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Impact of Consultation Length on Satisfaction in Patients with Chronic Low Back Pain: A Nationwide Multicenter Study in Japan
- Source :
- Spine Surgery and Related Research, Vol 4, Iss 3, Pp 208-215 (2020), Spine Surgery and Related Research
- Publication Year :
- 2020
- Publisher :
- The Japanese Society for Spine Surgery and Related Research, 2020.
-
Abstract
- Introduction: Chronic low back pain (CLBP) is a major health burden worldwide and requires patient satisfaction with treatment. Consultation length can be an important factor in patient satisfaction, but few studies have investigated the impact of consultation length on satisfaction in patients with CLBP. This study tried to elucidate the impact of consultation length on clinical outcomes in patients with CLBP. Methods: This study is part of an analysis using the database of the nationwide, multicenter cohort for CLBP performed by the Project Committee of the Japanese Society for Spine Surgery and Related Research. A total of 427 patients aged 20-85 years (median age, 73.0 years; female, 58.6%) with CLBP were prospectively followed-up monthly for 6 months. Multivariable nonlinear regression analyses were performed to assess the effect of consultation length on outcome measures including subjective satisfaction score, EuroQol 5-dimension, Japanese Orthopaedic Association (JOA) score, Roland-Morris Disability Questionnaire, JOA Back Pain Evaluation Questionnaire, visual analog scale (VAS) and Medical Outcome Survey short-form 8-item health survey that evaluated at the next phase. Furthermore, we assessed whether the effect of consultation length on patient satisfaction was modified by the baseline Brief Scale for Psychiatric Problems in Orthopaedic Patients (BS-POP) score for patient and physician versions. Results: VAS for CLBP was the only score that correlated significantly with consultation length (P = 0.018). Satisfaction score showed a significant positive correlation with consultation length in patients with the highest baseline BS-POP scores (P < 0.2). Moreover, consultation lengths more than 7.6 min and 15.1 min offered increase of satisfaction if patients show the highest BS-POP scores on patient and physician versions, respectively. Conclusions: These findings suggest that a sufficiently long consultation is an important factor for subjective satisfaction in the patients with CLBP, particularly in patients with psychological problems.
- Subjects :
- medicine.medical_specialty
Visual analogue scale
psychiatric problem
lcsh:Surgery
Patient satisfaction
Spine surgery
medicine
Back pain
Orthopedics and Sports Medicine
In patient
business.industry
consultation length
satisfaction
lcsh:RD1-811
humanities
Chronic low back pain
Multicenter study
Cohort
Physical therapy
chronic low back pain
Original Article
Surgery
Neurology (clinical)
medicine.symptom
business
human activities
Subjects
Details
- Language :
- English
- Volume :
- 4
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Spine Surgery and Related Research
- Accession number :
- edsair.doi.dedup.....d2a814c2fedfff27817c57af306a6856