dc.contributor.author | Fjeld, Olaf Randall | |
dc.contributor.author | Grotle, Margreth | |
dc.contributor.author | Siewers, Vibeke | |
dc.contributor.author | Pedersen, Linda Margareth | |
dc.contributor.author | Nilsen, Kristian Bernhard | |
dc.contributor.author | Zwart, John-Anker | |
dc.date.accessioned | 2017-11-21T08:52:39Z | |
dc.date.available | 2017-11-21T08:52:39Z | |
dc.date.created | 2016-07-26T13:21:10Z | |
dc.date.issued | 2017 | |
dc.identifier.citation | Spine. 2017, 42 (5), E272-E279. | nb_NO |
dc.identifier.issn | 0362-2436 | |
dc.identifier.uri | http://hdl.handle.net/11250/2467260 | |
dc.description.abstract | Study Design. Prospective cohort study.
Objective. To identify potential prognostic factors for persistent leg-pain at 12 months among patients hospitalized with acute severe sciatica. Summary of Background Data. The long-term outcome for patients admitted to hospital with sciatica is generally unfavorable. Results concerning prognostic factors for persistent sciatica are limited and conflicting.
Methods. A total of 210 patients acutely admitted to hospital for either surgical or nonsurgical treatment of sciatica were consecutively recruited and received a thorough clinical and radiographic examination in addition to responding to a comprehensive questionnaire. Follow-up assessments were done at 6 weeks, 6 months, and 12 months. Potential prognostic factors were measured at baseline and at 6 weeks. The impact of these factors on leg-pain was analyzed by multiple linear regression modeling.
Results. A total of 151 patients completed the entire study, 93 receiving nonrandomized surgical treatment. The final multivariate models showed that the following factors were significantly associated with leg-pain at 12 months: high psychosocial risk according to the O¨ rebro Musculosceletal Pain Questionnaire (unstandardized beta coefficient 1.55, 95% confidence interval [CI] 0.72–2.38, P < 0.001), not receiving surgical treatment (1.11, 95% CI 0.29–1.93, P ¼ 0.01), not actively employed upon admission (1.47, 95% CI 0.63–2.31, P < 0.01), and self-reported leg-pain recorded 6 weeks posthospital admission (0.49, 95% CI 0.34–0.63, P < 0.001). Interaction analysis showed that the O¨ rebro Musculosceletal Pain Questionnaire had significant prognostic value only on the nonsurgically treated patients (3.26, 95% CI 1.89–4.63, P < 0.001).
Conclusion. The results suggest that a psychosocial screening tool and the implementation of a 6-week postadmission followup has prognostic value in the hospital management of severe sciatica. | nb_NO |
dc.language.iso | eng | nb_NO |
dc.publisher | Lippincott, Williams & Wilkins | nb_NO |
dc.title | Prognostic Factors for Persistent Leg-Pain in Patients Hospitalized with Acute Sciatica | nb_NO |
dc.type | Journal article | nb_NO |
dc.type | Peer reviewed | nb_NO |
dc.description.version | publishedVersion | nb_NO |
dc.source.pagenumber | E272-E279 | nb_NO |
dc.source.volume | 42 | nb_NO |
dc.source.journal | Spine | nb_NO |
dc.source.issue | 5 | nb_NO |
dc.identifier.doi | 10.1097/BRS.0000000000001773 | |
dc.identifier.cristin | 1369333 | |
dc.description.localcode | This article will not be available due to copyright restrictions (c) 2017 by Lippincott, Williams & Wilkins | nb_NO |
cristin.unitcode | 194,65,30,0 | |
cristin.unitname | Institutt for nevromedisin og bevegelsesvitenskap | |
cristin.ispublished | true | |
cristin.fulltext | postprint | |
cristin.qualitycode | 2 | |