Documention-based care (DBC) package for chronic low back pain (2004-2008)

Stephen P Ambu¹, Joon W Mak¹, Cho Naing¹, Nagarajah LH Leong² Wee H Kee³
¹International Medical University, Kuala Lumpur Malaysia
²Open University Malaysia
³Documentation Based Care (Malaysia), Kuala Lumpur, Malaysia

Introduction: Low back pain has an important clinical, social, economic, and public health impact. Objectives of the study were (i) to estimate the effects of document- based-care package on pain, disability and back-related function in chronic low back pain patients, and (ii) to identify factors affecting the improvement of the functional status of patients.

Methods: A documentary analysis of the survey data available in the database of the documentary-based-care clinic in Malaysia from 2004 to 2008. Survey data were collected by the clinic staff using piloted and well accepted standardized test instruments of psychosocial and socioeconomic questionnaires. Descriptive statistics were applied for the changes in pain, functional status, back-related function, self-experienced improvement, patient satisfaction, and adverse effects, before and after care.

Results: A total of 268 cases were identified in 2004-2008. The indicators showed, over all, after undertaking the DBC package, pain intensity was reduced by 31.4% (VAS: 62.54 to 42.9) and the level of depression was reduced by 7.6% (RBDC: 6.49 to 6.0).

Conclusions: The findings of the present documentary study support the aim that the DBC package was planned to achieve. This could be substantiated with further studies of larger samples with more variables.

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