The Nordic Subpopulation Research Programme: prediction of treatment outcome in patients with low back pain treated by chiropractors - does the psychological profile matter?

Background It is clinically important to be able to select patients suitable for treatment and to be able to predict with some certainty the outcome for patients treated for low back pain (LBP). It is not known to what degree outcome among chiropractic patients is affected by psychological factors. Objectives To investigate if some demographic, psychological, and clinical variables can predict outcome with chiropractic care in patients with LBP. Methods A prospective multi-center practice-based study was carried out, in which demographic, clinical and psychological information was collected at base-line. Outcome was established at the $ 4^{th} $ visit and after three months. The predictive value was studied for all base-line variables, individually and in a multivariable analysis. Results In all, 55 of 99 invited chiropractors collected information on 731 patients. At the $ 4^{th} $ visit data were available on 626 patients and on 464 patients after 3 months. Fee subsidization (OR 3.2; 95% CI 1.9-5.5), total duration of pain in the past year (OR 1.5; 95% CI 1.0-2.2), and general health (OR 1.2; 95% CI 1.1-1.4) remained in the final model as predictors of treatment outcome at the $ 4^{th} $ visit. The sensitivity was low (12%), whereas the specificity was high (97%). At the three months follow-up, duration of pain in the past year (OR 2.1; 95% CI 1.4-3.1), and pain in other parts of the spine in the past year (OR1.6; 1.1-2.5) were independently associated with outcome. However, both the sensitivity and specificity were relatively low (60% and 50%). The addition of the psychological variables did not improve the models and none of the psychological variables remained significant in the final analyses. There was a positive gradient in relation to the number of positive predictor variables and outcome, both at the $ 4^{th} $ visit and after 3 months. Conclusion Psychological factors were not found to be relevant in the prediction of treatment outcome in Swedish chiropractic patients with LBP. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Leboeuf-Yde, Charlotte [verfasserIn] Rosenbaum, Annika Axén, Iben Lövgren, Peter W Jørgensen, Kristian Halasz, Laszlo Eklund, Andreas Wedderkopp, Niels

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2009

Schlagwörter:	Pain Intensity Receiver Operating Characteristic Psychological Variable Psychological Profile Chiropractic Care

Anmerkung:	© Leboeuf-Yde et al; licensee BioMed Central Ltd. 2009

Übergeordnetes Werk:	Enthalten in: Chiropractic & osteopathy - London : BioMed Central, 2005, 17(2009), 1 vom: 30. Dez.
Übergeordnetes Werk:	volume:17 ; year:2009 ; number:1 ; day:30 ; month:12

Links:	Volltext

DOI / URN:	10.1186/1746-1340-17-14

Katalog-ID:	SPR029355583

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520			\|a Background It is clinically important to be able to select patients suitable for treatment and to be able to predict with some certainty the outcome for patients treated for low back pain (LBP). It is not known to what degree outcome among chiropractic patients is affected by psychological factors. Objectives To investigate if some demographic, psychological, and clinical variables can predict outcome with chiropractic care in patients with LBP. Methods A prospective multi-center practice-based study was carried out, in which demographic, clinical and psychological information was collected at base-line. Outcome was established at the $ 4^{th} $ visit and after three months. The predictive value was studied for all base-line variables, individually and in a multivariable analysis. Results In all, 55 of 99 invited chiropractors collected information on 731 patients. At the $ 4^{th} $ visit data were available on 626 patients and on 464 patients after 3 months. Fee subsidization (OR 3.2; 95% CI 1.9-5.5), total duration of pain in the past year (OR 1.5; 95% CI 1.0-2.2), and general health (OR 1.2; 95% CI 1.1-1.4) remained in the final model as predictors of treatment outcome at the $ 4^{th} $ visit. The sensitivity was low (12%), whereas the specificity was high (97%). At the three months follow-up, duration of pain in the past year (OR 2.1; 95% CI 1.4-3.1), and pain in other parts of the spine in the past year (OR1.6; 1.1-2.5) were independently associated with outcome. However, both the sensitivity and specificity were relatively low (60% and 50%). The addition of the psychological variables did not improve the models and none of the psychological variables remained significant in the final analyses. There was a positive gradient in relation to the number of positive predictor variables and outcome, both at the $ 4^{th} $ visit and after 3 months. Conclusion Psychological factors were not found to be relevant in the prediction of treatment outcome in Swedish chiropractic patients with LBP.
