The predictive value of subsets of the Örebro Musculoskeletal Pain Screening Questionnaire for return to work in chronic low back pain.
Identifieur interne : 000A96 ( Main/Exploration ); précédent : 000A95; suivant : 000A97The predictive value of subsets of the Örebro Musculoskeletal Pain Screening Questionnaire for return to work in chronic low back pain.
Auteurs : Emmanuelle Opsommer [Suisse] ; Gilles Rivier [Suisse] ; Geert Crombez [Belgique] ; Roger Hilfiker [Suisse]Source :
- European journal of physical and rehabilitation medicine [ 1973-9095 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Concept du soi (MeSH), Douleur chronique (diagnostic), Douleur chronique (psychologie), Douleur chronique (rééducation et réadaptation), Douleur musculosquelettique (diagnostic), Douleur musculosquelettique (psychologie), Douleur musculosquelettique (rééducation et réadaptation), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Humains (MeSH), Lombalgie (diagnostic), Lombalgie (psychologie), Lombalgie (rééducation et réadaptation), Motivation (MeSH), Mâle (MeSH), Reprise du travail (MeSH), Récupération fonctionnelle (MeSH), Valeur prédictive des tests (MeSH).
- MESH :
- diagnostic : Douleur chronique, Douleur musculosquelettique, Lombalgie.
- psychologie : Douleur chronique, Douleur musculosquelettique, Lombalgie.
- rééducation et réadaptation : Douleur chronique, Douleur musculosquelettique, Lombalgie.
- Adulte, Adulte d'âge moyen, Concept du soi, Enquêtes et questionnaires, Femelle, Humains, Motivation, Mâle, Reprise du travail, Récupération fonctionnelle, Valeur prédictive des tests.
English descriptors
- KwdEn :
- Adult (MeSH), Chronic Pain (diagnosis), Chronic Pain (psychology), Chronic Pain (rehabilitation), Female (MeSH), Humans (MeSH), Low Back Pain (diagnosis), Low Back Pain (psychology), Low Back Pain (rehabilitation), Male (MeSH), Middle Aged (MeSH), Motivation (MeSH), Musculoskeletal Pain (diagnosis), Musculoskeletal Pain (psychology), Musculoskeletal Pain (rehabilitation), Outcome Assessment, Health Care (MeSH), Predictive Value of Tests (MeSH), Recovery of Function (MeSH), Return to Work (MeSH), Self Concept (MeSH), Surveys and Questionnaires (MeSH).
- MESH :
- diagnosis : Chronic Pain, Low Back Pain, Musculoskeletal Pain.
- psychology : Chronic Pain, Low Back Pain, Musculoskeletal Pain.
- rehabilitation : Chronic Pain, Low Back Pain, Musculoskeletal Pain.
- Adult, Female, Humans, Male, Middle Aged, Motivation, Outcome Assessment, Health Care, Predictive Value of Tests, Recovery of Function, Return to Work, Self Concept, Surveys and Questionnaires.
Abstract
BACKGROUND
Studies have shown that positive recovery expectations are associated with positive health outcomes in patients with chronic low back pain (CLBP) such as return to work (RTW) and the time to RTW.
AIM
To compare the predictive value for RTW in CLBP using different subsets of the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ).
DESIGN
Longitudinal cohort study.
SETTING
Rehabilitation center.
POPULATION
Ninety-eight inpatients with CLBP (>3 months).
METHODS
The ÖMPSQ at baseline was used to predict RTW three months after discharge from the rehabilitation clinic. The area under the ROC-curve was calculated based on a logistic regression model. Cox-regression was used to analyze time to RTW with C statistics for the original full (25-items) version of the ÖMPSQ, the 10-item version as well as for the two items about self-expected RTW and self-expected recovery.
RESULTS
The area under the curve (AUC) for the overall score of the full version ÖMPSQ was 0.82 (95% CI: 0.73 to 0.90), the AUC for the short version was 0.79 (95% CI: 0.70 to 0.88), the AUC for the item about self-expected recovery (#15) was 0.67 (95% CI: 0.57 to 0.78), and the AUC for the item about self-expected RTW (#16) was 0.76 (95% CI: 0.66 to 0.85). Harrell's C for the full version was 0.74 (95% CI: 0.66 to 0.81), for the short version the C was 0.71 (95% CI: 0.64 to 0.79), for item #15 the C was 0.62 (95% CI: 0.53 to 0.72), and for item #16 the C was 0.71 (95% CI: 0.64 to 0.78).
