Subgroups of Older Adults With Back Pain and Multiple Chronic Conditions
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Anxiety, Anxiety, Arthritis, Back Pain, Back Pain, Depression, Osteoarthritis (OA) |
| Therapuetic Areas: | Musculoskeletal, Psychiatry / Psychology, Rheumatology |
| Healthy: | No |
| Age Range: | 65 - Any |
| Updated: | 8/17/2018 |
| Start Date: | July 1, 2018 |
| End Date: | June 30, 2019 |
Identifying Subgroups of Older Adults With Back Pain and Multiple Chronic Conditions to Inform Pathways of Care and Improve Population Health
The overall goal of this study is to use the National Health and Aging Trends Study (NHATS)
data to gain an understanding of how multiple chronic conditions impact the health outcomes
of older adults with back pain.
data to gain an understanding of how multiple chronic conditions impact the health outcomes
of older adults with back pain.
This study seeks to gain knowledge regarding how multiple chronic conditions affect the
health and function of older adults with back pain. The investigators will perform a
retrospective cohort study using secondary analysis of the National Health and Aging Trends
Study (NHATS) data. NHATS collected longitudinal data on Medicare beneficiaries over 65 for
six years, from 2011-2017. This set of data is comprehensive and includes self-reported
survey data as well as physical performance data, both of which this study will utilize.
The specific aims include to 1) Estimate the longitudinal associations of the number of
chronic conditions, using a standard classification scheme, with long-term physical
performance, function, and recurrent falls, 2) Identify specific combinations of chronic
conditions that are most strongly associated with long-term physical performance, function,
and recurrent falls, 3) Determine the association of the number and type of chronic
conditions with rehabilitation service use. The investigator will test a corresponding
hypothesis for each aim: 1) Medicare beneficiaries reporting back pain with a greater number
of chronic conditions will have worse physical performance, lower functional status, and be
more likely to experience recurrent falls over 6 years, 2) Medicare beneficiaries reporting
back pain with common and potentially modifiable conditions of anxiety, depression, and
arthritis (individually and combined as dyads or a triad) will have worse physical
performance, lower functional capacity, and be more likely to experience recurrent falls over
6 years, 3) Medicare beneficiaries with back pain and multiple chronic conditions will report
lower use of rehabilitation services in the past one year compared to those with back pain
alone or one additional chronic condition.
health and function of older adults with back pain. The investigators will perform a
retrospective cohort study using secondary analysis of the National Health and Aging Trends
Study (NHATS) data. NHATS collected longitudinal data on Medicare beneficiaries over 65 for
six years, from 2011-2017. This set of data is comprehensive and includes self-reported
survey data as well as physical performance data, both of which this study will utilize.
The specific aims include to 1) Estimate the longitudinal associations of the number of
chronic conditions, using a standard classification scheme, with long-term physical
performance, function, and recurrent falls, 2) Identify specific combinations of chronic
conditions that are most strongly associated with long-term physical performance, function,
and recurrent falls, 3) Determine the association of the number and type of chronic
conditions with rehabilitation service use. The investigator will test a corresponding
hypothesis for each aim: 1) Medicare beneficiaries reporting back pain with a greater number
of chronic conditions will have worse physical performance, lower functional status, and be
more likely to experience recurrent falls over 6 years, 2) Medicare beneficiaries reporting
back pain with common and potentially modifiable conditions of anxiety, depression, and
arthritis (individually and combined as dyads or a triad) will have worse physical
performance, lower functional capacity, and be more likely to experience recurrent falls over
6 years, 3) Medicare beneficiaries with back pain and multiple chronic conditions will report
lower use of rehabilitation services in the past one year compared to those with back pain
alone or one additional chronic condition.
Inclusion Criteria:
- This study will include community-dwelling participants in the NHATS study who
indicated that in the last month they had been bothered by pain in the last month and
indicated that the site of pain was the lower back.
Exclusion Criteria:
- This study will exclude participants who are non-ambulatory (requires wheelchair or
scooter).
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