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allfields	10.1186/1746-1340-17-14 doi (DE-627)SPR029355583 (SPR)1746-1340-17-14-e DE-627 ger DE-627 rakwb eng Leboeuf-Yde, Charlotte verfasserin aut The Nordic Subpopulation Research Programme: prediction of treatment outcome in patients with low back pain treated by chiropractors - does the psychological profile matter? 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Leboeuf-Yde et al; licensee BioMed Central Ltd. 2009 Background It is clinically important to be able to select patients suitable for treatment and to be able to predict with some certainty the outcome for patients treated for low back pain (LBP). It is not known to what degree outcome among chiropractic patients is affected by psychological factors. Objectives To investigate if some demographic, psychological, and clinical variables can predict outcome with chiropractic care in patients with LBP. Methods A prospective multi-center practice-based study was carried out, in which demographic, clinical and psychological information was collected at base-line. Outcome was established at the $ 4^{th} $ visit and after three months. The predictive value was studied for all base-line variables, individually and in a multivariable analysis. Results In all, 55 of 99 invited chiropractors collected information on 731 patients. At the $ 4^{th} $ visit data were available on 626 patients and on 464 patients after 3 months. Fee subsidization (OR 3.2; 95% CI 1.9-5.5), total duration of pain in the past year (OR 1.5; 95% CI 1.0-2.2), and general health (OR 1.2; 95% CI 1.1-1.4) remained in the final model as predictors of treatment outcome at the $ 4^{th} $ visit. The sensitivity was low (12%), whereas the specificity was high (97%). At the three months follow-up, duration of pain in the past year (OR 2.1; 95% CI 1.4-3.1), and pain in other parts of the spine in the past year (OR1.6; 1.1-2.5) were independently associated with outcome. However, both the sensitivity and specificity were relatively low (60% and 50%). The addition of the psychological variables did not improve the models and none of the psychological variables remained significant in the final analyses. There was a positive gradient in relation to the number of positive predictor variables and outcome, both at the $ 4^{th} $ visit and after 3 months. Conclusion Psychological factors were not found to be relevant in the prediction of treatment outcome in Swedish chiropractic patients with LBP. Pain Intensity (dpeaa)DE-He213 Receiver Operating Characteristic (dpeaa)DE-He213 Psychological Variable (dpeaa)DE-He213 Psychological Profile (dpeaa)DE-He213 Chiropractic Care (dpeaa)DE-He213 Rosenbaum, Annika aut Axén, Iben aut Lövgren, Peter W aut Jørgensen, Kristian aut Halasz, Laszlo aut Eklund, Andreas aut Wedderkopp, Niels aut Enthalten in Chiropractic & osteopathy London : BioMed Central, 2005 17(2009), 1 vom: 30. Dez. (DE-627)484836161 (DE-600)2185661-8 1746-1340 nnns volume:17 year:2009 number:1 day:30 month:12 https://dx.doi.org/10.1186/1746-1340-17-14 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2009 1 30 12
spelling	10.1186/1746-1340-17-14 doi (DE-627)SPR029355583 (SPR)1746-1340-17-14-e DE-627 ger DE-627 rakwb eng Leboeuf-Yde, Charlotte verfasserin aut The Nordic Subpopulation Research Programme: prediction of treatment outcome in patients with low back pain treated by chiropractors - does the psychological profile matter? 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Leboeuf-Yde et al; licensee BioMed Central Ltd. 2009 Background It is clinically important to be able to select patients suitable for treatment and to be able to predict with some certainty the outcome for patients treated for low back pain (LBP). It is not known to what degree outcome among chiropractic patients is affected by psychological factors. Objectives To investigate if some demographic, psychological, and clinical variables can predict outcome with chiropractic care in patients with LBP. Methods A prospective multi-center practice-based study was carried out, in which demographic, clinical and psychological information was collected at base-line. Outcome was established at the $ 4^{th} $ visit and after three months. The predictive value was studied for all base-line variables, individually and in a multivariable analysis. Results In all, 55 of 99 invited chiropractors collected information on 731 patients. At the $ 4^{th} $ visit data were available on 626 patients and on 464 patients after 3 months. Fee subsidization (OR 3.2; 95% CI 1.9-5.5), total duration of pain in the past year (OR 1.5; 95% CI 