Influence of nationality on the trajectories of pain, disability and health related quality of life in neck and back patients – The Norwegian Neck and Back Registry

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2024-09-20 DOI:10.1016/j.msksp.2024.103193

Janica S. Ignatius , Cecilie Røe , Paul B. Perrin , Sigrid Skatteboe , Jens I. Brox , Maja Garnaas Kielland , John Bjørneboe

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引用次数: 0

Abstract

Purpose

The aim of the current study was to examine differences in trajectories of pain, disability, and health related quality of life (HRQOL) between non-Norwegian and Norwegian patients with neck and back pain over 12 months.

Methods

The study is based on data from the Norwegian Neck and Back Registry (NNRR). The data include demographics and patient-reported outcome measures such as pain rating, the Oswestry Disability Index and HRQOL. Data were collected at baseline, 6 and 12 months after consultation for neck and back pain in specialist health care.

Results

A total of 5012 patients were included. We found a significant main effect of nationality. Non-Norwegian patients showed higher levels of pain and disability and lower HRQOL than Norwegian patients. Both patient groups exhibited an improvement in all three outcomes at 6- and 12-month follow-ups. The improvement was similar for pain with the greatest improvement taking place during the first 6 months and then slightly flattening out. For disability and HRQOL, we observed a differential effect over time as a function of nationality. Both groups reported an improvement the first 6 months, however, while the Norwegian patients continued their improvement to 12 months, non-Norwegian patients had increasing disability and lower HRQOL at 12 months.

Conclusion

Both patient groups improved over the 12-month period. Non-Norwegian patients showed an overall higher level of pain, disability and lower HRQOL compared to Norwegian patients, with a differential effect over time as a function of nationality for disability and HRQOL. Suggesting that future studies should focus on potential systemic barriers that may affect the recovery of neck and back patients based on nationality.

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国籍对颈背部患者疼痛、残疾和健康相关生活质量轨迹的影响--挪威颈背部登记处。

目的：本研究旨在探讨非挪威籍和挪威籍颈背部疼痛患者在12个月内的疼痛、残疾和健康相关生活质量（HRQOL）轨迹的差异：研究以挪威颈背部登记处（NNRR）的数据为基础。数据包括人口统计学和患者报告的结果测量，如疼痛评分、Oswestry残疾指数和HRQOL。数据收集于专科医疗机构颈背部疼痛就诊后的基线、6个月和12个月：结果：共纳入 5012 名患者。我们发现，国籍对研究有重大影响。与挪威病人相比，非挪威病人的疼痛和残疾程度较高，HRQOL较低。在6个月和12个月的随访中，两组患者的三种结果均有所改善。疼痛方面的改善情况类似，头6个月的改善幅度最大，随后略微趋于平稳。在残疾和 HRQOL 方面，我们观察到随着时间的推移，不同国籍的影响也不同。两组患者在头6个月都有所改善，但挪威患者的改善持续到12个月，而非挪威患者在12个月时残疾程度增加，HRQOL降低：结论：两组患者的病情在12个月内都有所改善。与挪威病人相比，非挪威病人的疼痛、残疾和HRQOL总体水平较高，残疾和HRQOL随时间的推移会因国籍不同而产生不同的影响。这表明，今后的研究应根据国籍重点关注可能影响颈背部患者康复的潜在系统性障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.