studies</topic><topic>Disability Evaluation</topic><topic>Female</topic><topic>Health Care Costs - trends</topic><topic>Health care expenditures</topic><topic>Health Care Sciences & Services</topic><topic>Health Policy & Services</topic><topic>Humans</topic><topic>Life Sciences & Biomedicine</topic><topic>Longitudinal Studies</topic><topic>Low Back Pain - economics</topic><topic>Low Back Pain - therapy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Pain Measurement - methods</topic><topic>Public Health</topic><topic>Public, Environmental & Occupational Health</topic><topic>Quality of life</topic><topic>Quality of Life - psychology</topic><topic>Quality of Life Research</topic><topic>Science & Technology</topic><topic>Sociology</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mutubuki, E. 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N.</au><au>Beljon, Y.</au><au>Maas, E. T.</au><au>Huygen, F. J. P. M.</au><au>Ostelo, R. W. J. G.</au><au>van Tulder, M. W.</au><au>van Dongen, J. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The longitudinal relationships between pain severity and disability versus health-related quality of life and costs among chronic low back pain patients</atitle><jtitle>Quality of life research</jtitle><stitle>Qual Life Res</stitle><stitle>QUAL LIFE RES</stitle><addtitle>Qual Life Res</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>29</volume><issue>1</issue><spage>275</spage><epage>287</epage><pages>275-287</pages><issn>0962-9343</issn><eissn>1573-2649</eissn><abstract>Purpose
Previous studies found higher levels of pain severity and disability to be associated with higher costs and lower health-related quality of life. However, these findings were based on cross-sectional data and little is known about the longitudinal relationships between pain severity and disability versus health-related quality of life and costs among chronic low back pain patients. This study aims to cover this knowledge gap by exploring these longitudinal relationships in a consecutive cohort.
Methods
Data of 6316 chronic low back pain patients were used. Measurements took place at 3, 6, 9, and 12 months. Pain severity (Numeric pain rating scale; range: 0–100), disability (Oswestry disability index; range: 0–100), health-related quality of life (EQ-5D-3L: range: 0–1), societal and healthcare costs (cost questionnaire) were measured. Using linear generalized estimating equation analyses, longitudinal relationships were explored between: (1) pain severity and health-related quality of life, (2) disability and health-related quality of life, (3) pain severity and societal costs, (4) disability and societal costs, (5) pain severity and healthcare costs, and (6) disability and healthcare costs.
Results
Higher pain and disability levels were statistically significantly related with poorer health-related quality of life (pain intensity: − 0.0041; 95% CI − 0.0043 to − 0.0039; disability: − 0.0096; 95% CI − 0.0099 to − 0.0093), higher societal costs (pain intensity: 7; 95% CI 5 to 8; disability: 23; 95% CI 20 to 27) and higher healthcare costs (pain intensity: 3; 95% CI 2 to 4; disability: 9; 95% CI 7 to 11).
Conclusion
Pain and disability were longitudinally related to health-related quality of life, societal costs, and healthcare costs. Disability had a stronger association with all outcomes compared to pain.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>31531837</pmid><doi>10.1007/s11136-019-02302-w</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0001-6471-1432</orcidid><orcidid>https://orcid.org/0000-0002-7589-8471</orcidid><orcidid>https://orcid.org/0000-0002-1606-8742</orcidid><orcidid>https://orcid.org/0000-0001-7679-7210</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Quality of life research, 2020-01, Vol.29 (1), p.275-287 |
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| source | MEDLINE; SpringerNature Journals; JSTOR Archive Collection A-Z Listing; Web of Science - Science Citation Index Expanded - 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; Web of Science - Social Sciences Citation Index – 2020<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /> |
| subjects | Back pain Chronic Disease Costs Cross-Sectional Studies Disability Evaluation Female Health Care Costs - trends Health care expenditures Health Care Sciences & Services Health Policy & Services Humans Life Sciences & Biomedicine Longitudinal Studies Low Back Pain - economics Low Back Pain - therapy Male Medicine Medicine & Public Health Middle Aged Pain Measurement - methods Public Health Public, Environmental & Occupational Health Quality of life Quality of Life - psychology Quality of Life Research Science & Technology Sociology Surveys and Questionnaires |
| title | The longitudinal relationships between pain severity and disability versus health-related quality of life and costs among chronic low back pain patients |
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