One-year prognosis in sick-listed low back pain patients with and without

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1、CONSORT清单评价RCT论文论文部分条目内容评价VAS文题摘要1a文题能识别是随机临床试验One-yearprognosisinsick-listedlowbackpainpatientswithandwithoutradiculopathy.Prognosticfactorsinfluencingpainanddisability否1b结构式摘要，包括试验设计、方法、结果、结论几个部分BACKGROUNDCONTEXT:Previousresearchhasdocumentedvariouspsychosocialriskfac-torswithinfluenceono

2、utcomeinlowbackpain(LBP)patients,butthevalueofclinicalpredictorshasbeenlesswelldocumented.PURPOSE:Toidentifyclinicalandpsychosocialriskfactorsatbaselineinfluencingdisabilityandpainat1yearinLBPpatientssick-listed3to16weeks,andtolookfordifferencesbetweennon-specificLBPandradiculopathy.STUDYDE

3、SIGN:Cohortstudywith1-yearfollow-upbasedonarandomizedclinicaltrial.OUTCOMEMEASURES:Disabilityandchangeofdisability,painandchangeinpainat1year.METHODS:Inarandomizedclinicalstudyevaluatingmultidisciplinaryversusbriefintervention,325patientswerefollowedfor1year.Atbaseline,theycompletedaquestio

4、nnaireandwentthroughaclinicallowbackexamination,includingmeasureofforwardflexionandsideflexionaswellastenderpointex-新疆中医医院医学统计咨询室制第13页共13页amination,amethodtoestimatediffusetenderness.Furthermore,degenerativechangesonplainX-raysofthelumbarspinewerequantified,andsciaticawasinvestigatedbymagne

5、ticresonanceimaging.RESULTS:Radiculopathywasverifiedbymagneticresonanceimagingin111(34%)patients.At1year,questionsofdisabilityindailylifeactivitiesandpainwereansweredby60%and67%,respectively.Theintensityofbackþlegpainanddisabilitywascloselycorrelated.Statisticallysignificantpredictorsforbot

6、hdisabilityandbackþlegpainat1yearwereintensityofbackþlegpain,worryingandhealthanxiety,manytenderpoints,andlittleormoderateexerciseinleisuretime.Twoadditionalriskfactorswereidentifiedinpatientswithradiculopathy:olderageand‘‘drinkingalcohollessthanoncepermonth.’’Furthermore,disabilityat1yearw

7、asassociatedwithinitialdisabilityandcompensationclaim,andbackþlegpainat1yearwasassociatedwithfearavoidanceaboutphysicalactivityandthedurationofpain.Changeindisabilitywasmorecloselyassociatedwithreturntoworkthanchangeinpain.Discdegenerationwasnotassociate