Ole Kudsk Jensen
University of Aarhus, Denmark
Title: Unsuccessful return to work was predicted by a multivariate model, and type 1 Modic Changes was the only degenerative manifestation negatively associated with outcome: A follow-up study in sick-listed Low back pain patients
Biography
Biography: Ole Kudsk Jensen
Abstract
In 325 sick-listed low back pain (LBP) patients, a multivariate prognostic model for unsuccessful return to work (U-RTW) was developed and validated with satisfying result in a subsequent cohort of 120 patients. These patients were recruited, randomised and managed in the same way as the former group. U-RTW was not different in patients with and without radiculopathy. The model included back+leg pain intensity, side-flexion, bodily distress and four psychosocial risk factors. Magnetic resonance imaging of the lumbar spine was performed consecutively in 141 of these patients. The degenerative manifestations were described standardised, including disc herniations and nerve root compromise. Only type1 Modic changes identified in 18% were negatively associated with U-RTW, also after adjustment for already established risk factors.