Frequency and Interrelations of Risk Factors for Chronic Low Back Pain in a Primary Care Setting 英文参考文献.docVIP

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Frequency and Interrelations of Risk Factors for Chronic Low Back Pain in a Primary Care Setting 英文参考文献.doc

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Frequency and Interrelations of Risk Factors for Chronic Low Back Pain in a Primary Care Setting 英文参考文献

FrequencyandInterrelationsofRiskFactorsforChronic LowBackPaininaPrimaryCareSetting Marie-MartineLefevre-Colau1,2*,FouadFayad2,5,Franc?oisRannou2,JacquesFermanian3, FernandCoriat4,YannMace2,MichelRevel2,SergePoiraudeau2 1DepartmentofPhysicalMedicineandRehabilitation,Corentin-CeltonHospital(AP-HP),ParisDescartesUniversity,Issy-les-Moulineaux,France,2DepartmentofPhysical Medicine and Rehabilitation, Cochin Hospital (AP-HP), Paris Descartes University, Paris, France, 3Department of Biostatistics, Necker Hospital (AP-HP), Paris Descartes University,Paris,France,4LaboratoireSanofi-Aventis,Paris,France,5DepartmentofRheumatology,HotelDieudeFrance,Saint-JosephUniversity,Beirut,Lebanon Abstract Introduction:Manyriskfactorshavebeenidentifiedforchroniclowbackpain(cLBP),butonlyonestudyevaluatedtheir interrelations.WeaimedtoinvestigatethefrequencyofcLBPriskfactorsandtheirinterrelationsinpatientsconsultingtheir generalpractitioners(GPs)forcLBP. Methods:Across-sectional,descriptive,nationalsurveywasperformed.3000GPsrandomlyselectedwereaskedtoinclude atleast onepatientconsulting forcLBP. Demographic, clinicalcharacteristics andthepresenceofcLBP risk factorswere recorded.ThefrequencyofeachcLBPriskfactorwascalculatedandmultiplecorrespondenceanalysis(MCA)wasperformed tostudytheirinterrelations. Results:Atotalof2068GPs(68.9%)includedatleast1patient,for4522questionnairesanalyzed.Inthewholesampleof patients,the2riskfactorsmostcommonlyobservedwerehistoryofrecurrentLBP(72.1%)andinitiallimitationofactivities ofdailyliving(66.4%).Forworkingpatients,commonprofessionalriskfactorswerebeliefs,thatLBPwasduetomaintaining aspecificpostureatwork(79.0%)andfrequentheavyliftingatwork(65.5%).OnMCA,weidentified3risk-factordimensions (axes)forworkingandnonworkingpatients.Themaindimensionforworkingpatientsinvolvedprofessionalriskfactorsand amongthesefactors,patients’jobsatisfactionandjobrecognitionlargelycontributetothisdimension. Discussion:Ourresultsshedinlightforthefirsttimetheinterrelationandtheres