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Table 3 Clinical history and Presentation

From: Low back pain: what determines functional outcome at six months? An observational study

Variable

N (%)

Missing (%)

n "0" at follow up (%)

Unadjusted odds ratio & CI

Unadjusted p-Value

Baseline Roland Morris adjusted Odds Ratio & CI

Adjusted p-value

Time since first episode #

       

   Six years and over

247 (52.3)

 

29 (11.7)

1.00

 

1.00

 

   Up to 6 years ago

216 (45.8)

9 (1.9)

34 (15.7)

1.40 (0.82 - 2.39)

0.354

1.59 (0.91 to 2.77)

0.36

Duration of current episode#

       

   3 months or less

239 (50.6)

 

41 (17.2)

1.00

 

1.00

 

   Over 3 months

182 (38.6)

10 (2.1)

19 (10.4)

0.56 (0.56 - 1.01)

0.083

0.56 (0.31 to 1.02)

0.15

Episodes in past 12 months

       

Continuous, on/off

307 (65)

 

28 (9.1)

1.00

 

1.00

 

   Episodic

162 (34.3)

3 (0.6)

37 (22.8)

2.95 (1.73 - 5.03)

< 0.001

2.67 (1.53 to 4.64)

0.00

Length of usual episode

       

   12 weeks or less

298 (63.1)

 

49 (16.4)

1.00

 

1.00

 

   More than 12 weeks

165 (35)

9 (1.9)

16 (9.7)

0.55 (0.30 - 0.99)

0.071

0.64 (0.35 to 1.19)

0.48

Days of pain in last month#

       

   28 days or more

234 (49.6)

 

24 (10.3)

1.00

 

1.00

 

   Less than 28 days

227 (48.1)

11 (2.3)

40 (17.6)

1.87 (1.09 - 3.22)

0.044

1.27 (0.71 to 2.25)

0.59

Radiating leg pain

       

   Absent

175 (37.1)

 

22 (12.6)

1.00

 

1.00

 

   Above knee

122 (25.8)

 

22 (18.0)

1.53 (0.81 - 2.91)

 

2.16 (1.09 to 4.30)

 

   Below knee

158 (33.5)

17 (3.6)

18 (11.4)

0.89 (0.46 - 1.74)

0.245

1.62 (0.79 to 3.35)

0.09

Neurological deficit

       

   No

397 (84.1)

 

57 (14.4)

1.00

 

1.00

 

   Yes

34 (7.2)

41 (8.7)

4 (11.8)

0.80 (0.27 - 2.34)

0.678

1.57 (0.50 to 4.94)

0.44

Impaired reflexes

       

   No

370 (78.4)

 

49 (13.2)

1.00

 

1.00

 

   Yes

52 (11)

50 (10.6)

6 (11.5)

0.85 (0.35 - 2.11)

0.733

1.13 (0.44 to 2.87)

0.80

Previous treatment

       

   No

172 (36.4)

 

29 (16.9)

1.00

 

1.00

 

   Yes

294 (62.3)

6 (1.3)

34 (11.6)

0.65 (0.38 - 1.10)

0.108

0.67 (0.38 to 1.16)

0.15

Previous back surgery

       

   No

457 (96.8)

 

64 (14.0)

1.00

 

1.00

 

   Yes

7 (1.5)

8 (1.7)

0 (0)

0.01 (0.0 - 2.8E+9)

0.697

0.01 (0.00 - 2.2E+9)

0.73

Von Korff Pain Scale

Grade:

       

0 pain free

0 (0)

      

I low disability/low intensity

59 (12.5)

 

20 (33.9)

1.00

 

1.00

 

II low disability/high intensity

157 (33.3)

 

19 (12.1)

0.27 (0.13 - 0.55)

 

0.35 (0.16 to 0.73)

 

III high disability-moderately limiting

128 (27.1)

 

21 (16.4)

0.38 (0.19 - 0.78)

 

0.77 (0.35 to 1.71)

 

IV high disability/severely limiting

110 (23.3)

18 (3.8)

4 (3.6)

0.07 (0.02 - 0.23)

< 0.001

0.23 (0.07 to 0.79)

0.15

SF-36 Physical Functioning

       

   ≥ 50

247 (52.3)

 

51 (20.6)

1.00

 

1.00

 

   < 50

219 (46.4)

6 (1.3)

12 (5.5)

0.22 (0.12 - 0.43)

< 0.001

0.53 (0.24 to 1.18)

0.16

Baseline Roland Morris #

       

   ≥ 11

256 (54.2)

 

15 (5.9)

1.00

   

   < 11

216 (45.8)

0 (0)

50 (23.1)

4.84 (2.63 - 8.90)

< 0.001

  
  1. Odds ratios of recovery (defined as a follow-up Roland Morris score = 0) for all potential predictors in the data set: (i) unadjusted (ii) adjusted for Roland Morris baseline score. Participants presenting with baseline score of 0 excluded from analysis. (N = 472)
  2. Variables denoted with "#" have been dichotomised from a continuous scale in relation to the relevant median.