We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
NECK AND BACK PAIN: DIFFERENCES BETWEEN PATIENTS TREATED IN PRIMARY AND SPECIALIST HEALTHCARE.
- Authors
TYRDAL, Mari Kristine; VEIERØD, Marit B.; RØE, Cecilie; NATVIG, Bård; WAHL, Astrid Klopstad; ROBINSON, Hilde Stendal
- Abstract
Objective: To describe and compare patients with neck and back pain treated by physiotherapists in primary healthcare (PHC) and in departments for physical medicine and rehabilitation in specialist healthcare (SHC) in Norway. Design: Cross-sectional study using data from the FYSIOPRIM database in PHC and the Norwegian Neck and Back Registry in SHC. Neck and back pain patients in the period 2014--18 aged ≥ 18 years were included. Demographics, lifestyle and clinical factors were investigated. Results: A total of 8,125 patients were included: 584 in PHC and 7,541 in SHC. Mean age was 47.1 and 45.5 years, respectively, with more females in PHC (72% vs 56%). Low levels of education and physical activity, high workload and receiving social benefits were associated with treatment in SHC. Treatment in SHC was most common from 3 to 12 months' pain duration. Higher pain intensity and lower health-related quality of life were found in patients treated in SHC, no differences were found for psychological distress. Conclusion: This is the first study comparing register data in patients with neck and back pain treated in PHC and SHC. Differences were found in pain and health-related quality of life, but levels of psychological distress were similar between patients treated in PHC and those treated in SHC.
- Subjects
NORWAY; LIFESTYLES; NECK pain; REHABILITATION centers; PAIN measurement; CONFIDENCE intervals; PHYSICAL medicine; CROSS-sectional method; PHYSICAL therapy; BACKACHE; REGRESSION analysis; PATIENTS' attitudes; PRIMARY health care; MATHEMATICAL variables; PHYSICAL activity; QUALITY of life; QUESTIONNAIRES; DESCRIPTIVE statistics; SOCIODEMOGRAPHIC factors; DATA analysis software; LOGISTIC regression analysis; ODDS ratio; PSYCHOLOGICAL distress; EDUCATIONAL attainment
- Publication
Journal of Rehabilitation Medicine (Stiftelsen Rehabiliteringsinformation), 2022, Vol 54, p1
- ISSN
1650-1977
- Publication type
Article
- DOI
10.2340/jrm.v54.363