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The study examines the course of back pain over time



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Back pain is one of the most commonly reported health problems in the world. New research published Arthritis Care & Research– The Official Journal of the American Rheumatology College and the Rheumatology Health Professionals Association, which over time examines back pain models and identifies patient characteristics and the amount of health care and medication use (including opioids) associated with different models.

The survey included a representative sample of the Canadian population, which followed from 1994 to 2011. 12,782 participants were surveyed every two years and data on factors including illness, pain, disability, opioid and other drug use and health care visits were provided.

During the 16-year follow-up, almost half (45.6%) of the participants reported at least one back pain. Among these participants were four pain trajectories: persistent (18%), developed (28.1%), recovery (20.5%) and casual (33.4%).

Permanent and developing groups had more pain and disability, as well as more health care visits and medication than recovery and occasional trajectories. The recovery trajectory group increased the use of opioids and antidepressants over time.

"The good news is that one in five people with back pain is recovering, but they continued to use opioids and antidepressants, indicating that people recovering from back pain require continuous monitoring," said leading author Mayilee Canizares, PhD. University Health Network Krembila Research Institute in Toronto, Canada. "The bad news was that each of the five was experiencing constant back pain, with an additional group of almost one in three, which caused back pain over time. These two groups were associated with greater pain relief activity, disability and depression as health. care and medication. "

Dr. Canizares noted that findings suggest that people with back pain are a heterogeneous group that can benefit from different leadership approaches rather than traditional one-size-fits-all approaches. "The different groups identified in the study may represent opportunities for more individual treatment and prevention strategies," she said.

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Full reference: "Back pain in the Canadian population: trajectories, predictions and results." Mayilee Canizares, Y. Raja Rampersaud and Elizabeth M. Badley. Arthritis Care & Research; Published online: January 14, 2019 (DOI: 10.1002 / acr.23811).

URL after publishing: http: // doi.wiley.com /10.1002 ofacr.23811

Disclosure: YRR reports Medtronic Personal Consultation Fee that does not affect the results of this study. MC and EMB do not have financial information.

Author Contacts: Krembila Research Institute Communication Team:

Heather Sherman

Tel: 416-603-5294

E-mail: [email protected]

or

Travis Boyco

Tel: 437-217-6123

E-mail: [email protected]

About the magazine

Arthritis Care & Research is the official journal of the College of American Rheumatology (ACR) and the Association of Rheumatology Health Professionals (ARHP). Arthritis Care & Research is a peer-reviewed journal that publishes both original research and articles that promote excellence in clinical practice in rheumatology. Relevant topics for the treatment of arthritis and related disorders are evidence-based practice studies, clinical issues, practice guidelines, health economics, health care policies, education, social and public health issues, and future trends in rheumatology. . The magazine is published on behalf of Wiley ACR. For more information, please visit the magazine's website at http: // wileyonlinelibrary.com /magazine /acr.

About Wiley

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