{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T16:26:23Z","timestamp":1790958383111,"version":"4.1.0"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"6","funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["1R01HS01922201 and 1R01HS022972-01"],"award-info":[{"award-number":["1R01HS01922201 and 1R01HS022972-01"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Objective.\u2002To identify predictors of persistent disability and back pain in older adults.<\/jats:p>\n                  <jats:p>Design.\u2002Prospective cohort study.<\/jats:p>\n                  <jats:p>Setting.\u2002Back pain outcomes using longitudinal data registry.<\/jats:p>\n                  <jats:p>Subjects.\u2002Five thousand two hundred twenty adults\u2009age 65 years and older with a new primary care visit for back pain.<\/jats:p>\n                  <jats:p>Methods.\u2002Baseline measurements included: demographics, health, and back pain characteristics. We abstracted imaging findings from 348 radiology reports. The primary outcomes were the Roland-Morris Disability Questionnaire (RMDQ) and back pain intensity. We defined persistent disability as RMDQ\u2009of 4\/24 or higher at both six and 12 months and persistent back pain as pain\u20093\/10 or higher at both six and 12 months.<\/jats:p>\n                  <jats:p>Results.\u2002There were 2,498 of 4,143 (60.3%) participants with persistent disability, and 2,099 of 4,144 (50.7%) had persistent back pain. Adjusted analyses showed the following characteristics most strongly predictive of persistent disability and persistent back pain: sex, race, worse baseline clinical characteristics of back pain, leg pain, back-related disability and duration of symptoms, smoking, anxiety symptoms, depressive symptoms, a history of falls, greater number of comorbidities, knee osteoarthritis, wide-spread pain syndromes, and an index diagnosis of lumbar spinal stenosis. Within the imaging data subset, central spinal stenosis was not associated with disability or pain.<\/jats:p>\n                  <jats:p>Conclusion.\u2002We found that many predictors in older adults were similar to those for younger populations.<\/jats:p>","DOI":"10.1093\/pm\/pnw236","type":"journal-article","created":{"date-parts":[[2016,9,29]],"date-time":"2016-09-29T20:20:51Z","timestamp":1475180451000},"page":"1049-1062","source":"Crossref","is-referenced-by-count":25,"title":["Predictors of Persistent Disability and Back Pain in Older Adults with a New Episode of Care for Back Pain"],"prefix":"10.1093","volume":"18","author":[{"given":"Sean D.","family":"Rundell","sequence":"first","affiliation":[{"name":"*Department of Rehabilitation Medicine"},{"name":"\u2020Comparative Effectiveness, Cost, and Outcomes Research Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen J.","family":"Sherman","sequence":"additional","affiliation":[{"name":"\u2021Group Health Research Institute, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick J.","family":"Heagerty","sequence":"additional","affiliation":[{"name":"\u00a7Center for Biomedical Statistics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles N.","family":"Mock","sequence":"additional","affiliation":[{"name":"\u00b6Department of Epidemiology, University of Washington and Harborview Injury Prevention Research Center, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan J.","family":"Dettori","sequence":"additional","affiliation":[{"name":"\u2016Department of Health Services"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan A.","family":"Comstock","sequence":"additional","affiliation":[{"name":"\u00a7Center for Biomedical Statistics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew L.","family":"Avins","sequence":"additional","affiliation":[{"name":"\u2016|Division of Research, Kaiser Permanente Northern California, Oakland, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srdjan S.","family":"Nedeljkovic","sequence":"additional","affiliation":[{"name":"**Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women\u2019s Hospital, and Spine Unit, Harvard Vanguard Medical Associates, Boston, MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R.","family":"Nerenz","sequence":"additional","affiliation":[{"name":"\u2020\u2020Henry Ford Hospital, Neuroscience Institute, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey G.","family":"Jarvik","sequence":"additional","affiliation":[{"name":"\u2020Comparative Effectiveness, Cost, and Outcomes Research Center"},{"name":"\u2021\u2021Department of Radiology, Neurological Surgery, Orthopedic Surgery and Sports Medicine, Health Services and Pharmacy, University of Washington, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2016,9,28]]},"reference":[{"issue":"3","key":"2025102705172465300_pnw236-B1","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.pain.2007.01.012","article-title":"The impact of chronic low back pain on older adults: A comparative study of patients and controls","volume":"131","author":"Rudy","year":"2007","journal-title":"Pain"},{"issue":"9","key":"2025102705172465300_pnw236-B2","doi-asserted-by":"crossref","first-page":"1306","DOI":"10.1002\/art.24006","article-title":"Associations of back and leg pain with health status and functional capacity of older adults: Findings from the retirement community back pain study","volume":"59","author":"Hicks","year":"2008","journal-title":"Arthritis Rheum"},{"issue":"2","key":"2025102705172465300_pnw236-B3","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1111\/j.1526-4637.2006.00112.x","article-title":"Low back pain in older adults: Are we utilizing healthcare resources wisely?","volume":"7","author":"Weiner","year":"2006","journal-title":"Pain Med"},{"issue":"16","key":"2025102705172465300_pnw236-B4","doi-asserted-by":"crossref","first-page":"1754","DOI":"10.1097\/BRS.0b013e3180b9f96e","article-title":"Increases in lumbosacral injections in the Medicare population","volume":"32","author":"Friedly","year":"2007","journal-title":"Spine"},{"key":"2025102705172465300_pnw236-B5","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.a171","article-title":"Prognosis in patients with recent onset low back pain in Australian primary care: Inception cohort study","volume":"337","author":"Henschke","year":"2008","journal-title":"BMJ"},{"issue":"1","key":"2025102705172465300_pnw236-B6","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1097\/00007632-200001010-00019","article-title":"Beyond the good prognosis. 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