In the short-term at least, clinical assessment of LBP, and assessment of treatment effect in
trials, needs to move beyond pain and function to encompass the multidimensional impact on
identity and social participation, discrimination, and worries about the future.
Georgy and colleagues in a review focusing on back pain patients’ and doctors’ expectations,
found that patients and doctors conceptualise their expectations differently and have a widerange
of specific expectations for care [79]. Parsons and colleagues reported that trust,
diagnosis, being believed, and good communication are important to chronic musculoskeletal
pain patients [80]. Our findings are consistent with these reports but highlight areas on which
health care providers may wish to focus in order to improve patient-experience. Using
multidimensional scaling, Buchbinder and colleagues proposed a new model for assessing
back pain outcomes [81]. Their model has six domains and 16 sub-domains, including several
new domains not currently recommended: loss of independence, worry about the future, and
negative or discriminatory actions by others. These were strong themes in our meta-analysis
and we agree these warrant consideration in future measurement
In the short-term at least, clinical assessment of LBP, and assessment of treatment effect intrials, needs to move beyond pain and function to encompass the multidimensional impact onidentity and social participation, discrimination, and worries about the future.Georgy and colleagues in a review focusing on back pain patients’ and doctors’ expectations,found that patients and doctors conceptualise their expectations differently and have a widerangeof specific expectations for care [79]. Parsons and colleagues reported that trust,diagnosis, being believed, and good communication are important to chronic musculoskeletalpain patients [80]. Our findings are consistent with these reports but highlight areas on whichhealth care providers may wish to focus in order to improve patient-experience. Usingmultidimensional scaling, Buchbinder and colleagues proposed a new model for assessingback pain outcomes [81]. Their model has six domains and 16 sub-domains, including severalnew domains not currently recommended: loss of independence, worry about the future, andnegative or discriminatory actions by others. These were strong themes in our meta-analysisand we agree these warrant consideration in future measurement
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