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dc.creatorKovacs, Francisco M.es
dc.creatorSeco, Jesúses
dc.creatorRoyuela, Anaes
dc.creatorCorcoll-Reixach, Josepes
dc.creatorPeña-Arrebola, Andréses
dc.creatorSpanish Back Pain Research Networkes
dc.date.accessioned2017-03-31T12:31:48Z
dc.date.available2017-03-31T12:31:48Z
dc.date.issued2012
dc.identifier.citationKovacs, F.M., Seco, J., Royuela, A., Corcoll-Reixach, J., Peña-Arrebola, A. y Spanish Back Pain Research Network, (2012). The prognostic value of catastrophizing for predicting the clinical evolution of low back pain patients: a study in routine clinical practice within the Spanish National Health Service. The Spine Journal, 12 (7), 545-555.
dc.identifier.issn1529-9430es
dc.identifier.issn1878-1632 (ESSN)es
dc.identifier.urihttp://hdl.handle.net/11441/56853
dc.descriptionFrancisco Javier Cano García es miembro de la Spanish Back Pain Research Network (Red Española de Investigadores en Dolencias de la Espalda (REIDE) y coautor del artículoes
dc.description.abstractBackground context Experimental studies suggest that catastrophizing may worsen the prognosis of low back pain (LBP) and LBP-related disability and increase the risk of chronicity. Purpose To assess the prognostic value of baseline catastrophizing for predicting the clinical evolution of LBP patients in routine clinical practice and the association between the evolution of pain and catastrophizing. Study design/setting Prospective study in routine clinical practice of the Spanish National Health Service. Patient sample One thousand four hundred twenty-two acute and chronic adult LBP patients treated in primary and hospital care. Outcome measures Pain, disability, and catastrophizing measured through validated instruments. Methods Patients were managed according to routine clinical practice. Outcome measures were assessed at baseline and 3 months later. Logistic regression models were developed to estimate the association between baseline catastrophizing score and the improvement of LBP and disability, adjusting for baseline LBP and leg pain (LP) severity, disability, duration of the pain episode, workers' compensation coverage, radiological findings, failed back surgery, and diagnostic procedures and treatments undertaken throughout the study. Another model was developed to estimate the association between the evolution of LBP and the change in catastrophizing, adjusting for the same possible confounders plus the evolution of LP and disability. Models were repeated excluding the treatments undergone after the baseline assessment. Results Regression models showed that the degree of baseline catastrophizing does not predict the evolution of LBP and disability. Conversely, as the degree of pain improvement increases, so does the odds ratio for improvement in catastrophizing, ranging from three (95% confidence interval [95% CI], 2.00–4.50; p<.001) for improvements in pain between 1.1 and 4 visual analog scale (VAS) points, to 7.3 (95% CI, 3.49–15.36; p<.001) for improvements in pain more than 6.1 VAS points. Similar results were obtained when treatments were excluded from the models. Conclusions In routine practice, assessing the baseline score for catastrophizing does not help clinicians to predict the evolution of LBP and disability at 3 months.es
dc.description.sponsorshipSpanish Ministry of Health’s Agency for Qualityes
dc.description.sponsorshipKovacs Foundationes
dc.formatapplication/pdfes
dc.language.isoenges
dc.publisherElsevieres
dc.relation.ispartofThe Spine Journal, 12 (7), 545-555.
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectLow back paines
dc.subjectDisabilityes
dc.subjectPredictiones
dc.subjectCatastrophizinges
dc.subjectRoutine clinical practicees
dc.titleThe prognostic value of catastrophizing for predicting the clinical evolution of low back pain patients: a study in routine clinical practice within the Spanish National Health Servicees
dc.typeinfo:eu-repo/semantics/articlees
dcterms.identifierhttps://ror.org/03yxnpp24
dc.type.versioninfo:eu-repo/semantics/submittedVersiones
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses
dc.contributor.affiliationUniversidad de Sevilla. Departamento de Personalidad, Evaluación y Tratamiento Psicológicoses
dc.relation.publisherversionhttp://dx.doi.org/10.1016/j.spinee.2012.06.002es
dc.identifier.doi10.1016/j.spinee.2012.06.002es
idus.format.extent11 p.es
dc.journaltitleThe Spine Journales
dc.publication.volumen12es
dc.publication.issue7es
dc.publication.initialPage545es
dc.publication.endPage555es
dc.contributor.funderMinisterio de Sanidad. España
dc.contributor.funderKovacs Foundation

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