Which Seems to Be Worst? Pain Severity and Quality of Life between Patients with Lateral Hip Pain and Low Back Pain

Pain Res Manag. 2018 Oct 22;2018:9156247. doi: 10.1155/2018/9156247. eCollection 2018.


Purpose: The aim of this study was to compare the pain severity, health-related quality of life (HRQoL), and risk of continue having pain with prognostic risk scores (PRS), between patients referring greater trochanteric pain syndrome (GTPS) and chronic low back pain (CLBP).

Methods: A descriptive, cross-sectional design using nonprobability convenience sampling was performed. A total sample of 102 patients were recruited from two primary health-care centers and divided into GTPS (n = 51) and CLBP (n = 51) groups. The primary outcome was pain severity which was assessed with the Spanish version of the Graded Chronic Pain Scale (GCPS). The secondary outcome was the HRQoL which was measured using the Spanish version of EuroQoL Five Dimensions and Five Levels (EQ-5D-5L) as well as the PRS.

Results: Significant differences (P<0.05) were found within both groups in the pain severity global score with a medium effect size showing greater values for the CLBP group with regards to the GTPS group. The PRS in both groups did not show statistical differences (P>0.05). Nevertheless, subjects referring CLBP showed greater levels in the PRS than patients with GTPS. Comparing both groups, the HRQoL showed statistical differences (P<0.05) in the "pain/discomfort" domain in the CLBP group with respect to the GTPS group, but not in the other domains.

Conclusions: Patients who suffered from CLBP showed greater pain severity and HRQoL discomfort with regard to patients with GTPS. Despite greater scores for CLBP, the PRS did not seem to be different between both conditions.

MeSH terms

  • Adult
  • Aged
  • Cross-Sectional Studies
  • Female
  • Hip Injuries / physiopathology*
  • Hip Injuries / psychology*
  • Humans
  • Low Back Pain / physiopathology*
  • Low Back Pain / psychology*
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care
  • Pain Measurement*
  • Quality of Life / psychology*
  • Risk Assessment
  • Surveys and Questionnaires