1.0-2.2), and general health (OR 1.2; 95% CI 1.1-1.4) remained in the final model as predictors of treatment outcome at the $ 4^{th} $ visit. The sensitivity was low (12%), whereas the specificity was high (97%). At the three months follow-up, duration of pain in the past year (OR 2.1; 95% CI 1.4-3.1), and pain in other parts of the spine in the past year (OR1.6; 1.1-2.5) were independently associated with outcome. However, both the sensitivity and specificity were relatively low (60% and 50%). The addition of the psychological variables did not improve the models and none of the psychological variables remained significant in the final analyses. There was a positive gradient in relation to the number of positive predictor variables and outcome, both at the $ 4^{th} $ visit and after 3 months. Conclusion Psychological factors were not found to be relevant in the prediction of treatment outcome in Swedish chiropractic patients with LBP. Pain Intensity (dpeaa)DE-He213 Receiver Operating Characteristic (dpeaa)DE-He213 Psychological Variable (dpeaa)DE-He213 Psychological Profile (dpeaa)DE-He213 Chiropractic Care (dpeaa)DE-He213 Rosenbaum, Annika aut Axén, Iben aut Lövgren, Peter W aut Jørgensen, Kristian aut Halasz, Laszlo aut Eklund, Andreas aut Wedderkopp, Niels aut Enthalten in Chiropractic & osteopathy London : BioMed Central, 2005 17(2009), 1 vom: 30. Dez. (DE-627)484836161 (DE-600)2185661-8 1746-1340 nnns volume:17 year:2009 number:1 day:30 month:12 https://dx.doi.org/10.1186/1746-1340-17-14 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2009 1 30 12
allfields_unstemmed	10.1186/1746-1340-17-14 doi (DE-627)SPR029355583 (SPR)1746-1340-17-14-e DE-627 ger DE-627 rakwb eng Leboeuf-Yde, Charlotte verfasserin aut The Nordic Subpopulation Research Programme: prediction of treatment outcome in patients with low back pain treated by chiropractors - does the psychological profile matter? 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Leboeuf-Yde et al; licensee BioMed Central Ltd. 2009 Background It is clinically important to be able to select patients suitable for treatment and to be able to predict with some certainty the outcome for patients treated for low back pain (LBP). It is not known to what degree outcome among chiropractic patients is affected by psychological factors. Objectives To investigate if some demographic, psychological, and clinical variables can predict outcome with chiropractic care in patients with LBP. Methods A prospective multi-center practice-based study was carried out, in which demographic, clinical and psychological information was collected at base-line. Outcome was established at the $ 4^{th} $ visit and after three months. The predictive value was studied for all base-line variables, individually and in a multivariable analysis. Results In all, 55 of 99 invited chiropractors collected information on 731 patients. At the $ 4^{th} $ visit data were available on 626 patients and on 464 patients after 3 months. Fee subsidization (OR 3.2; 95% CI 1.9-5.5), total duration of pain in the past year (OR 1.5; 95% CI 1.0-2.2), and general health (OR 1.2; 95% CI 1.1-1.4) remained in the final model as predictors of treatment outcome at the $ 4^{th} $ visit. The sensitivity was low (12%), whereas the specificity was high (97%). At the three months follow-up, duration of pain in the past year (OR 2.1; 95% CI 1.4-3.1), and pain in other parts of the spine in the past year (OR1.6; 1.1-2.5) were independently associated with outcome. However, both the sensitivity and specificity were relatively low (60% and 50%). The addition of the psychological variables did not improve the models and none of the psychological variables remained significant in the final analyses. There was a positive gradient in relation to the number of positive predictor variables and outcome, both at the $ 4^{th} $ visit and after 3 months. Conclusion Psychological factors were not found to be relevant in the prediction of treatment outcome in Swedish chiropractic patients with LBP. Pain Intensity (dpeaa)DE-He213 Receiver Operating Characteristic (dpeaa)DE-He213 Psychological Variable (dpeaa)DE-He213 Psychological Profile (dpeaa)DE-He213 Chiropractic Care (dpeaa)DE-He213 Rosenbaum, Annika aut Axén, Iben aut Lövgren, Peter W aut Jørgensen, Kristian aut Halasz, Laszlo aut Eklund, Andreas aut Wedderkopp, Niels aut Enthalten in Chiropractic & osteopathy London : BioMed Central, 2005 17(2009), 1 vom: 30. Dez. (DE-627)484836161 (DE-600)2185661-8 1746-1340 nnns volume:17 year:2009 number:1 day:30 month:12 https://dx.doi.org/10.1186/1746-1340-17-14 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2009 1 30 12
