PMID- 31728134
OWN - NLM
STAT- MEDLINE
DCOM- 20200403
LR  - 20200403
IS  - 1612-3174 (Electronic)
IS  - 1612-3174 (Linking)
VI  - 17
DP  - 2019
TI  - Subgroups in chronic low back pain patients - a step toward cluster-based, 
      tailored treatment in inpatient standard care: On the need for precise targeting 
      of treatment for chronic low back pain.
PG  - Doc09
LID - 10.3205/000275 [doi]
LID - Doc09
AB  - Objective: The purpose of this study was to find applicable clusters for the 
      development of different treatment pathways in an inpatient multimodal 
      pain-therapy setting based on the multifaceted nature of CLBP. Methods: Based on 
      data of questionnaires (Hospital Anxiety and Depression Scale (HADS), Marburg 
      Questionnaire on Habitual Health Findings (MFHW), quality of life assessment 
      using the Short-Form 12 (SF 12)), a retrospective two-step cluster analysis 
      involving a sample of chronic low back pain (CLBP) patients (N=320) was 
      calculated. Subsequently, the clusters were precisely described and compared on 
      the basis of further data collected during the patients' standard care: pain 
      characteristics, socio-demographic data and the general state of health, 
      psychological variables, therapy intensity, and Diagnosis Related Groups (DRG) 
      data. Results: We found a three-cluster solution: little psychological 
      interference but marginal physical and mental quality of life (Cluster 1); poor 
      well-being, low physical quality of life, and marginal mental quality of life 
      (Cluster 2); and heavy mental strain and marginal physical quality of life 
      (Cluster 3). Conclusions: Similar to previous studies, our results suggest that 
      patients suffering from CLBP differ with regard to the magnitude of mental burden 
      and the presence of physical impairment. These differences ascertain the need for 
      precise targeting of treatment for CLBP. Inpatient pain centers therefore should 
      offer different multimodal therapy pathways and integrate a meaningful triage, 
      taking into account the multifaceted nature of CLBP based on sophisticated 
      knowledge about forms, differences, and relationships among the biopsychosocial 
      components of CLBP.
CI  - Copyright (c) 2019 Langenmaier et al.
FAU - Langenmaier, Anna-Maria
AU  - Langenmaier AM
AD  - Algesiologikum - Zentren fur Schmerzmedizin, Munich, Germany.
FAU - Amelung, Volker Eric
AU  - Amelung VE
AD  - Institut fur Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, 
      Medizinische Hochschule Hannover, Germany.
FAU - Karst, Matthias
AU  - Karst M
AD  - Institut fur Anasthesie und Intensivmedizin, Medizinische Hochschule Hannover, 
      Germany.
FAU - Krauth, Christian
AU  - Krauth C
AD  - Institut fur Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, 
      Medizinische Hochschule Hannover, Germany.
FAU - Puschner, Franziska
AU  - Puschner F
AD  - inav - Privates Institut fur angewandte Versorgungsforschung, Berlin, Germany.
FAU - Urbanski, Dominika
AU  - Urbanski D
AD  - inav - Privates Institut fur angewandte Versorgungsforschung, Berlin, Germany.
FAU - Schiessl, Christine
AU  - Schiessl C
AD  - Algesiologikum - Zentren fur Schmerzmedizin, Tagesklinik fur Schmerzmedizin, 
      Munich, Germany.
FAU - Thoma, Reinhard
AU  - Thoma R
AD  - Algesiologikum - Zentren fur Schmerzmedizin, Algesiologikum MVZ Munich, Germany.
FAU - Klasen, Bernhard
AU  - Klasen B
AD  - Algesiologikum - Zentren fur Schmerzmedizin, Algesiologikum MVZ Furth, Germany.
LA  - eng
PT  - Journal Article
DEP - 20190911
PL  - Germany
TA  - Ger Med Sci
JT  - German medical science : GMS e-journal
JID - 101227686
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Chronic Pain/classification/*therapy
MH  - Cluster Analysis
MH  - Female
MH  - Humans
MH  - Inpatients
MH  - Low Back Pain/classification/*therapy
MH  - Male
MH  - Middle Aged
MH  - Needs Assessment
MH  - Pain Management/methods/standards
MH  - Quality of Life
MH  - Retrospective Studies
MH  - Surveys and Questionnaires
MH  - Young Adult
PMC - PMC6838656
OTO - NOTNLM
OT  - chronic low back pain
OT  - cluster analysis
OT  - distress
OT  - inpatient routine data
OT  - multimodal treatment
COIS- The authors declare that they have no competing interests. Conflicts might arise 
      if the results of this study lead to a change in the revenue situation in any 
      particular direction.
EDAT- 2019/11/16 06:00
MHDA- 2020/04/04 06:00
PMCR- 2019/09/11
CRDT- 2019/11/16 06:00
PHST- 2018/06/14 00:00 [received]
PHST- 2018/12/04 00:00 [revised]
PHST- 2019/11/16 06:00 [entrez]
PHST- 2019/11/16 06:00 [pubmed]
PHST- 2020/04/04 06:00 [medline]
PHST- 2019/09/11 00:00 [pmc-release]
AID - 000275 [pii]
AID - Doc09 [pii]
AID - 10.3205/000275 [doi]
PST - epublish
SO  - Ger Med Sci. 2019 Sep 11;17:Doc09. doi: 10.3205/000275. eCollection 2019.