Chronic low back pain : the relationship between patient satisfaction and pain, impairment, and disability outcomes

Treatment outcomes for low back pain have been measured by varying standards of pain, impairment, and disability. This study examines the relationship between these three outcomes and treatment satisfaction in patients with chronic low back pain (CLBP). Ninety CLBP patients underwent initial pain (V...

Full description

Saved in:
Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 1994-04, Vol.19 (8), p.881-887
Main Authors: HAZARD, R. G, HAUGH, L. D, GREEN, P. A, JONES, P. L
Format: Article
Language:English
Subjects:
Adult
Attitude to Health
Biological and medical sciences
Disability Evaluation
Diseases of the osteoarticular system
Diseases of the spine
Exercise Therapy
Female
Follow-Up Studies
Humans
Low Back Pain - epidemiology
Low Back Pain - psychology
Low Back Pain - rehabilitation
Male
Medical sciences
Pain Measurement
Patient Education as Topic
Patient Satisfaction
Time Factors
Treatment Outcome
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Treatment outcomes for low back pain have been measured by varying standards of pain, impairment, and disability. This study examines the relationship between these three outcomes and treatment satisfaction in patients with chronic low back pain (CLBP). Ninety CLBP patients underwent initial pain (VAS), impairment (PIS), and disability (OPQ) evaluations. Correlation coefficients between initial VAS, PIS, and OPQ were all less than 0.50. At 5-year follow-up, pain and disability scores were closely matched, more with lower mean scores among workers (P = 0.04 and 0.001). For 65 rehabilitation participants, 5-year patients satisfaction scores did not relate closely with VAS, PIS, and OPQ improvements during treatment (r = 0.15, 0.01, and 0.14). Five-year satisfaction correlated weekly with current pain and disability (r = 0.32, -0.36). Satisfaction levels were higher for workers after 1 year (P = 0.01), and after 5 years (P = 0.34. This study suggests that CLBP patients and their health care practitioners mutually set distinct pretreatment pain, impairment, and disability goals and judge outcomes accordingly.
ISSN:0362-2436
1528-1159
DOI:10.1097/00007632-199404150-00003