allfieldsGer	10.1186/1746-1340-17-14 doi (DE-627)SPR029355583 (SPR)1746-1340-17-14-e DE-627 ger DE-627 rakwb eng Leboeuf-Yde, Charlotte verfasserin aut The Nordic Subpopulation Research Programme: prediction of treatment outcome in patients with low back pain treated by chiropractors - does the psychological profile matter? 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Leboeuf-Yde et al; licensee BioMed Central Ltd. 2009 Background It is clinically important to be able to select patients suitable for treatment and to be able to predict with some certainty the outcome for patients treated for low back pain (LBP). It is not known to what degree outcome among chiropractic patients is affected by psychological factors. Objectives To investigate if some demographic, psychological, and clinical variables can predict outcome with chiropractic care in patients with LBP. Methods A prospective multi-center practice-based study was carried out, in which demographic, clinical and psychological information was collected at base-line. Outcome was established at the $ 4^{th} $ visit and after three months. The predictive value was studied for all base-line variables, individually and in a multivariable analysis. Results In all, 55 of 99 invited chiropractors collected information on 731 patients. At the $ 4^{th} $ visit data were available on 626 patients and on 464 patients after 3 months. Fee subsidization (OR 3.2; 95% CI 1.9-5.5), total duration of pain in the past year (OR 1.5; 95% CI 1.0-2.2), and general health (OR 1.2; 95% CI 1.1-1.4) remained in the final model as predictors of treatment outcome at the $ 4^{th} $ visit. The sensitivity was low (12%), whereas the specificity was high (97%). At the three months follow-up, duration of pain in the past year (OR 2.1; 95% CI 1.4-3.1), and pain in other parts of the spine in the past year (OR1.6; 1.1-2.5) were independently associated with outcome. However, both the sensitivity and specificity were relatively low (60% and 50%). The addition of the psychological variables did not improve the models and none of the psychological variables remained significant in the final analyses. There was a positive gradient in relation to the number of positive predictor variables and outcome, both at the $ 4^{th} $ visit and after 3 months. Conclusion Psychological factors were not found to be relevant in the prediction of treatment outcome in Swedish chiropractic patients with LBP. Pain Intensity (dpeaa)DE-He213 Receiver Operating Characteristic (dpeaa)DE-He213 Psychological Variable (dpeaa)DE-He213 Psychological Profile (dpeaa)DE-He213 Chiropractic Care (dpeaa)DE-He213 Rosenbaum, Annika aut Axén, Iben aut Lövgren, Peter W aut Jørgensen, Kristian aut Halasz, Laszlo aut Eklund, Andreas aut Wedderkopp, Niels aut Enthalten in Chiropractic & osteopathy London : BioMed Central, 2005 17(2009), 1 vom: 30. Dez. (DE-627)484836161 (DE-600)2185661-8 1746-1340 nnns volume:17 year:2009 number:1 day:30 month:12 https://dx.doi.org/10.1186/1746-1340-17-14 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2009 1 30 12
allfieldsSound	10.1186/1746-1340-17-14 doi (DE-627)SPR029355583 (SPR)1746-1340-17-14-e DE-627 ger DE-627 rakwb eng Leboeuf-Yde, Charlotte verfasserin aut The Nordic Subpopulation Research Programme: prediction of treatment outcome in patients with low back pain treated by chiropractors - does the psychological profile matter? 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Leboeuf-Yde et al; licensee BioMed Central Ltd. 2009 Background It is clinically important to be able to select patients suitable for treatment and to be able to predict with some certainty the outcome for patients treated for low back pain (LBP). It is not known to what degree outcome among chiropractic patients is affected by psychological factors. Objectives To investigate if some demographic, psychological, and clinical variables can predict outcome with chiropractic care in patients with LBP. Methods A prospective multi-center practice-based study was carried out, in which demographic, clinical and psychological information was collected at base-line. Outcome was established at the $ 4^{th} $ visit and after three months. The predictive value was studied for all base-line variables, individually and in a multivariable analysis. Results In all, 55 of 99 invited chiropractors collected information on 731 patients. At the $ 4^{th} $ visit data were available on 626 patients and on 464 patients after 3 months. Fee subsidization (OR 3.2; 95% CI 1.9-5.5), total duration of pain in the past year (OR 1.5; 95% CI 