Professional Status of Persistent Spinal Pain Syndrome Patients after Spinal Surgery (PSPS-T2): What Really Matters? A Prospective Study Introducing the Concept of “Adapted Professional Activity” Inferred from Clinical, Psychological and Social Influence
Persistent Spinal Pain Syndrome Type 2 (PSPS-T2) represents a main cause of work disruption. Beyond its societal consequences, occupational inactivity is responsible for a major decrease in physical/mental health in individuals but remains poorly analyzed. We designed a study to prospectively examin...
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2021
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oai:doaj.org-article:059887317ee44c9cac2d41607d8571d82021-11-11T17:40:44ZProfessional Status of Persistent Spinal Pain Syndrome Patients after Spinal Surgery (PSPS-T2): What Really Matters? A Prospective Study Introducing the Concept of “Adapted Professional Activity” Inferred from Clinical, Psychological and Social Influence10.3390/jcm102150552077-0383https://doaj.org/article/059887317ee44c9cac2d41607d8571d82021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5055https://doaj.org/toc/2077-0383Persistent Spinal Pain Syndrome Type 2 (PSPS-T2) represents a main cause of work disruption. Beyond its societal consequences, occupational inactivity is responsible for a major decrease in physical/mental health in individuals but remains poorly analyzed. We designed a study to prospectively examine Professional Status (PS) evolution and its association with key bio-psychological markers. Data from 151 consecutively included working-age PSPS-T2 patients were analyzed to determine the proportion of professional inactivity and the relationships between PS and Social Gradient of Health (SGH), Numeric Pain Rating Scale (NPRS), EuroQol 5-Dimensional 5-Level (EQ-5D-5L), Oswestry Disability Index (ODI), Hospital Anxiety and Depression Scale (HADS), and Fear-Avoidance Belief Questionnaire work subscale (FABQ-W). Despite optimized medical management, 73.5% of PSPS-T2 patients remained inactive after 1 year of follow-up/<i>p</i> = 0.18. Inactive patients presented a low SGH/<i>p</i> = 0.002, higher NPRS/<i>p</i> = 0.048, lower EQ-5D-5L/<i>p</i> < 0.001, higher ODI/<i>p</i> = 0.018, higher HADS-D/<i>p</i> = 0.019 and higher FABQ-W/<i>p</i> < 0.001. No significant mediation effect of FABQ-W on SGH consequences regarding PS was observed in our structural model/<i>p</i> = 0.057. The link between unemployment and bio-psycho-social pain dimensions appears bidirectional and justifies intense collaboration with social workers. Optimizing therapeutical sequencing towards personalized professional plans implies restoring “Adapted Physical Function” as an initial goal, and tailoring an “Adapted Professional Activity”, matching with patient expectations and capabilities, as a final objective.Nicolas NaiditchMaxime BillotLisa GoudmanPhilippe CornetManuel RoulaudAmine OunajimPhilippe PageBertille LorgeouxSandrine BaronKevin NivolePierre PriesYassine Abdollah MoufidCécile SwennenSimon TeyssedouTanguy VendeuvreElodie CharrierLaure PoupinDelphine RannouGéraldine Brumauld de MontgazonPierre François DescoinsBrigitte Roy-MoreauNelly GrimaudRomain DavidMaarten MoensPhilippe RigoardMDPI AGarticleprofessional statussocial factorssocial gradientFailed Back Surgery Syndromeunemploymentchronic painMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5055, p 5055 (2021) |
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professional status social factors social gradient Failed Back Surgery Syndrome unemployment chronic pain Medicine R |
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professional status social factors social gradient Failed Back Surgery Syndrome unemployment chronic pain Medicine R Nicolas Naiditch Maxime Billot Lisa Goudman Philippe Cornet Manuel Roulaud Amine Ounajim Philippe Page Bertille Lorgeoux Sandrine Baron Kevin Nivole Pierre Pries Yassine Abdollah Moufid Cécile Swennen Simon Teyssedou Tanguy Vendeuvre Elodie Charrier Laure Poupin Delphine Rannou Géraldine Brumauld de Montgazon Pierre François Descoins Brigitte Roy-Moreau Nelly Grimaud Romain David Maarten Moens Philippe Rigoard Professional Status of Persistent Spinal Pain Syndrome Patients after Spinal Surgery (PSPS-T2): What Really Matters? A Prospective Study Introducing the Concept of “Adapted Professional Activity” Inferred from Clinical, Psychological and Social Influence |
