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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Musculoskeletal Disorders 1/2015

Low back pain patients in Sweden, Denmark and the UK share similar characteristics and outcomes: a cross-national comparison of prospective cohort studies

Zeitschrift:
BMC Musculoskeletal Disorders > Ausgabe 1/2015
Autoren:
Alice Kongsted, Laura Davies, Iben Axen
Wichtige Hinweise

Competing interests

The authors declare to have no competing financial or non-financial interests. We want to disclose the following as potential conflicts of interest: The Danish cohort study was financially supported by the Danish Chiropractors’ Foundation as is Alice Kongsted’s position. The Swedish cohort study was funded by the Swedish Chiropractors’ Association and the European Chiropractors’ Union, and the original UK study was funded by the Anglo-European College of Chiropractic and the British Chiropractic Association. No grants were received in relation to this post-hoc analysis of these cohort data.

Authors’ contributions

All authors participated in the design of the study, made revisions of the manuscript and approved the final version. AK initiated the work, performed the analyses and drafted the manuscript.

Abstract

Background

Low back pain (LBP) is the world’s leading cause of disability and yet poorly understood. Cross-national comparisons may motivate hypotheses about outcomes being condition-specific or related to cultural differences and can inform whether observations from one country may be generalised to another. This analysis of data from three cohort studies explored whether characteristics and outcomes differed between LBP patients visiting chiropractors in Sweden, Denmark and the UK.

Methods

LBP patients completed a baseline questionnaire and were followed up after 3, 5, 12 and 26 weeks. Outcomes were LBP intensity (0–10 scales) and LBP frequency (0–7 days the previous week). Cohort differences were tested in mixed models accounting for repeated measures. It was investigated if any differences were explained by different baseline characteristics, and interaction terms between baseline factors and nations tested if strength of prognostic factors differed across countries.

Results

The study sample consisted of 262, 947 and 453 patients from Sweden, Denmark and the UK respectively. Patient characteristics were largely similar across cohorts although some statistically significant differences were observed. The clinical course followed almost identical patterns across nations and small observed differences were not present after adjusting for baseline factors. The associations of LBP intensity and episode duration with outcome differed in strength between countries.

Conclusions

Chiropractic patients with low back pain had similar characteristics and clinical course across three Northern European countries. It is unlikely that culture have substantially different impacts on the course of LBP in these countries and the results support knowledge transfer between the investigated countries.
Literatur
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