1.0-2.2), and general health (OR 1.2; 95% CI 1.1-1.4) remained in the final model as predictors of treatment outcome at the $ 4^{th} $ visit. The sensitivity was low (12%), whereas the specificity was high (97%). At the three months follow-up, duration of pain in the past year (OR 2.1; 95% CI 1.4-3.1), and pain in other parts of the spine in the past year (OR1.6; 1.1-2.5) were independently associated with outcome. However, both the sensitivity and specificity were relatively low (60% and 50%). The addition of the psychological variables did not improve the models and none of the psychological variables remained significant in the final analyses. There was a positive gradient in relation to the number of positive predictor variables and outcome, both at the $ 4^{th} $ visit and after 3 months. Conclusion Psychological factors were not found to be relevant in the prediction of treatment outcome in Swedish chiropractic patients with LBP. Pain Intensity (dpeaa)DE-He213 Receiver Operating Characteristic (dpeaa)DE-He213 Psychological Variable (dpeaa)DE-He213 Psychological Profile (dpeaa)DE-He213 Chiropractic Care (dpeaa)DE-He213 Rosenbaum, Annika aut Axén, Iben aut Lövgren, Peter W aut Jørgensen, Kristian aut Halasz, Laszlo aut Eklund, Andreas aut Wedderkopp, Niels aut Enthalten in Chiropractic & osteopathy London : BioMed Central, 2005 17(2009), 1 vom: 30. Dez. (DE-627)484836161 (DE-600)2185661-8 1746-1340 nnns volume:17 year:2009 number:1 day:30 month:12 https://dx.doi.org/10.1186/1746-1340-17-14 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2014 GBV_ILN_2106 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2009 1 30 12
language	English
source	Enthalten in Chiropractic & osteopathy 17(2009), 1 vom: 30. Dez. volume:17 year:2009 number:1 day:30 month:12
sourceStr	Enthalten in Chiropractic & osteopathy 17(2009), 1 vom: 30. Dez. volume:17 year:2009 number:1 day:30 month:12
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Pain Intensity Receiver Operating Characteristic Psychological Variable Psychological Profile Chiropractic Care
isfreeaccess_bool	true
container_title	Chiropractic & osteopathy
authorswithroles_txt_mv	Leboeuf-Yde, Charlotte @@aut@@ Rosenbaum, Annika @@aut@@ Axén, Iben @@aut@@ Lövgren, Peter W @@aut@@ Jørgensen, Kristian @@aut@@ Halasz, Laszlo @@aut@@ Eklund, Andreas @@aut@@ Wedderkopp, Niels @@aut@@
publishDateDaySort_date	2009-12-30T00:00:00Z
hierarchy_top_id	484836161
id	SPR029355583
language_de	englisch
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It is not known to what degree outcome among chiropractic patients is affected by psychological factors. Objectives To investigate if some demographic, psychological, and clinical variables can predict outcome with chiropractic care in patients with LBP. Methods A prospective multi-center practice-based study was carried out, in which demographic, clinical and psychological information was collected at base-line. Outcome was established at the $ 4^{th} $ visit and after three months. The predictive value was studied for all base-line variables, individually and in a multivariable analysis. Results In all, 55 of 99 invited chiropractors collected information on 731 patients. At the $ 4^{th} $ visit data were available on 626 patients and on 464 patients after 3 months. Fee subsidization (OR 3.2; 95% CI 1.9-5.5), total duration of pain in the past year (OR 1.5; 95% CI 1.0-2.2), and general health (OR 1.2; 95% CI 1.1-1.4) remained in the final model as predictors of treatment outcome at the $ 4^{th} $ visit. The sensitivity was low (12%), whereas the specificity was high (97%). At the three months follow-up, duration of pain in the past year (OR 2.1; 95% CI 1.4-3.1), and pain in other parts of the spine in the past year (OR1.6; 1.1-2.5) were independently associated with outcome. However, both the sensitivity and specificity were relatively low (60% and 50%). The addition of the psychological variables did not improve the models and none of the psychological variables remained significant in the final analyses. There was a positive gradient in relation to the number of positive predictor variables and outcome, both at the $ 4^{th} $ visit and after 3 months. 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author	Leboeuf-Yde, Charlotte
spellingShingle	Leboeuf-Yde, Charlotte misc Pain Intensity misc Receiver Operating Characteristic misc Psychological Variable misc Psychological Profile misc Chiropractic Care The Nordic Subpopulation Research Programme: prediction of treatment outcome in patients with low back pain treated by chiropractors - does the psychological profile matter?
