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Back pain recurrence: an evaluation of existing indicators and direction for future research
Radoslaw Wasiak1, Amanda E Young, Kate M Dunn
1United BioSource Corporation, London, United Kingdom. radek.wasiak@unitedbiosource.com
Study Design:
Literature review.
Objective:
To present a framework for future analyses of back pain recurrence and explore the applicability and relevance of existing recurrence indicators.
Summary Of Background Data:
Empirical studies of back pain have included a variety of indicators of recurrence, resulting in a range of findings about recurrence rates and associated factors. Little is known about the relationships between existing indicators.
Methods:
Literature overview, expert panel, and workshop discussion at the IX International Forum on Primary Care Research on Low Back Pain.
Results:
Using the International Classification of Functioning, Disability, and Health (ICF), disabling back pain was conceptualized as a health condition, i.e., back pain disorder (BPD), and BPD recurrence was conceptualized as involving a return of atypical back pain and/or back-pain-related difficulty performing tasks and actions related to the initial episode. Using the ICF, 2 types of recurrence indicators were identified: those directly describing components of BPD and those indirectly doing so (e.g., recurrence of health care utilization).
Conclusion:
In light of the difficulty in measuring BPD recurrence, transparent definitions and a clear understanding of the implications of using particular indicators is required. Future research should focus: on examining the capture BPD recurrence by various research instruments, improving understanding of the relationship between indicators, and gaining insight into how individuals experiencing BPD view recurrence.