| description |
Persistent Spinal Pain Syndrome Type 2 (PSPS-T2) represents a main cause of work disruption. Beyond its societal consequences, occupational inactivity is responsible for a major decrease in physical/mental health in individuals but remains poorly analyzed. We designed a study to prospectively examine Professional Status (PS) evolution and its association with key bio-psychological markers. Data from 151 consecutively included working-age PSPS-T2 patients were analyzed to determine the proportion of professional inactivity and the relationships between PS and Social Gradient of Health (SGH), Numeric Pain Rating Scale (NPRS), EuroQol 5-Dimensional 5-Level (EQ-5D-5L), Oswestry Disability Index (ODI), Hospital Anxiety and Depression Scale (HADS), and Fear-Avoidance Belief Questionnaire work subscale (FABQ-W). Despite optimized medical management, 73.5% of PSPS-T2 patients remained inactive after 1 year of follow-up/<i>p</i> = 0.18. Inactive patients presented a low SGH/<i>p</i> = 0.002, higher NPRS/<i>p</i> = 0.048, lower EQ-5D-5L/<i>p</i> < 0.001, higher ODI/<i>p</i> = 0.018, higher HADS-D/<i>p</i> = 0.019 and higher FABQ-W/<i>p</i> < 0.001. No significant mediation effect of FABQ-W on SGH consequences regarding PS was observed in our structural model/<i>p</i> = 0.057. The link between unemployment and bio-psycho-social pain dimensions appears bidirectional and justifies intense collaboration with social workers. Optimizing therapeutical sequencing towards personalized professional plans implies restoring “Adapted Physical Function” as an initial goal, and tailoring an “Adapted Professional Activity”, matching with patient expectations and capabilities, as a final objective. |
| format |
article |
| author |
Nicolas Naiditch Maxime Billot Lisa Goudman Philippe Cornet Manuel Roulaud Amine Ounajim Philippe Page Bertille Lorgeoux Sandrine Baron Kevin Nivole Pierre Pries Yassine Abdollah Moufid Cécile Swennen Simon Teyssedou Tanguy Vendeuvre Elodie Charrier Laure Poupin Delphine Rannou Géraldine Brumauld de Montgazon Pierre François Descoins Brigitte Roy-Moreau Nelly Grimaud Romain David Maarten Moens Philippe Rigoard |
| author_facet |
Nicolas Naiditch Maxime Billot Lisa Goudman Philippe Cornet Manuel Roulaud Amine Ounajim Philippe Page Bertille Lorgeoux Sandrine Baron Kevin Nivole Pierre Pries Yassine Abdollah Moufid Cécile Swennen Simon Teyssedou Tanguy Vendeuvre Elodie Charrier Laure Poupin Delphine Rannou Géraldine Brumauld de Montgazon Pierre François Descoins Brigitte Roy-Moreau Nelly Grimaud Romain David Maarten Moens Philippe Rigoard |
| author_sort |
Nicolas Naiditch |
| title |
Professional Status of Persistent Spinal Pain Syndrome Patients after Spinal Surgery (PSPS-T2): What Really Matters? A Prospective Study Introducing the Concept of “Adapted Professional Activity” Inferred from Clinical, Psychological and Social Influence |
| title_short |
Professional Status of Persistent Spinal Pain Syndrome Patients after Spinal Surgery (PSPS-T2): What Really Matters? A Prospective Study Introducing the Concept of “Adapted Professional Activity” Inferred from Clinical, Psychological and Social Influence |
| title_full |
Professional Status of Persistent Spinal Pain Syndrome Patients after Spinal Surgery (PSPS-T2): What Really Matters? A Prospective Study Introducing the Concept of “Adapted Professional Activity” Inferred from Clinical, Psychological and Social Influence |
| title_fullStr |
Professional Status of Persistent Spinal Pain Syndrome Patients after Spinal Surgery (PSPS-T2): What Really Matters? A Prospective Study Introducing the Concept of “Adapted Professional Activity” Inferred from Clinical, Psychological and Social Influence |
| title_full_unstemmed |
Professional Status of Persistent Spinal Pain Syndrome Patients after Spinal Surgery (PSPS-T2): What Really Matters? A Prospective Study Introducing the Concept of “Adapted Professional Activity” Inferred from Clinical, Psychological and Social Influence |
| title_sort |
professional status of persistent spinal pain syndrome patients after spinal surgery (psps-t2): what really matters? a prospective study introducing the concept of “adapted professional activity” inferred from clinical, psychological and social influence |
| publisher |
MDPI AG |
| publishDate |
2021 |
| url |
https://doaj.org/article/059887317ee44c9cac2d41607d8571d8 |
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