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topic_title	The Nordic Subpopulation Research Programme: prediction of treatment outcome in patients with low back pain treated by chiropractors - does the psychological profile matter? Pain Intensity (dpeaa)DE-He213 Receiver Operating Characteristic (dpeaa)DE-He213 Psychological Variable (dpeaa)DE-He213 Psychological Profile (dpeaa)DE-He213 Chiropractic Care (dpeaa)DE-He213
topic	misc Pain Intensity misc Receiver Operating Characteristic misc Psychological Variable misc Psychological Profile misc Chiropractic Care
topic_unstemmed	misc Pain Intensity misc Receiver Operating Characteristic misc Psychological Variable misc Psychological Profile misc Chiropractic Care
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title	The Nordic Subpopulation Research Programme: prediction of treatment outcome in patients with low back pain treated by chiropractors - does the psychological profile matter?
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title_full	The Nordic Subpopulation Research Programme: prediction of treatment outcome in patients with low back pain treated by chiropractors - does the psychological profile matter?
author_sort	Leboeuf-Yde, Charlotte
journal	Chiropractic & osteopathy
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author_browse	Leboeuf-Yde, Charlotte Rosenbaum, Annika Axén, Iben Lövgren, Peter W Jørgensen, Kristian Halasz, Laszlo Eklund, Andreas Wedderkopp, Niels
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author-letter	Leboeuf-Yde, Charlotte
doi_str_mv	10.1186/1746-1340-17-14
title_sort	nordic subpopulation research programme: prediction of treatment outcome in patients with low back pain treated by chiropractors - does the psychological profile matter?
title_auth	The Nordic Subpopulation Research Programme: prediction of treatment outcome in patients with low back pain treated by chiropractors - does the psychological profile matter?
abstract	Background It is clinically important to be able to select patients suitable for treatment and to be able to predict with some certainty the outcome for patients treated for low back pain (LBP). It is not known to what degree outcome among chiropractic patients is affected by psychological factors. Objectives To investigate if some demographic, psychological, and clinical variables can predict outcome with chiropractic care in patients with LBP. Methods A prospective multi-center practice-based study was carried out, in which demographic, clinical and psychological information was collected at base-line. Outcome was established at the $ 4^{th} $ visit and after three months. The predictive value was studied for all base-line variables, individually and in a multivariable analysis. Results In all, 55 of 99 invited chiropractors collected information on 731 patients. At the $ 4^{th} $ visit data were available on 626 patients and on 464 patients after 3 months. Fee subsidization (OR 3.2; 95% CI 1.9-5.5), total duration of pain in the past year (OR 1.5; 95% CI 1.0-2.2), and general health (OR 1.2; 95% CI 1.1-1.4) remained in the final model as predictors of treatment outcome at the $ 4^{th} $ visit. The sensitivity was low (12%), whereas the specificity was high (97%). At the three months follow-up, duration of pain in the past year (OR 2.1; 95% CI 1.4-3.1), and pain in other parts of the spine in the past year (OR1.6; 1.1-2.5) were independently associated with outcome. However, both the sensitivity and specificity were relatively low (60% and 50%). The addition of the psychological variables did not improve the models and none of the psychological variables remained significant in the final analyses. There was a positive gradient in relation to the number of positive predictor variables and outcome, both at the $ 4^{th} $ visit and after 3 months. Conclusion Psychological factors were not found to be relevant in the prediction of treatment outcome in Swedish chiropractic patients with LBP. © Leboeuf-Yde et al; licensee BioMed Central Ltd. 2009
