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A Definition of "Flare" in Low Back Pain: A Multiphase Process Involving Perspectives of Individuals With Low Back Pain and Expert Consensus
Univ Queensland, Australia.
Univ Sydney, Australia.
Univ Queensland, Australia.
Univ Sydney, Australia.
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2019 (English)In: Journal of Pain, ISSN 1526-5900, E-ISSN 1528-8447, Vol. 20, no 11, p. 1267-1275Article in journal (Refereed) Published
Abstract [en]

Low back pain (LBP) varies over time. Consumers, clinicians, and researchers use various terms to describe LBP fluctuations, such as episodes, recurrences and flares. Although "flare" is use commonly, there is no consensus on how it is defined. This study aimed to obtain consensus for a LBP flare definition using a mixed-method approach. Step 1 involved the derivation of a preliminary candidate flare definition based on thematic analysis of views of 130 consumers in consultation with an expert consumer writer. In step 2, a workshop was conducted to incorporate perspectives of 19 LBP experts into the preliminary flare definition, which resulted in 2 alternative LBP flare definitions. Step 3 refined the definition using a 2-round Delphi consensus with 50 experts in musculoskeletal conditions. The definition favored by experts was further tested with 16 individuals with LBP in step 4, using the definition in three scenarios. This multiphase study produced a definition of LBP flare that distinguishes it from other LBP fluctuations, represents consumers views, involves expert consensus, and is understandable by consumers in clinical and research contexts: "A flare-up is a worsening of your condition that lasts from hours to weeks that is difficult to tolerate and generally impacts your usual activities and/or emotions." Perspective: A multiphase process, incorporating consumers views and expert consensus, produced a definition of LBP flare that distinguishes it from other LBP fluctuations. (C) 2019 by the American Pain Society

Place, publisher, year, edition, pages
CHURCHILL LIVINGSTONE , 2019. Vol. 20, no 11, p. 1267-1275
Keywords [en]
Low back pain; flare; flare-up; definition; consensus
National Category
Neurology
Identifiers
URN: urn:nbn:se:liu:diva-162536DOI: 10.1016/j.jpain.2019.03.009ISI: 000497889200002PubMedID: 30904517OAI: oai:DiVA.org:liu-162536DiVA, id: diva2:1376491
Note

Funding Agencies|National Health and Medical Research Council (NHMRC) of AustraliaNational Health and Medical Research Council of Australia [APP1091302, PH APP1102905, MLF APP1143593, DJH -APP632922]; Centre of Research Excellence grant from the National Health and Medical Research Council (NHMRC) of AustraliaNational Health and Medical Research Council of Australia [APP1079078]

Available from: 2019-12-09 Created: 2019-12-09 Last updated: 2019-12-09

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Citation style
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