Kate M Dunn

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..Adoption of concepts and methods from life course epidemiology could facilitate this...

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..Combining information on risk of persistence and prognostic indicator prevalence provides more information on potential intervention targets than risk estimates alone...

..In summary, reporting a painful trajectory was common among adolescents, but persistent pain was reported by a small minority, and was usually experienced at a single pain site...

..Identification of four distinct groups of patients improves understanding of the course of back pain and may provide a basis of classification for intervention...

..There are important differences between people who recall more or less than 3 years' duration. Mechanisms for these associations are poorly understood, but this research suggests that duration itself is an important focus for research...

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..Prospective inception cohort...

..Changing questionnaire structure to make questions chronologic does not substantially affect the answers given, but may make a questionnaire more acceptable and easier to complete and speed up returns...

..Although consent is high among responders, the additive effect of nonresponse and nonconsent can substantially reduce sample size and should be taken into account in epidemiologic study planning...

..Further work should address longitudinal associations of pain and fatigue...

..There is clear redundancy in the measurement of psychological factors. These findings should help to focus targeted interventions for back pain in the future...

..We compared the clinical effectiveness and cost-effectiveness of stratified primary care (intervention) with non-stratified current best practice (control)...

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..Merged data from two primary care prospective cohort studies...

..There is growing interest in tackling the perceived 'sick note' culture in the UK...

..To investigate the incidence, persistence, and consequences of insomnia and their associations with psychological health and pain...

..The STarT Back Tool (SBT) was recently validated to subgroup LBP patients into early treatment pathways...

..In addition, nested qualitative studies will provide insights on the clinical consultation and the impact of diagnosis and treatment on patients' symptom management and illness trajectory...

..Economic analysis of LBP has focused on work absence among the employed. There is little research characterising individuals who report reduced duties or who are not in employment because of LBP...

..We evaluated agreement between clinicians and the SBST's allocation to risk subgroups, and explored reasons for differences observed...

..g., solicitous and negative responses) with the outcomes of pain and disability in those with long-term low back pain, and to explore the role of the patient's depressive symptom mood state on those associations...

..To investigate the effect of font size and paper thickness on the response to, and completion of, a self-completion postal questionnaire among older people with joint pain...

..To develop and validate a tool that screens for back pain prognostic indicators relevant to initial decision making in primary care...

..The management of sickness absence across Europe varies considerably, and there is a need for comparable rates of certification to facilitate appropriate health and economic planning...

..This prognostic approach to defining chronic pain appears to translate well to knee pain. Different cut-points for defining risk groups may be needed for different pain syndromes...

..This study aims to use general practice consultation data to determine the rate of sickness certification for common mental health problems...

..Studies of prognostic indicators tend to have been viewed in relation to each site separately, however, an alternative view is that some prognostic indicators may be common across different sites of musculoskeletal pain...

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..To compare methods commonly used to derive minimal important differences and recommend a rule for defining patients as clinically improved on the low back pain-specific Roland-Morris Disability Questionnaire (RMDQ)...

..This increased accuracy in predicting prognosis is relevant to both clinical and research practice...

..Review of studies on sciatica prevalence and synthesis of available evidence...

..People with more symptoms are reported to use more healthcare and have higher sickness absenteeism. We studied the impact of the number of symptoms on perceived health in a community sample...

..To test whether the prognostic definition of chronic pain, which has previously been applied in specific anatomic areas, performed well in a cohort of older adults with a range of musculoskeletal pain sites...

..We plan to conduct a randomised controlled trial to establish whether subgrouping using a novel tool, combined with targeted treatment, is better than best current care at reducing long-term disability from low back pain...

..Evidence of an effect of social support and prognosis revealed inconsistent findings. The variation in findings may reflect ongoing difficulties surrounding the conceptualisation and measurement of informal social support...

..To examine the influence of employment social support type (e.g. co-worker, supervisor, general support) on risk of occurrence of low back pain, and prognosis (e.g. recovery, return to work status) for those who have low back pain...

..We analysed baseline measures from an RCT involving adults with low back pain (LBP) with or without referred leg pain, to identify self-report items that best identified clinically determined nerve root involvement (sciatica)...

..These results should stimulate further research into the biological and perhaps evolutionary processes governing female sexual function...

..A modified Delphi study conducted with 28 experts in back pain research from 12 countries...

..Literature review and group discussions...

..In light of this, it is difficult to understand why the prevalence of back pain would decrease with increasing age...