abstractGer	Background It is clinically important to be able to select patients suitable for treatment and to be able to predict with some certainty the outcome for patients treated for low back pain (LBP). It is not known to what degree outcome among chiropractic patients is affected by psychological factors. Objectives To investigate if some demographic, psychological, and clinical variables can predict outcome with chiropractic care in patients with LBP. Methods A prospective multi-center practice-based study was carried out, in which demographic, clinical and psychological information was collected at base-line. Outcome was established at the $ 4^{th} $ visit and after three months. The predictive value was studied for all base-line variables, individually and in a multivariable analysis. Results In all, 55 of 99 invited chiropractors collected information on 731 patients. At the $ 4^{th} $ visit data were available on 626 patients and on 464 patients after 3 months. Fee subsidization (OR 3.2; 95% CI 1.9-5.5), total duration of pain in the past year (OR 1.5; 95% CI 1.0-2.2), and general health (OR 1.2; 95% CI 1.1-1.4) remained in the final model as predictors of treatment outcome at the $ 4^{th} $ visit. The sensitivity was low (12%), whereas the specificity was high (97%). At the three months follow-up, duration of pain in the past year (OR 2.1; 95% CI 1.4-3.1), and pain in other parts of the spine in the past year (OR1.6; 1.1-2.5) were independently associated with outcome. However, both the sensitivity and specificity were relatively low (60% and 50%). The addition of the psychological variables did not improve the models and none of the psychological variables remained significant in the final analyses. There was a positive gradient in relation to the number of positive predictor variables and outcome, both at the $ 4^{th} $ visit and after 3 months. Conclusion Psychological factors were not found to be relevant in the prediction of treatment outcome in Swedish chiropractic patients with LBP. © Leboeuf-Yde et al; licensee BioMed Central Ltd. 2009
abstract_unstemmed	Background It is clinically important to be able to select patients suitable for treatment and to be able to predict with some certainty the outcome for patients treated for low back pain (LBP). It is not known to what degree outcome among chiropractic patients is affected by psychological factors. Objectives To investigate if some demographic, psychological, and clinical variables can predict outcome with chiropractic care in patients with LBP. Methods A prospective multi-center practice-based study was carried out, in which demographic, clinical and psychological information was collected at base-line. Outcome was established at the $ 4^{th} $ visit and after three months. The predictive value was studied for all base-line variables, individually and in a multivariable analysis. Results In all, 55 of 99 invited chiropractors collected information on 731 patients. At the $ 4^{th} $ visit data were available on 626 patients and on 464 patients after 3 months. Fee subsidization (OR 3.2; 95% CI 1.9-5.5), total duration of pain in the past year (OR 1.5; 95% CI 1.0-2.2), and general health (OR 1.2; 95% CI 1.1-1.4) remained in the final model as predictors of treatment outcome at the $ 4^{th} $ visit. The sensitivity was low (12%), whereas the specificity was high (97%). At the three months follow-up, duration of pain in the past year (OR 2.1; 95% CI 1.4-3.1), and pain in other parts of the spine in the past year (OR1.6; 1.1-2.5) were independently associated with outcome. However, both the sensitivity and specificity were relatively low (60% and 50%). The addition of the psychological variables did not improve the models and none of the psychological variables remained significant in the final analyses. There was a positive gradient in relation to the number of positive predictor variables and outcome, both at the $ 4^{th} $ visit and after 3 months. Conclusion Psychological factors were not found to be relevant in the prediction of treatment outcome in Swedish chiropractic patients with LBP. © Leboeuf-Yde et al; licensee BioMed Central Ltd. 2009
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title_short	The Nordic Subpopulation Research Programme: prediction of treatment outcome in patients with low back pain treated by chiropractors - does the psychological profile matter?
url	https://dx.doi.org/10.1186/1746-1340-17-14
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author2	Rosenbaum, Annika Axén, Iben Lövgren, Peter W Jørgensen, Kristian Halasz, Laszlo Eklund, Andreas Wedderkopp, Niels
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