Social factors and outcome in a five-year follow-up study of 276 patients with sciatica.
Social factors of 179 operated and 97 non-operated patients one year after hospitalization due to low back pain and sciatica were tested by multi-variate regression analysis in relation to the five-year outcome evaluated according to the WHO Handicap Classification. For operated men a subjective working incapacity (relative risk RR = 4.6) and co-morbidity (RR = 2.7) predicted a poor outcome. For operated women the predictive factors were subjective working incapacity (RR = 3.2) and older age (RR = 1.9). For non-operated men an increased occurrence of occupational hazards (RR = 3.6) and for non-operated women co-morbidity (RR = 7.1) indicated a poor outcome.
Nykvist
F
F
Rehabilitation Research Centre, Social Insurance Institution, Turku, Finland.
Hurme
M
M
Alaranta
H
H
Miettinen
M L
ML
D000328:Adult; D000367:Age Factors; D001416:Back Pain / Q000523:psychology / Q000534:rehabilitation* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009790:Occupations; D026741:Physical Therapy Modalities; D011379:Prognosis; D012585:Sciatica / Q000523:psychology / Q000534:rehabilitation* / Q000601:surgery; D012737:Sex Factors; D012931:Social Environment