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Exploring Associati...
Exploring Associations between Healthcare Use and Demographics, Pain and Pain Cognitions in People Scheduled for Surgery for Lumbar Radiculopathy: A Cross-Sectional Study
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Huysmans, E. (author)
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Goudman, L. (author)
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Coppieters, I. (author)
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Malfliet, A. (author)
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Van Bogaert, W. (author)
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- Nijs, Jo (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation
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Moens, M. (author)
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Buyl, R. (author)
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Ickmans, K. (author)
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Putman, K. (author)
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(creator_code:org_t)
- 2023-01-03
- 2023
- English.
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In: Journal of Clinical Medicine. - : MDPI AG. - 2077-0383. ; 12:1
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https://doi.org/10.3...
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Abstract
Subject headings
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- This cross-sectional study explored associations between demographics, pain intensity and cognitions on the one hand and healthcare use (HCU) on the other hand in people undergoing surgery for lumbar radiculopathy. HCU during the 2 months preceding surgery was evaluated using a retrospective questionnaire. Demographics included sex, age and level of education and equivalent income. Back and leg pain intensity were evaluated using a visual analogue scale. Pain cognitions were assessed with the Tampa scale of kinesiophobia, the pain catastrophizing scale and the pain vigilance and awareness questionnaire. The sample comprised 120 participants (52% males; 49 years (Quartile (Q)1-Q3: 37.3-57.43)). The number of visits to the general practitioner was associated with sex (incidence rate ratio (IRR) for males = 0.811; p = 0.050), pain catastrophizing (IRR = 1.010; p = 0.041), pain magnification (IRR = 1.058; p = 0.004) and leg pain intensity (IRR = 1.004; p = 0.038). The number of neurosurgeon visits was associated with level of education (IRR moderate education = 1.518; p = 0.016 (reference: low education)). Receiving zero physiotherapy visits was associated with higher back pain intensity (Beta = 0.018; p = 0.028). Highest level of analgesics used was associated with sex (IRR for males = 0.502; p = 0.047) and leg pain (IRR = 1.014; p = 0.034). Only the association between general practitioner visits and pain magnification remained significant in multivariable analyses (IRR = 1.061; p = 0.033). The results suggest a rather indirect relationship between HCU and demographics, pain intensity and cognitions, involving a potential interplay between several patient- and healthcare system-related factors.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- lumbar radiculopathy
- healthcare use
- analgesics use
- sex
- age
- socio-economic status
- pain intensity
- healthcare visits
- surgery
Publication and Content Type
- ref (subject category)
- art (subject category)
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To the university's database
- By the author/editor
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Huysmans, E.
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Goudman, L.
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Coppieters, I.
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Malfliet, A.
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Van Bogaert, W.
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Nijs, Jo
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show more...
-
Moens, M.
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Buyl, R.
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Ickmans, K.
-
Putman, K.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
- Articles in the publication
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Journal of Clini ...
- By the university
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University of Gothenburg