A prospective study of primary care patients with musculoskeletal pain: the identification of predictive factors for chronicity

Br J Gen Pract. 2000 Mar;50(452):225-7.

Abstract

Primary care faces the challenge of reducing the proportion of patients continuing with musculoskeletal pain beyond the acute phase. This study assessed patients presenting in general practice with a four- to 12-week history of pain and re-assessed them 12 weeks later. Patients whose pain was described as 'none' or 'slight' were allocated to the 'acute group', and those whose pain continued to be 'moderate' or 'severe' were allocated to the 'chronic group'. Comparative analysis of the two groups' responses at initial assessment identified pain intensity, active coping score, and previous pain episode to be factors independently predictive of chronicity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Analysis of Variance
  • Attitude to Health*
  • Chronic Disease
  • Humans
  • Musculoskeletal Diseases / complications*
  • Musculoskeletal Diseases / psychology
  • Pain / etiology
  • Pain / psychology*
  • Pain Measurement
  • Predictive Value of Tests
  • Prognosis
  • Prospective Studies
  • Risk Factors