{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T02:19:46Z","timestamp":1782958786580,"version":"3.54.5"},"reference-count":37,"publisher":"Journal of Orthopaedic & Sports Physical Therapy (JOSPT)","issue":"7","content-domain":{"domain":["www.jospt.org"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p> To (1) determine the 1-year estimate of recurrence of low back pain (LBP) in a cohort of people presenting to emergency departments who have recently recovered from an episode of acute LBP in a middle-income country, (2) estimate a recurrence of LBP stratified by the STarT Back Screening Tool (SBST), and (3) determine prognostic factors for the recurrence of LBP. <\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p> Prospective inception cohort study. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> We included 238 patients who presented to emergency departments with recent-onset nonspecific LBP in S\u00e3o Paulo, Brazil. The outcome was the recurrence of an episode of LBP, assessed using 2 definitions: (1) 12-month recall alone and (2) pain measurements at follow-up. Prognostic factors were determined by logistic regression. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Within 1 year, the estimated recurrence of an episode of LBP ranged from 35% (79\/225 events) (first definition) to 44% (100\/226 events) (second definition). When patients were stratified by the SBST, the estimate of recurrence ranged from 29% to 37% (21\u201327\/73 events) for low-risk patients, from 33% to 39% (24\u201328\/72 events) for medium-risk patients, and from 43% to 56% (34\u201345\/80 events) for high-risk patients. Age, perceived risk of persistent LBP, and disability were independent prognostic factors associated with LBP recurrence within 1 year. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> After recovering from a previous episode of acute LBP, 4 in every 10 patients experienced a recurrence within 1 year. This estimate varied depending on the classification used in the SBST. Within 1 year, age, perceived risk of persistent LBP, and baseline disability were predictors of recurrence. J Orthop Sports Phys Ther 2022;52(7):484\u2013492. Epub: 18 May 2022. doi:10.2519\/jospt.2022.10775 <\/jats:p><\/jats:sec>","DOI":"10.2519\/jospt.2022.10775","type":"journal-article","created":{"date-parts":[[2022,5,18]],"date-time":"2022-05-18T17:01:43Z","timestamp":1652893303000},"page":"484-492","update-policy":"https:\/\/doi.org\/10.2519\/jospt.crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Recurrence of an Episode of Low Back Pain: An Inception Cohort Study in Emergency Departments"],"prefix":"10.2519","volume":"52","author":[{"given":"Fl\u00e1via Cordeiro","family":"Medeiros","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc\u00edola da Cunha Menezes","family":"Costa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo Oliveira Pena","family":"Costa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Indiara Soares","family":"Oliveira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiane","family":"da Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1394","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2014.5178"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001117"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2017.07.001"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.111271"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b3829"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181849dbe"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2017.7415"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2019.04.010"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2020.9345"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-017-1511-7"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-015-0998-3"},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2018.10.001"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30489-6"},{"key":"bib15","first-page":"308","volume":"13","author":"Goren A","year":"2012","journal-title":"Rev Neuroci\u00eanc."},{"key":"bib16","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2015.07.007"},{"key":"bib17","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30480-X"},{"key":"bib18","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a171"},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.1002\/art.23563"},{"key":"bib20","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2010.10.002"},{"key":"bib21","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.332.7555.1430"},{"key":"bib22","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzx067"},{"key":"bib23","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30970-9"},{"key":"bib24","doi-asserted-by":"publisher","DOI":"10.1590\/1413-81232017221.16782015"},{"key":"bib25","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2017.7199"},{"key":"bib26","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-018-5586-0"},{"key":"bib28","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2021.05.002"},{"key":"bib29","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60054-8"},{"key":"bib30","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(95)00048-8"},{"key":"bib31","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(96)00236-3"},{"key":"bib32","doi-asserted-by":"publisher","DOI":"10.1590\/bjpt-rbf.2014.0028"},{"key":"bib33","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2004.016659"},{"key":"bib34","doi-asserted-by":"publisher","DOI":"10.1097\/RHU.0000000000001320"},{"key":"bib35","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2018.06.003"},{"key":"bib36","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31818a3167"},{"key":"bib37","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-010-1671-8"},{"key":"bib38","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-006-1071-2"},{"key":"bib39","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60055-X"}],"container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jospt.org\/doi\/pdf\/10.2519\/jospt.2022.10775","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T13:47:02Z","timestamp":1724680022000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jospt.org\/doi\/10.2519\/jospt.2022.10775"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":37,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.2519\/jospt.2022.10775"],"URL":"https:\/\/doi.org\/10.2519\/jospt.2022.10775","relation":{},"ISSN":["0190-6011","1938-1344"],"issn-type":[{"value":"0190-6011","type":"print"},{"value":"1938-1344","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7]]},"assertion":[{"value":"2022-06-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}