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A Cohort Study Protocol of Low Back Pain In Rural Area Inhabitants: Fasa Low Back Pain Cohort Study (FABPACS)

Mojtaba Farjam, Alireza Askari, Ali Hoseinipour, Reza Homayounfar, Javad Jamshidi, Fatemeh Khodabakhshi, Habib Zakeri
Background: Low back pain (LBP) is one of the main causes of disability in most societies that imposes much cost to the economic and health systems. In Iranian population, a prevalence as high as 27% has been reported for chronic LBP. So this study was designed to investigate the factors associated with low back pain in Iranian population. Methods/ Design: In Fasa Cohort Study, a branch of Persian cohort study, LBP patients were registered among the participants. A total of 10000 peoples, 1700 patients enrolled in cohort study were registered as LBP patients. In addition to detailed demographic, socioeconomic, anthropometric, nutrition, and medical history, limited physical examinations, determination of physical activity and body composition that was obtained in the cohort study, history of LBP, assessment of the pain severity, McGill pain inventory, and Oswestry questionnaire was filled for the LBP patients. All data are stored online using a dedicated software. Discussion: The cohort study is the best way to collect the necessary information required for policy making in the field of LBP. This study will help in providing some information about LBP in our area to establish a better management of the disease. Moreover, this study will provide many opportunities for clinical trials in this field, and we are going to do interventional studies in the cohort in future.[GMJ.2016;5(4):225-29]
Low Back Pain; Cohort Study; Rural Area; Protocol; Fasa

Frymoyer JW, Pope MH, Clements JH, Wilder DG, MacPherson B, Ashikaga T. Risk factors in low-back pain. An epidemiological survey. J Bone Joint Surg Am. 1983;65(2):213-8.

Garg A, Hegmann KT, Moore JS, Kapellusch J, Thiese MS, Boda S, et al. Study protocol title: a prospective cohort study of low back pain. BMC Musculoskelet Disord. 2013;14:84.

Stewart Williams J, Ng N, Peltzer K, Yawson A, Biritwum R, Maximova T, et al. Risk Factors and Disability Associated with Low Back Pain in Older Adults in Low- and Middle-Income Countries. Results from the WHO Study on Global AGEing and Adult Health (SAGE). PLoS One. 2015;10(6):e0127880.

Noormohammadpour P, Mansournia MA, Koohpayehzadeh J, Asgari F, Rostami M, Rafei A, et al. Prevalence of Chronic Neck Pain, Low Back Pain and Knee Pain and their Related Factors in Community-dwelling Adults in Iran: A Population-based National Study. Clin J Pain. 2016.

Mousavi SJ, Akbari ME, Mehdian H, Mobini B, Montazeri A, Akbarnia B, et al. Low back pain in Iran: a growing need to adapt and implement evidence-based practice in developing countries. Spine (Phila Pa 1976). 2011;36(10):E638-46.

Viniol A, Jegan N, Leonhardt C, Strauch K, Brugger M, Barth J, et al. Study protocol: Transition from localized low back pain to chronic widespread pain in general practice: identification of risk factors, preventive factors and key elements for treatment--a cohort study. BMC Musculoskelet Disord. 2012;13:77.

Nielsen AM, Vach W, Kent P, Hestbaek L, Kongsted A. Using existing questionnaires in latent class analysis: should we use summary scores or single items as input? A methodological study using a cohort of patients with low back pain. Clin Epidemiol. 2016;8:73-89.

Bradbury K, Al-Abbadey M, Carnes D, Dimitrov BD, Eardley S, Fawkes C, et al. Non-specific mechanisms in orthodox and CAM management of low back pain (MOCAM): theoretical framework and protocol for a prospective cohort study. BMJ Open. 2016;6(5):e012209.

Hendrick P, Milosavljevic S, Bell ML, Hale L, Hurley DA, McDonough SM, et al. Does physical activity change predict functional recovery in low back pain? Protocol for a prospective cohort study. BMC Musculoskelet Disord. 2009;10:136.

Melloh M, Aebli N, Elfering A, Roder C, Zweig T, Barz T, et al. Development of a screening tool predicting the transition from acute to chronic low back pain for patients in a GP setting: protocol of a multinational prospective cohort study. BMC Musculoskelet Disord. 2008;9:167.

