The Canadian version of the National Institutes of Health minimum dataset for chronic low back pain research: reference values from the Quebec Low Back Pain Study

Adriana Angarita-Fonseca, M Gabrielle Pagé, Carolina B Meloto, Erika Lauren Gentile, Guillaume Léonard, Hugo Massé-Alarie, Iulia Tufa, Jean-Sébastien Roy, Laura S Stone, Manon Choinière, Maryse Fortin, Mathieu Roy, Monica Sean, Pascal Tétreault, Pierre Rainville, Simon Deslauriers, Anaïs Lacasse, Quebec Back Pain Consortium, Quebec Back Pain Consortium, Adriana Angarita-Fonseca, M Gabrielle Pagé, Carolina B Meloto, Erika Lauren Gentile, Guillaume Léonard, Hugo Massé-Alarie, Iulia Tufa, Jean-Sébastien Roy, Laura S Stone, Manon Choinière, Maryse Fortin, Mathieu Roy, Monica Sean, Pascal Tétreault, Pierre Rainville, Simon Deslauriers, Anaïs Lacasse, Quebec Back Pain Consortium, Quebec Back Pain Consortium

Abstract

The National Institutes of Health (NIH) minimum dataset for chronic low back pain (CLBP) was developed in response to the challenge of standardizing measurements across studies. Although reference values are critical in research on CLBP to identify individuals and communities at risk of poor outcomes such as disability, no reference values have been published for the Quebec (Canada) context. This study was aimed to (1) provide reference values for the Canadian version of the NIH minimum dataset among individuals with CLBP in Quebec, both overall and stratified by gender, age, and pain impact stratification (PIS) subgroups, and (2) assess the internal consistency of the minimum data set domains (pain interference, physical function, emotional distress or depression, sleep disturbance, and PIS score). We included 2847 individuals living with CLBP who completed the baseline web survey of the Quebec Low Back Pain Study (age: 44.0 ± 11.2 years, 48.1% women) and were recruited through social media and healthcare settings. The mean score was 6.1 ± 1.8 for pain intensity. Pain interference, physical function, emotional distress or depression, sleep disturbance, and PIS scores were 12.9 ± 4.1, 14.4 ± 3.9, 9.8 ± 4.4, 13.0 ± 3.6, and 26.4 ± 6.6, respectively. Emotional distress or depression showed floor effects. Good-to-excellent internal consistency was found overall and by language, gender, and age subgroups for all domains (alpha: 0.81-0.93) and poor-to-excellent internal consistency for PIS subgroups (alpha: 0.59-0.91). This study presents reference values and recommendations for using the Canadian version of the NIH minimum dataset for CLBP that can be useful for researchers and clinicians.

Conflict of interest statement

M.G. Pagé, H. Massé-Alarie, and M. Roy received funding from Pfizer for work unrelated to this study. M.G. Pagé also received an honorarium from Canopy Growth. The Chronic Pain Epidemiology Laboratory led by A. Lacasse and receiving A. Angarita-Fonseca is funded by the Fondation de l’Université du Québec en Abitibi-Témiscamingue (FUQAT), in partnership with local businesses: the Pharmacie Jean-Coutu de Rouyn-Noranda (community pharmacy) and Glencore Fonderie Horne (copper smelter). The remaining authors have no conflicts of interest to declare.

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the International Association for the Study of Pain.

Figures

Figure 1.
Figure 1.
Flowchart of the study.
Figure 2.
Figure 2.
Histograms of each domain of the NIH minimum dataset distributions in all subjects (n = 2847).

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