Von Korff M
Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, Washington.
Spine (Phila Pa 1976). 1994 Sep 15;19(18 Suppl):2041S-2046S. doi: 10.1097/00007632-199409151-00005.
Improved information on the natural history of back pain is needed to enable doctors and their patients to understand the likely course of back pain and to evaluate whether alternative interventions are preferred over self care or watchful waiting. The course of back pain is highly variable, occurring in transient, recurrent, and chronic phases. Recent longitudinal studies suggest that back pain is typically a recurrent condition and that chronic phases of back pain occur more often than previously believed. New methods of studying the course of back pain, standardized definitions of phases in the natural history of back pain, and improved outcomes data are needed to better understand the short-term and long-term course of back pain.
需要有关于背痛自然史的更完善信息，以便医生及其患者了解背痛可能的病程，并评估与自我护理或观察等待相比，其他干预措施是否更可取。背痛的病程变化很大，可分为短暂性、复发性和慢性阶段。最近的纵向研究表明，背痛通常是一种复发性疾病，而且背痛的慢性阶段比以前认为的更常见。需要新的研究背痛病程的方法、背痛自然史各阶段的标准化定义以及更好的结局数据，以更好地了解背痛的短期和长期病程。
