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A multivariable prediction model for the chronification of non-traumatic shoulder pain : a systematic review

Filip Struyf, Jaques Geeraerts, Suzie Noten, Mira Meeus UGent and Jo Nijs (2016) PAIN PHYSICIAN. 19(2). p.1-10
abstract
Background: Shoulder pain is the third most common musculoskeletal complaint and many patients have an unfavorable outcome with long-term disability. Only 50% of all new episodes of shoulder pain show complete recovery within 6 months. Little is known about factors that contribute to chronicity of shoulder pain, although such information is needed for the management of patients with acute and sub-acute shoulder pain. Objective: To systematically review the literature for prognostic factors which are potential predictors for either recovery or chronification in patients with acute and sub-acute non-traumatic shoulder pain. Study Design: Systematic review. Setting: This systematic review examined all studies involving the prognosis of shoulder pain patients. Methods: This systematic review was reported following the guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Two reviewers independently scored the methodological quality of the selected studies. Due to heterogeneity of studies, a best-evidence synthesis of the available prognostic factors was provided. Results: Nine studies met our inclusion criteria and were included in this systematic review. There is strong evidence that high scores on the Shoulder Pain and Disability Index (SPADI), high scores on shoulder pain severity, and a long duration of complaints are factors that contribute to the chronification of shoulder pain. Moderate evidence was found supportive for other prognostic factors that enhance chronification, like being male, being over 55 years of age, having poor general health, having a gradual onset of complaints, a large amount of sick leave, the perception of high job demand, the perception of low social support, and the amount of visits to a health care professional. Also moderate evidence exists regarding factors that contributed to a reduced possibility of chronification: an active treatment policy and not taking medication on regular basis. Limitations: The large variability in definitions of shoulder pain, and patient selection bias. In addition, there is a paucity of strong longitudinal prospective studies. Conclusion: This systematic review found evidence that high scores on the SPADI questionnaire, more shoulder pain, and a longer duration of complaints are associated with chronification of shoulder pain. In order to reduce chronification, clinicians can use the International Classification of Functioning based model presented here that could aid their decision-making.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (review)
publication status
published
subject
keyword
DISORDERS, REHABILITATION, FOLLOW-UP, ADHESIVE CAPSULITIS, PROSPECTIVE COHORT, Shoulder pain, prognostic factors, systematic review, prognosis, assessment, PRIMARY-CARE, PHYSICAL-THERAPY, GENERAL-PRACTICE, PROGNOSTIC INDICATORS
journal title
PAIN PHYSICIAN
Pain Physician
volume
19
issue
2
pages
1 - 10
Web of Science type
Review
Web of Science id
000368991000016
JCR category
ANESTHESIOLOGY
JCR impact factor
2.84 (2016)
JCR rank
11/31 (2016)
JCR quartile
2 (2016)
ISSN
1533-3159
language
English
UGent publication?
yes
classification
A1
copyright statement
I have retained and own the full copyright for this publication
id
7065683
handle
http://hdl.handle.net/1854/LU-7065683
date created
2016-02-01 17:44:58
date last changed
2018-06-22 12:00:59
@article{7065683,
  abstract     = {Background: Shoulder pain is the third most common musculoskeletal complaint and many patients have an unfavorable outcome with long-term disability. Only 50\% of all new episodes of shoulder pain show complete recovery within 6 months. Little is known about factors that contribute to chronicity of shoulder pain, although such information is needed for the management of patients with acute and sub-acute shoulder pain. 
Objective: To systematically review the literature for prognostic factors which are potential predictors for either recovery or chronification in patients with acute and sub-acute non-traumatic shoulder pain. 
Study Design: Systematic review. 
Setting: This systematic review examined all studies involving the prognosis of shoulder pain patients. 
Methods: This systematic review was reported following the guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Two reviewers independently scored the methodological quality of the selected studies. Due to heterogeneity of studies, a best-evidence synthesis of the available prognostic factors was provided. 
Results: Nine studies met our inclusion criteria and were included in this systematic review. There is strong evidence that high scores on the Shoulder Pain and Disability Index (SPADI), high scores on shoulder pain severity, and a long duration of complaints are factors that contribute to the chronification of shoulder pain. Moderate evidence was found supportive for other prognostic factors that enhance chronification, like being male, being over 55 years of age, having poor general health, having a gradual onset of complaints, a large amount of sick leave, the perception of high job demand, the perception of low social support, and the amount of visits to a health care professional. Also moderate evidence exists regarding factors that contributed to a reduced possibility of chronification: an active treatment policy and not taking medication on regular basis. 
Limitations: The large variability in definitions of shoulder pain, and patient selection bias. In addition, there is a paucity of strong longitudinal prospective studies. 
Conclusion: This systematic review found evidence that high scores on the SPADI questionnaire, more shoulder pain, and a longer duration of complaints are associated with chronification of shoulder pain. In order to reduce chronification, clinicians can use the International Classification of Functioning based model presented here that could aid their decision-making.},
  author       = {Struyf, Filip and Geeraerts, Jaques and Noten, Suzie and Meeus, Mira and Nijs, Jo},
  issn         = {1533-3159},
  journal      = {PAIN PHYSICIAN},
  keyword      = {DISORDERS,REHABILITATION,FOLLOW-UP,ADHESIVE CAPSULITIS,PROSPECTIVE COHORT,Shoulder pain,prognostic factors,systematic review,prognosis,assessment,PRIMARY-CARE,PHYSICAL-THERAPY,GENERAL-PRACTICE,PROGNOSTIC INDICATORS},
  language     = {eng},
  number       = {2},
  pages        = {1--10},
  title        = {A multivariable prediction model for the chronification of non-traumatic shoulder pain : a systematic review},
  volume       = {19},
  year         = {2016},
}

Chicago
Struyf, Filip, Jaques Geeraerts, Suzie Noten, Mira Meeus, and Jo Nijs. 2016. “A Multivariable Prediction Model for the Chronification of Non-traumatic Shoulder Pain : a Systematic Review.” Pain Physician 19 (2): 1–10.
APA
Struyf, F., Geeraerts, J., Noten, S., Meeus, M., & Nijs, J. (2016). A multivariable prediction model for the chronification of non-traumatic shoulder pain : a systematic review. PAIN PHYSICIAN, 19(2), 1–10.
Vancouver
1.
Struyf F, Geeraerts J, Noten S, Meeus M, Nijs J. A multivariable prediction model for the chronification of non-traumatic shoulder pain : a systematic review. PAIN PHYSICIAN. 2016;19(2):1–10.
MLA
Struyf, Filip, Jaques Geeraerts, Suzie Noten, et al. “A Multivariable Prediction Model for the Chronification of Non-traumatic Shoulder Pain : a Systematic Review.” PAIN PHYSICIAN 19.2 (2016): 1–10. Print.