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Cited by 56Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyOccupational Health and Safety in Workplaces

Patterns of Care for Low Back Pain in a Working Population

IJzelenberg, W, Burdorf, Alex·2004·Spine
DOI 10.1097/01.brs.0000127188.58944.1e
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Abstract

In Brief Study Design. A prospective longitudinal study with 1-year follow-up. Summary of Background Data. Little is known about the consequences of having back pain and the patterns underlying the decisions to use medical care. Objectives. The aim of this study is to describe care utilization for low back pain (LBP) and to investigate which factors determine use of care for LBP. Methods. We used a self-administered questionnaire to collect data on individual, health-related, and work-related factors and the type of medical care sought among 529 employees of nursing homes and homes for the elderly in the Netherlands. Logistic regression models were used to present associations between aforementioned factors and care utilization for LBP. Results. A large proportion of the working population was afflicted with LBP, and only one third sought care. Individuals who use care had more intense pain, chronic pain, and functional limitations. Patients’ characteristics varied among the different type of health care providers. Well-known work-related risk factors for the occurrence of LBP did not determine use of care for workers with LBP. Conclusions. Care utilization due to LBP was associated with severity and nature of back pain. Patients’ characteristics vary among the different type of health care providers, but work-relatedness of LBP seems similar across all providers. Low back pain is a major health problem and a leading cause of health care utilization. This study describes medical care seeking for low back pain and determines which individual, health-related and work-related determinants influence the use of care resulting from low back pain.

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Authors
IJzelenberg, W., & Burdorf, A.
Affiliations
Erasmus MC (NL)
Corresponding author
IJzelenberg, W
ORCID
Venue
Spine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2004-06
Volume
29
Issue
12
Pages
1362-1368
ISSN
0362-2436 (ISSN-L)
DOI
10.1097/01.brs.0000127188.58944.1e
OpenAlex
W1999138540
Cited by
56
References
23
Citations by year
2022: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 4 · 2016: 3 · 2015: 3 · 2014: 4 · 2013: 4 · 2012: 6
FWCI
2.30
Type
journal article
Language
en
Open access
closed
Locations
  • Spine (publishedVersion)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Spine and Intervertebral Disc Pathology
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
Keywords
low back pain, health care utilization, medical care seeking, working population, nursing home staff, elderly care workers, occupational risk factors, pain intensity, chronic pain, functional limitations, healthcare workers
MeSH terms
Adolescent, Adult, Aged, Female, Follow-Up Studies, Geriatric Nursing, Health Services, Humans, Longitudinal Studies, Male, Middle Aged, Netherlands, Prognosis, Prospective Studies, Risk Factors, Work, Prevalence, Low Back Pain

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