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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
|
| pubmed:dateCreated |
1997-3-18
|
| pubmed:abstractText |
To identify predictors of back-related long-term functional limitations, 1213 adult enrollees of a Health Maintenance Organization (HMO) in Washington state were interviewed about a month after a consultation for back pain in a primary care setting in 1989-1990, and followed each year thereafter. Out of 100 factors documented at the one-month assessment, measures of somatization, depression, functional limitations, and pain were the strongest predictors of two-year modified Roland-Morris score among a random subsample of 569 subjects. A multiple regression model containing the Symptom Checklist Depression and Somatization scores, the one-month modified Roland-Morris score and the number of pain days in the past six months explained about 30% of the variance in the outcome. Using recursive partitioning, a very simple model was developed to identify patients at high risk of sustaining long-term significant functional limitations. The regression model and the recursive partitioning model were successfully tested in a fresh sample of patients (n = 644). Clinical application of the recursive partitioning model and methodological aspects of this study are discussed.
|
| pubmed:grant | |
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jan
|
| pubmed:issn |
0895-4356
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
50
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
31-43
|
| pubmed:dateRevised |
2007-11-14
|
| pubmed:meshHeading |
pubmed-meshheading:9048688-Adult,
pubmed-meshheading:9048688-Aged,
pubmed-meshheading:9048688-Analysis of Variance,
pubmed-meshheading:9048688-Back Pain,
pubmed-meshheading:9048688-Female,
pubmed-meshheading:9048688-Follow-Up Studies,
pubmed-meshheading:9048688-Health Maintenance Organizations,
pubmed-meshheading:9048688-Humans,
pubmed-meshheading:9048688-Male,
pubmed-meshheading:9048688-Mathematical Computing,
pubmed-meshheading:9048688-Middle Aged,
pubmed-meshheading:9048688-Models, Statistical,
pubmed-meshheading:9048688-Predictive Value of Tests,
pubmed-meshheading:9048688-Primary Health Care,
pubmed-meshheading:9048688-Regression Analysis,
pubmed-meshheading:9048688-Risk Factors,
pubmed-meshheading:9048688-Treatment Outcome,
pubmed-meshheading:9048688-Washington
|
| pubmed:year |
1997
|
| pubmed:articleTitle |
Predicting long-term functional limitations among back pain patients in primary care settings.
|
| pubmed:affiliation |
Department of Epidemiology, University of Washington, Seattle 98195, USA.
|
| pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
|