Sex Differences in Presentation, Course, and Management of Low Back Pain in Primary Care

• DOI: 10.1097/ajp.0b013e31816ed948
• Publication Date: 2008-08-15T07:07:18Z
• Authors: Jean-François Chenot; Annette Becker; Corinna Leonhardt; Stefan Keller; Norbert Donner-Ba...; Jan Hildebrandt; Heinz-Dieter Basler; Erika Baum; Michael M. Kochen; Michael Pfingsten
• Keywords: Depression; Univariate analysis; Back Pain

Epidemiologic surveys frequently show that women more often and are affected by low back pain (LBP). The aim of this secondary analysis a randomized controlled study was to explore whether presentation course LBP is different from men, if sex affects the use healthcare services for LBP.Data 1342 [778 (58%) women] patients presenting with in 116 general practices were collected. Patients completed standardized questionnaires before after consultation contacted phone 4 weeks, 6 months, 12 months later interviews nurses. Functional capacity assessed Hannover Ability Questionnaire (HFAQ). Logistic regression models-adjusting sociodemographic disease-related data-were conducted investigate effect services.Women had on average lower functional at baseline months. They likely have recurrent or chronic positive depression score. Being female associated (odds ratio: 1.7, 95% confidence interval: 1.2-2.3), but capacity, chronicity, stronger predictors. In univariate analysis, tendency higher services. Those differences disappeared adjustment.Our findings confirm severely worse prognosis. Utilization cannot be fully explained sex, rather impairment other parts body characteristic population.