201. Exploring Associations between Healthcare Use and Demographics, Pain and Pain Cognitions in People Scheduled for Surgery for Lumbar Radiculopathy: A Cross-Sectional Study
- Author
-
Eva Huysmans, Lisa Goudman, Iris Coppieters, Anneleen Malfliet, Wouter Van Bogaert, Jo Nijs, Maarten Moens, Ronald Buyl, Kelly Ickmans, Koen Putman, Physiotherapy, Human Physiology and Anatomy, Pain in Motion, Physical Medicine and Rehabilitation, Supporting clinical sciences, Neurosurgery, Faculty of Medicine and Pharmacy, Faculty of Physical Education and Physical Therapy, Interuniversity Centre For Health Economics Research, Neuroprotection & Neuromodulation, Radiology, Public Health Sciences, Biostatistics and medical informatics, Movement and Sport Sciences, Movement and Nutrition for Health and Performance, Radiation Therapy, and Organisation, policy and social inequalities in health care
- Subjects
REHABILITATION ,healthcare visits ,AWARENESS QUESTIONNAIRE ,analgesics use ,socio-economic status ,Neuroscience(all) ,CATASTROPHIZING SCALE ,Health Informatics ,FEAR ,rehabilitation ,surgery ,Medicine, General & Internal ,General & Internal Medicine ,sex ,lumbar radiculopathy ,PSYCHOMETRIC EVALUATION ,pain intensity ,Science & Technology ,BEHAVIORAL-MODEL ,healthcare use ,KINESIOPHOBIA ,General Medicine ,DISC ,MEDICAL-CARE ,Anesthesiology and Pain Medicine ,age ,Sex ,Lumbar radiculopathy ,Life Sciences & Biomedicine ,LOW-BACK-PAIN - Abstract
This cross-sectional study explored associations between demographics, pain intensity and cognitions on the one hand and healthcare use (HCU) on the other hand in people undergoing surgery for lumbar radiculopathy. HCU during the 2 months preceding surgery was evaluated using a retrospective questionnaire. Demographics included sex, age and level of education and equivalent income. Back and leg pain intensity were evaluated using a visual analogue scale. Pain cognitions were assessed with the Tampa scale of kinesiophobia, the pain catastrophizing scale and the pain vigilance and awareness questionnaire. The sample comprised 120 participants (52% males; 49 years (Quartile (Q)1-Q3: 37.3-57.43)). The number of visits to the general practitioner was associated with sex (incidence rate ratio (IRR) for males = 0.811; p = 0.050), pain catastrophizing (IRR = 1.010; p = 0.041), pain magnification (IRR = 1.058; p = 0.004) and leg pain intensity (IRR = 1.004; p = 0.038). The number of neurosurgeon visits was associated with level of education (IRR moderate education = 1.518; p = 0.016 (reference: low education)). Receiving zero physiotherapy visits was associated with higher back pain intensity (Beta = 0.018; p = 0.028). Highest level of analgesics used was associated with sex (IRR for males = 0.502; p = 0.047) and leg pain (IRR = 1.014; p = 0.034). Only the association between general practitioner visits and pain magnification remained significant in multivariable analyses (IRR = 1.061; p = 0.033). The results suggest a rather indirect relationship between HCU and demographics, pain intensity and cognitions, involving a potential interplay between several patient- and healthcare system-related factors. ispartof: JOURNAL OF CLINICAL MEDICINE vol:12 issue:1 ispartof: location:Switzerland status: published
- Published
- 2022