CONCLUSIONS
Two items about expectations from the ÖMPSQ showed similar predictive value for RTW compared to the short and full original versions, and could be used as first screening questions.
CLINICAL REHABILITATION IMPACT
Clinicians may make an informed choice whether they use the full or the short version of the ÖMPSQ for screening of psychosocial problems, or whether they use the two single items about expectations. Knowledge about patient's expectations provides a base for discussion between health professionals and the patient.
DOI: 10.23736/S1973-9087.17.04398-2
PubMed: 28382810
Affiliations:
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subsets of the Örebro Musculoskeletal Pain Screening Questionnaire for return to work in chronic low back pain.</title><author><name sortKey="Opsommer, Emmanuelle" sort="Opsommer, Emmanuelle" uniqKey="Opsommer E" first="Emmanuelle" last="Opsommer">Emmanuelle Opsommer</name><affiliation wicri:level="3"><nlm:affiliation>School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland (HES-SO), Lausanne, Switzerland - emmanuelle.opsommer@hesav.ch.</nlm:affiliation><country wicri:rule="url">Suisse</country><wicri:regionArea>School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland (HES-SO), Lausanne</wicri:regionArea><placeName><settlement type="city">Lausanne</settlement><region nuts="3" type="region">Canton de Vaud</region></placeName></affiliation></author><author><name sortKey="Rivier, Gilles" sort="Rivier, Gilles" uniqKey="Rivier G" first="Gilles" last="Rivier">Gilles Rivier</name><affiliation wicri:level="1"><nlm:affiliation>Clinique Romande de Réadaptation SUVAcare, Sion, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>Clinique Romande de Réadaptation SUVAcare, Sion</wicri:regionArea><wicri:noRegion>Sion</wicri:noRegion></affiliation></author><author><name sortKey="Crombez, Geert" sort="Crombez, Geert" uniqKey="Crombez G" first="Geert" last="Crombez">Geert Crombez</name><affiliation wicri:level="1"><nlm:affiliation>University of Ghent, Gent, Belgium.</nlm:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>University of Ghent, Gent</wicri:regionArea><wicri:noRegion>Gent</wicri:noRegion></affiliation></author><author><name sortKey="Hilfiker, Roger" sort="Hilfiker, Roger" uniqKey="Hilfiker R" first="Roger" last="Hilfiker">Roger Hilfiker</name><affiliation wicri:level="1"><nlm:affiliation>School of Health Sciences, University of Applied Sciences and Arts of Western Switzerland (HES-SO) Valais-Wallis, Sion, Switzerland.</nlm:affiliation><country xml:lang="fr">Suisse</country><wicri:regionArea>School of Health Sciences, University of Applied Sciences and Arts of Western Switzerland (HES-SO) Valais-Wallis, Sion</wicri:regionArea><wicri:noRegion>Sion</wicri:noRegion></affiliation></author></analytic><series><title level="j">European journal of physical and rehabilitation medicine</title><idno type="eISSN">1973-9095</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Chronic Pain (diagnosis)</term><term>Chronic Pain (psychology)</term><term>Chronic Pain (rehabilitation)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Low Back Pain (diagnosis)</term><term>Low Back Pain (psychology)</term><term>Low Back Pain (rehabilitation)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Motivation (MeSH)</term><term>Musculoskeletal Pain (diagnosis)</term><term>Musculoskeletal Pain (psychology)</term><term>Musculoskeletal Pain (rehabilitation)</term><term>Outcome Assessment, Health Care (MeSH)</term><term>Predictive Value of Tests (MeSH)</term><term>Recovery of Function (MeSH)</term><term>Return to Work (MeSH)</term><term>Self Concept (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Concept du soi (MeSH)</term><term>Douleur chronique (diagnostic)</term><term>Douleur chronique (psychologie)</term><term>Douleur chronique (rééducation et réadaptation)</term><term>Douleur musculosquelettique (diagnostic)</term><term>Douleur musculosquelettique (psychologie)</term><term>Douleur musculosquelettique (rééducation et réadaptation)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Lombalgie (diagnostic)</term><term>Lombalgie (psychologie)</term><term>Lombalgie (rééducation et réadaptation)</term><term>Motivation (MeSH)</term><term>Mâle (MeSH)</term><term>Reprise du travail (MeSH)</term><term>Récupération fonctionnelle (MeSH)</term><term>Valeur prédictive des tests (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Chronic Pain</term><term>Low Back Pain</term><term>Musculoskeletal Pain</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Douleur chronique</term><term>Douleur musculosquelettique</term><term>Lombalgie</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Douleur chronique</term><term>Douleur musculosquelettique</term><term>Lombalgie</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Chronic