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Prognostic Factors for Work Ability in Women With Chronic Low Back Pain Consulting Primary Health Care: A 2-Year Prospective Longitudinal Cohort Study

Nordeman, Lena PhD, RPT*,†,‡; Gunnarsson, Ronny PhD, MD†,‡,§; Mannerkorpi, Kaisa PhD, RPT

Clinical Journal of Pain:
doi: 10.1097/AJP.0b013e3182a0dd06
Original Articles
Abstract

Objectives: To investigate prognostic factors for future work ability in women with chronic low back pain (CLBP) consulting primary health care.

Methods: A 2-year prospective longitudinal cohort study of female patients with CLBP within the primary health care was conducted. Patients were assessed at the first assessment and after 2 years. Prognostic factors for work ability (yes/no) were analyzed by multivariate regression.

Results: A total of 130 patients were included at first assessment. After 2 years, 123 patients (95%) were followed up. The 6-minute walk test, depression, and earlier work ability predicted work ability at the 2-year follow-up. A nomogram was constructed to assess the probability of future work ability.

Discussion: The 6-minute walk test, work ability, and depression predicted work ability for women with CLBP after 2 years.

Author Information

*Physiotherapy Unit in Alingsås, Primary Health Care, Södra Älvsborg, Sweden

Research and Development Unit in Primary Health Care, Södra Älvsborg, Sweden

Department of Public Health and Community Medicine, Primary Health Care Unit, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Sweden

§Cairns Clinical School, School of Medicine and Dentistry, James Cook University, Australia

Sahlgrenska Academy, Department of Rheumatology and Inflammation Research, Institute of Medicine, Sweden

Supported by The Research and Development Council of Södra Älvsborg, Region Västra Götaland, Sweden and The Health & Medical Care Committee of the Regional Executive Board, Region Västra Götaland, Sweden. The authors declare no conflict of interest.

Reprints: Lena Nordeman, PhD, RPT, Research and Development unit, Primary Health Care, Södra Älvsborg, Sven Eriksonsplatsen 4, Borås S-503 38, Sweden (e-mail: lena.nordeman@vgregion.se).

Received July 9, 2012

Accepted June 17, 2013

© 2014 by Lippincott Williams & Wilkins