Gore M, Sadosky A, Stacey BR, Tai KS, Leslie D. The burden of chronic low back pain: clinical comorbidities, treatment patterns, and health care costs in usual care settings. Spine (Phila Pa 1976). 2012;37(11):E668-77.

Farjam M, Bahrami H, Bahramali E, Jamshidi J, Askari A, Zakeri H, et al. A cohort study protocol to analyze the predisposing factors to common chronic non-communicable diseases in rural areas: Fasa Cohort Study. BMC Public Health. 2016;16(1):1090.

Soori H, Motlagh E. Iranian rural health workers (behvarz) and risk factors of childhood injury. East Mediterr Health J. 1999;5(4):684-9.

Melzack R. The McGill Pain Questionnaire: major properties and scoring methods. Pain. 1975;1(3):277-99.

Dworkin RH, Turk DC, Trudeau JJ, Benson C, Biondi DM, Katz NP, et al. Validation of the Short-form McGill Pain Questionnaire-2 (SF-MPQ-2) in acute low back pain. J Pain. 2015;16(4):357-66.

Haas M, Nyiendo J. Diagnostic utility of the McGill Pain Questionnaire and the Oswestry Disability Questionnaire for classification of low back pain syndromes. J Manipulative Physiol Ther. 1992;15(2):90-8.

Kachooei AR, Ebrahimzadeh MH, Erfani-Sayyar R, Salehi M, Salimi E, Razi S. Short Form-McGill Pain Questionnaire-2 (SF-MPQ-2): A Cross-Cultural Adaptation and Validation Study of the Persian Version in Patients with Knee Osteoarthritis. Arch Bone Jt Surg. 2015;3(1):45-50.

Love A, Leboeuf C, Crisp TC. Chiropractic chronic low back pain sufferers and self-report assessment methods. Part I. A reliability study of the Visual Analogue Scale, the Pain Drawing and the McGill Pain Questionnaire. J Manipulative Physiol Ther. 1989;12(1):21-5.

Prieto EJ, Hopson L, Bradley LA, Byrne M, Geisinger KF, Midax D, et al. The language of low back pain: factor structure of the McGill pain questionnaire. Pain. 1980;8(1):11-9.

Khosravi M, Sadighi S, Moradi S, K. Z. Persian-McGill pain questionnaire; translation, adaptation and reliability in cancer patients: a brief report. Tehran Univ Med J.71(1):53-8.

Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine (Phila Pa 1976). 2000;25(22):2940-52; discussion 52.

Baradaran A, Ebrahimzadeh MH, Birjandinejad A, Kachooei AR. Cross-Cultural Adaptation, Validation, and Reliability Testing of the Modified Oswestry Disability Questionnaire in Persian Population with Low Back Pain. Asian Spine J. 2016;10(2):215-9.

Walker BF. The prevalence of low back pain: a systematic review of the literature from 1966 to 1998. J Spinal Disord. 2000;13(3):205-17.

Walker BF. The prevalence of low back pain in Australian adults. A systematic review of the literature from 1966-1998. Asia Pac J Public Health. 1999;11(1):45-51.

Hart LG, Deyo RA, Cherkin DC. Physician office visits for low back pain. Frequency, clinical evaluation, and treatment patterns from a U.S. national survey. Spine (Phila Pa 1976). 1995;20(1):11-9.

Deyo RA, Mirza SK, Martin BI. Back pain prevalence and visit rates: estimates from U.S. national surveys, 2002. Spine (Phila Pa 1976). 2006;31(23):2724-7.

Luo X, Pietrobon R, Sun SX, Liu GG, Hey L. Estimates and patterns of direct health care expenditures among individuals with back pain in the United States. Spine (Phila Pa 1976). 2004;29(1):79-86.

Straus BN. Chronic pain of spinal origin: the costs of intervention. Spine (Phila Pa 1976). 2002;27(22):2614-9; discussion 20.

Andersson GB. Epidemiological features of chronic low-back pain. Lancet. 1999;354(9178):581-5.

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