Pain</term><term>Low Back Pain</term><term>Musculoskeletal Pain</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Chronic Pain</term><term>Low Back Pain</term><term>Musculoskeletal Pain</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Douleur chronique</term><term>Douleur musculosquelettique</term><term>Lombalgie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Motivation</term><term>Outcome Assessment, Health Care</term><term>Predictive Value of Tests</term><term>Recovery of Function</term><term>Return to Work</term><term>Self Concept</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Concept du soi</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Motivation</term><term>Mâle</term><term>Reprise du travail</term><term>Récupération fonctionnelle</term><term>Valeur prédictive des tests</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Studies have shown that positive recovery expectations are associated with positive health outcomes in patients with chronic low back pain (CLBP) such as return to work (RTW) and the time to RTW.</p></div><div type="abstract" xml:lang="en"><p><b>AIM</b></p><p>To compare the predictive value for RTW in CLBP using different subsets of the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ).</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Longitudinal cohort study.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Rehabilitation center.</p></div><div type="abstract" xml:lang="en"><p><b>POPULATION</b></p><p>Ninety-eight inpatients with CLBP (>3 months).</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>The ÖMPSQ at baseline was used to predict RTW three months after discharge from the rehabilitation clinic. The area under the ROC-curve was calculated based on a logistic regression model. Cox-regression was used to analyze time to RTW with C statistics for the original full (25-items) version of the ÖMPSQ, the 10-item version as well as for the two items about self-expected RTW and self-expected recovery.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The area under the curve (AUC) for the overall score of the full version ÖMPSQ was 0.82 (95% CI: 0.73 to 0.90), the AUC for the short version was 0.79 (95% CI: 0.70 to 0.88), the AUC for the item about self-expected recovery (#15) was 0.67 (95% CI: 0.57 to 0.78), and the AUC for the item about self-expected RTW (#16) was 0.76 (95% CI: 0.66 to 0.85). Harrell's C for the full version was 0.74 (95% CI: 0.66 to 0.81), for the short version the C was 0.71 (95% CI: 0.64 to 0.79), for item #15 the C was 0.62 (95% CI: 0.53 to 0.72), and for item #16 the C was 0.71 (95% CI: 0.64 to 0.78).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Two items about expectations from the ÖMPSQ showed similar predictive value for RTW compared to the short and full original versions, and could be used as first screening questions.</p></div><div type="abstract" xml:lang="en"><p><b>CLINICAL REHABILITATION IMPACT</b></p><p>Clinicians may make an informed choice whether they use the full or the short version of the ÖMPSQ for screening of psychosocial problems, or whether they use the two single items about expectations. Knowledge about patient's expectations provides a base for discussion between health professionals and the patient.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28382810</PMID><DateCompleted><Year>2018</Year><Month>04</Month><Day>17</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1973-9095</ISSN><JournalIssue CitedMedium="Internet"><Volume>53</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>Jun</Month></PubDate></JournalIssue><Title>European journal of physical and rehabilitation medicine</Title><ISOAbbreviation>Eur J Phys Rehabil Med</ISOAbbreviation></Journal><ArticleTitle>The predictive value of subsets of the Örebro Musculoskeletal Pain Screening Questionnaire for return to work in chronic low back pain.</ArticleTitle><Pagination><MedlinePgn>359-365</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.23736/S1973-9087.17.04398-2</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Studies have shown that positive recovery expectations are associated with positive health outcomes in patients with chronic low back pain (CLBP) such as return to work (RTW) and the time to RTW.</AbstractText><AbstractText Label="AIM" NlmCategory="OBJECTIVE">To compare the predictive value for RTW in CLBP using different subsets of the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ).</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Longitudinal cohort study.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Rehabilitation center.</AbstractText><AbstractText Label="POPULATION" NlmCategory="METHODS">Ninety-eight inpatients with CLBP (>3 months).