A Definition of "Flare" in Low Back Pain: A Multiphase Process Involving Perspectives of Individuals With Low Back Pain and Expert Consensus.

Consensus Delphi Technique Humans Low Back Pain / diagnosis Pain Measurement / methods Symptom Flare Up
Low back pain consensus definition flare flare-up

Journal

The journal of pain
ISSN: 1528-8447
Titre abrégé: J Pain
Pays: United States
ID NLM: 100898657

Informations de publication

Date de publication:
11 2019
Historique:
received: 21 09 2018
revised: 25 02 2019
accepted: 16 03 2019
pubmed: 25 3 2019
medline: 15 9 2020
entrez: 25 3 2019
Statut: ppublish

Résumé

Low back pain (LBP) varies over time. Consumers, clinicians, and researchers use various terms to describe LBP fluctuations, such as episodes, recurrences and flares. Although "flare" is use commonly, there is no consensus on how it is defined. This study aimed to obtain consensus for a LBP flare definition using a mixed-method approach. Step 1 involved the derivation of a preliminary candidate flare definition based on thematic analysis of views of 130 consumers in consultation with an expert consumer writer. In step 2, a workshop was conducted to incorporate perspectives of 19 LBP experts into the preliminary flare definition, which resulted in 2 alternative LBP flare definitions. Step 3 refined the definition using a 2-round Delphi consensus with 50 experts in musculoskeletal conditions. The definition favored by experts was further tested with 16 individuals with LBP in step 4, using the definition in three scenarios. This multiphase study produced a definition of LBP flare that distinguishes it from other LBP fluctuations, represents consumers' views, involves expert consensus, and is understandable by consumers in clinical and research contexts: "A flare-up is a worsening of your condition that lasts from hours to weeks that is difficult to tolerate and generally impacts your usual activities and/or emotions." Perspective: A multiphase process, incorporating consumers' views and expert consensus, produced a definition of LBP flare that distinguishes it from other LBP fluctuations.

Identifiants

DOI: 10.1016/j.jpain.2019.03.009 PMID: 30904517
pubmed: 30904517
pii: S1526-5900(18)30522-4
doi: 10.1016/j.jpain.2019.03.009
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1267-1275

Informations de copyright

Copyright © 2019 the American Pain Society. Published by Elsevier Inc. All rights reserved.

Auteurs

Nathalia Costa (N)

The University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland, Australia.

Manuela L Ferreira (ML)

The University of Sydney, Institute of Bone and Joint Research, The Kolling Institute, Sydney Medical School, Sydney, Australia.

Jenny Setchell (J)

The University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland, Australia.

Joanna Makovey (J)

The University of Sydney, Institute of Bone and Joint Research, The Kolling Institute, Sydney Medical School, Sydney, Australia.

Tanya Dekroo (T)

The University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland, Australia.

Aron Downie (A)

Musculoskeletal Health Sydney, University of Sydney, Sydney, Australia; Department of Chiropractic, Macquarie University, Sydney, Australia.

Ashish Diwan (A)

Spine Service, Department of Orthopaedic Surgery, St. George & Sutherland Clinical School, University of New South Wales Australia, Kogarah, Sydney, Australia.

Bart Koes (B)

Department of General Practice, Erasmus MC, Rotterdam, the Netherlands; Center for Muscle and Joint Health, University of Southern Denmark, Odense, Denmark.

Bard Natvig (B)

Institute for Health and Society, Department of General Practice, University of Oslo, Oslo, Norway.

Bill Vicenzino (B)

The University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland, Australia.

David Hunter (D)

The University of Sydney, Institute of Bone and Joint Research, The Kolling Institute, Sydney Medical School, Sydney, Australia; Department of Rheumatology, Royal North Shore Hospital, Sydney, New South Wales, Australia.

Eric J Roseen (EJ)

Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts.

Eva Rasmussen-Barr (E)

Karolinska Institute, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Stockholm, Sweden.

Francis Guillemin (F)

Universite de Lorraine, CHRU Nancy, Inserm, CIC1433-Epidemiologie Clinique, Nancy, France.

Jan Hartvigsen (J)

Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark; Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark.

Kim Bennell (K)

Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, Melbourne, The University of Melbourne, Victoria, Australia.

Leonardo Costa (L)

Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil.

Luciana Macedo (L)

McMaster University School of Rehabilitation Science Hamilton, Ontario, Canada.

Marina Pinheiro (M)

Faculty of Health Sciences, The University of Sydney, Sydney, Australia.

Martin Underwood (M)

Warwick Medical School, University of Warwick, Coventry, United Kingdom.

Mauritus Van Tulder (M)

Department of Health Sciences, Faculty of Science, Vrije Universiteit, Amsterdam Movement Science research institute, Amsterdam, the Netherlands.

Melker Johansson (M)

Warwick Medical School, University of Warwick, Coventry, United Kingdom; Musculoskeletal Disorders and Physical Workload, National Research Centre for the Working Environment, Copenhagen, Denmark.

Paul Enthoven (P)

Department of Medical and Health Sciences, Faculty of Medicine and Health Sciences, Linköping University, Linköping, Sweden.

Peter Kent (P)

Department of Physiotherapy and Exercise Science, Curtin University, Perth, Australia.

Peter O'Sullivan (P)

Department of Physiotherapy and Exercise Science, Curtin University, Perth, Australia.

Pradeep Suri (P)

Seattle Epidemiologic Research and Information Center (ERIC) and Division of Rehabilitation Care Services, VA Puget Sound Health Care System, Seattle, Washington; Department of Rehabilitation Medicine, University of Washington, Seattle, Washington; New England Baptist Hospital, Boston, Massachusetts; Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts.

Stephane Genevay (S)

Division of Rheumatology, Faculty of Medicine, Geneva University Hospitals, Geneva, Switzerland.

Paul W Hodges (PW)

The University of Queensland, School of Health and Rehabilitation Sciences, Brisbane, Queensland, Australia. Electronic address: p.hodges@uq.edu.au.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Pensée (activité mentale) › Prise de décision › Consensus › A Definition of "Flare" in Low Back Pain: A...
questionsmedicales.fr › Sciences de l'information › Analyse des systèmes › Méthode Delphi › A Definition of "Flare" in Low Back Pain: A...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › A Definition of "Flare" in Low Back Pain: A...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Dorsalgie › Lombalgie › A Definition of "Flare" in Low Back Pain: A...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Examen physique › Examen neurologique › Mesure de la douleur › A Definition of "Flare" in Low Back Pain: A...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Récidive › Aggravation transitoire des symptômes › A Definition of "Flare" in Low Back Pain: A...