Pain sensitivity and pain catastrophizing are associated with persistent pain and disability after lumbar spine surgery

Coronado, Rogelio A.; George, Steven Z.; Devin, Clinton J.; Wegener, Stephen T.; Archer, Kristin R.

doi:10.1016/j.apmr.2015.06.003

Cited by 97Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyPain Management and Treatment

Pain sensitivity and pain catastrophizing are associated with persistent pain and disability after lumbar spine surgery

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Coronado, Rogelio A., George, Steven Z., Devin, Clinton J., Wegener, Stephen T., Archer, Kristin R.·2015·Archives of Physical Medicine and Rehabilitation

DOI 10.1016/j.apmr.2015.06.003PMC PMC4601931

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Abstract

Objective To examine whether pain sensitivity and pain catastrophizing are associated with persistent pain and disability after lumbar spine surgery.Design Prospective observational cohort study.Setting Academic medical center.Participants Patients (N=68; mean age, 57.9±13.1y; 40 women [58.8%]) undergoing spine surgery for a degenerative condition from March 1, 2012 to April 30, 2013 were assessed 6 weeks, 3 months, and 6 months after surgery.Interventions Not applicable.Main outcome measures The main outcome measures were persistent back pain intensity, pain interference, and disability. Patients with persistent back pain intensity, pain interference, or disability were identified as those patients reporting Brief Pain Inventory scores ≥4 and Oswestry Disability Index scores ≥21 at all postoperative time points.Results From 6 weeks to 6 months after surgery, approximately 12.9%, 24.2%, and 46.8% of patients reported persistent back pain intensity, pain interference, or disability, respectively. Increased pain sensitivity at 6 weeks was associated with having persistent back pain intensity (odds ratio [OR], 2.0; 95% confidence interval [CI], 1.0-4.1) after surgery. Increased pain catastrophizing at 6 weeks was associated with having persistent back pain intensity (OR, 1.1; 95% CI, 1.0-1.2), pain interference (OR, 1.1; 95% CI, 1.0-1.2), and disability (OR, 1.3; 95% CI, 1.1-1.4). An interaction effect was not found between pain sensitivity and pain catastrophizing on persistent outcomes (P>.05).Conclusions The findings suggest the importance of early postoperative screening for pain sensitivity and pain catastrophizing to identify patients at risk for poor postoperative pain intensity, pain interference, and/or disability outcomes. Future research should consider the benefit of targeted therapeutic strategies for patients with these postoperative prognostic factors.

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Prevalence and extent of low back pain and low back-related disability in non-care-seeking working-age adults
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Authors: Coronado, R. A., George, S. Z., Devin, C. J., Wegener, S. T., & Archer, K. R.
Affiliations: Vanderbilt University (US)
University of Florida Health (US)
Johns Hopkins University (US)
Corresponding author: Archer, Kristin R.
ORCID: Coronado, Rogelio A.
George, Steven Z.
Devin, Clinton J.
Wegener, Stephen T.
Archer, Kristin R.
Venue: Archives of Physical Medicine and Rehabilitation
Publisher: Elsevier BV
Published: 2015-10
Volume: 96
Issue: 10
Pages: 1763-1770
ISSN: 0003-9993 (ISSN-L)
DOI: 10.1016/j.apmr.2015.06.003
PMC: PMC4601931
OpenAlex: W1807424513
Cited by: 97
References: 80
Citations by year: 2026: 11 · 2025: 11 · 2024: 10 · 2023: 8 · 2022: 11 · 2021: 10 · 2020: 14 · 2019: 12 · 2018: 3 · 2017: 5 · 2016: 2
FWCI: 2.40
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Archives of Physical Medicine and Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Arthritis and Musculoskeletal Skin Diseases (R21AR062880)
Magistro Family Foundation Grant
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Pathology and Forensic Medicine › Spine and Intervertebral Disc Pathology
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords: pain sensitivity, pain catastrophizing, chronic back pain, postoperative disability, lumbar spine surgery, degenerative spine disease, pain interference, Brief Pain Inventory, Oswestry Disability Index
MeSH terms: Aged, Disability Evaluation, Female, Humans, Male, Middle Aged, Pain Measurement, Postoperative Pain, Prospective Studies, Risk Factors, Spinal Stenosis, Low Back Pain, Pain Threshold, Catastrophization

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Pain sensitivity and pain catastrophizing are associated with persistent pain and disability after lumbar spine surgery

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