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The ÖMPSQ at baseline was used to predict RTW three months after discharge from the rehabilitation clinic. The area under the ROC-curve was calculated based on a logistic regression model. Cox-regression was used to analyze time to RTW with C statistics for the original full (25-items) version of the ÖMPSQ, the 10-item version as well as for the two items about self-expected RTW and self-expected recovery.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The area under the curve (AUC) for the overall score of the full version ÖMPSQ was 0.82 (95% CI: 0.73 to 0.90), the AUC for the short version was 0.79 (95% CI: 0.70 to 0.88), the AUC for the item about self-expected recovery (#15) was 0.67 (95% CI: 0.57 to 0.78), and the AUC for the item about self-expected RTW (#16) was 0.76 (95% CI: 0.66 to 0.85). Harrell's C for the full version was 0.74 (95% CI: 0.66 to 0.81), for the short version the C was 0.71 (95% CI: 0.64 to 0.79), for item #15 the C was 0.62 (95% CI: 0.53 to 0.72), and for item #16 the C was 0.71 (95% CI: 0.64 to 0.78).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Two items about expectations from the ÖMPSQ showed similar predictive value for RTW compared to the short and full original versions, and could be used as first screening questions.</AbstractText><AbstractText Label="CLINICAL REHABILITATION IMPACT" NlmCategory="CONCLUSIONS">Clinicians may make an informed choice whether they use the full or the short version of the ÖMPSQ for screening of psychosocial problems, or whether they use the two single items about expectations. Knowledge about patient's expectations provides a base for discussion between health professionals and the patient.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Opsommer</LastName><ForeName>Emmanuelle</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland (HES-SO), Lausanne, Switzerland - emmanuelle.opsommer@hesav.ch.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rivier</LastName><ForeName>Gilles</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Clinique Romande de Réadaptation SUVAcare, Sion, Switzerland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Crombez</LastName><ForeName>Geert</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>University of Ghent, Gent, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hilfiker</LastName><ForeName>Roger</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>School of Health Sciences, University of Applied Sciences and Arts of Western Switzerland (HES-SO) Valais-Wallis, Sion, Switzerland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>04</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>Italy</Country><MedlineTA>Eur J Phys Rehabil Med</MedlineTA><NlmUniqueID>101465662</NlmUniqueID><ISSNLinking>1973-9087</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059350" MajorTopicYN="N">Chronic Pain</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017116" MajorTopicYN="N">Low Back Pain</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009042" MajorTopicYN="N">Motivation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059352" MajorTopicYN="N">Musculoskeletal Pain</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017063" MajorTopicYN="N">Outcome Assessment, Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020127" MajorTopicYN="N">Recovery of Function</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D062707" MajorTopicYN="Y">Return to Work</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012649" MajorTopicYN="N">Self Concept</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>4</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>4</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>4</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28382810</ArticleId><ArticleId IdType="pii">S1973-9087.17.04398-2</ArticleId><ArticleId IdType="doi">10.23736/S1973-9087.17.04398-2</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Belgique</li><li>Suisse</li></country><region><li>Canton de Vaud</li></region><settlement><li>Lausanne</li></settlement></list><tree><country name="Suisse"><region name="Canton de Vaud"><name sortKey="Opsommer, Emmanuelle" sort="Opsommer, Emmanuelle" uniqKey="Opsommer E" first="Emmanuelle" last="Opsommer">Emmanuelle Opsommer</name></region><name sortKey="Hilfiker, Roger" sort="Hilfiker, Roger" uniqKey="Hilfiker R" first="Roger" last="Hilfiker">Roger Hilfiker</name><name sortKey="Rivier, Gilles" sort="Rivier, Gilles" uniqKey="Rivier G" first="Gilles" last="Rivier">Gilles Rivier</name></country><country name="Belgique"><noRegion><name sortKey="Crombez, Geert" sort="Crombez, Geert" uniqKey="Crombez G" first="Geert" last="Crombez">Geert Crombez</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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