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Low Back PainWABSNCT04747860

Predictors of Work Resumption After Back Surgery

An observational study of Low Back Pain, run by KU Leuven at 9 sites in Belgium.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This prospective, longitudinal study aims to identify modifiable predictors of return to work after back surgery. Read more about this study

Who is it for?
Ages 18 to 55 years
Conditions the study is for
Low Back Pain
How many people
300 participants
Where
9 sitesBelgium
Study dates
23 Feb 2021to 1 Feb 2023
How long will I take part?
1 Year
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 55 years
  • All sexes
  • No healthy volunteers
  • Adult

Study population: Patients with low back pain who will undergo back surgery

Who may be able to join

  • Age between 18 and 55 years
  • Proper mastery of the Dutch, English and/or French language
  • Intermittent or constant invalidating lumbosciatica for less than 1 year prior to the planned surgery
  • Discogenic or stenotic radicular pain in the leg(s) that will be treated surgically by performing a decompression without it leading to fusion and/or fixation
  • Self-employed or has an employment contract, and is on sick leave for less than 1 year at the day of the surgery

Who cannot join

  • Treated (ambulant or residential) for substance abuse, suicidal ideation or a psychotic disorder in the year before the consult with the surgeon. Ty
  • At least one back surgery in the last 5 years
  • Presence of a comorbid condition (e.g. a severe neurological deficit, a pulmonary embolism, permanent paralysis, and another pain problem in the limbs), which may affect the pain, the outcome of the surgery, the duration of the rehabilitation, and/or the patient's capacity to return to work during the course of the study

Trial locations and contacts

9 sites in 1 country.

9 sites in 1 country

Belgium9 sites, 9 recruiting
  • Imeldaziekenhuis, department of Neurosurgery

    Bonheiden, 2820

    Ellen Van Loon, ellen.van.loon@imelda.be

    Patrick Van Schaeybroeck, MD

    Recruiting
  • Ziekenhuis Oost-Limburg, department of Neurosurgery

    Genk, Limburg, 3600

    Cindy Vangompel, cindy.vangompel@zol.be

    Dieter Peuskens, MD

    Recruiting
  • AZ Sint-Lucas Gent, departement of Orthopedics

    Ghent, Oost-Vlaanderen, 9000

    Charlotte Lezy, charlotte.lezy2@azstlucas.be

    Johan Van Lerbeirghe, MD

    Recruiting
  • AZ Groeninge (campus kennedylaan), department of Neurosurgery

    Kortrijk, West-Vlaanderen, 8500

    Isabelle Boscart, ISABELLE.BOSCART@azgroeninge.be

    Jeroen Ceuppens, MD

    Recruiting
  • University Hospital Leuven, department of Neurosurgery

    Leuven, Vlaams-Brabant, 3000

    Dominike Bruyninckx, dominike.bruyninckx@uzleuven.be

    Bart Depreitere, MD, PhD

    Not yet recruiting
  • Mariaziekenhuis Noord-Limburg, departement of Orthopedics

    Overpelt, Limburg, 3900

    Patricia Sutens, secretariaat.orthopedie@noorderhart.be

    Vorlat Peter, MD

    Recruiting
  • Regionaal Ziekenhuis Heilig Hart Tienen, department of Neurosurgery

    Tienen, Vlaams-Brabant, 3300

    Patrick Van Schaeybroeck, patrick.vanschaeybroeck@skynet.be

    Patrick Van Schaeybroeck, MD

    Not yet recruiting
  • Centre Hospitalier de Wallonie picarde (CHwapi), department of Neurosurgery

    Tournai, Henegouwen, 7500

    Sarah Lonneville, sarah.lonneville@chwapi.be

    Sarah Lonneville, MD

    Not yet recruiting
  • GasthuisZusters Antwerpen (GZA) (campus Sint-Augustinus), department of Neurosurgery

    Wilrijk, Antwerpen, 2610

    Catherine Celis, cathcelis@gmail.com

    Kris De Smedt, MD

    Recruiting

Other trials in Belgium

About this study

Official title: Generalization of Fear of Movement-related Pain and Avoidance Behavior as Predictors of Work Resumption After Back Surgery. A Prospective Study

This prospective, longitudinal study aims to identify modifiable predictors of return to work after back surgery.

Read the detailed description

Background | Over the past decade, the number of back surgeries in Belgium has substantially increased. However, even after an anatomically successful surgery, 10% to 40% of the patients continue to report pain complaints, causing personal suffering and an enormous economic burden. The specific factors that can predict individual trajectories in postoperative pain, recovery, and work resumption are currently largely unknown.

Aim | The aim of this study is to identify modifiable predictors of work resumption after back surgery.

Methods | In this multisite, prospective, longitudinal study, 300 individuals undergoing back surgery will be followed one-year post-surgery. Prior to surgery, the participants will perform a behavioral computer task to assess fear of movement-related pain and avoidance behavior, and their generalization. In addition, participants will complete questionnaires to assess preoperative fear of movement-related pain, avoidance behavior, optimism, expectancies towards recovery and work resumption, and the duration and severity of the pain before the surgery. Immediately after surgery, as well as six weeks, three months, six months, and twelve months postoperatively, sustainable work resumption, pain severity, disability, and quality of life will be assessed.

Hypothesis | The primary hypothesis is that generalization of fear of movement-related pain and avoidance behavior will negatively affect sustainable work resumption after back surgery. Second, the investigators hypothesize that generalization of fear of movement-related pain and avoidance behavior, negative expectancies towards recovery and work resumption, longer pain duration, and more severe pain before the surgery will negatively affect work resumption, pain severity, disability, and quality of life after back surgery. In contrast, positive expectancies towards recovery and work resumption and optimism are expected positively influence work resumption, pain severity, disability, and quality of life.

Conditions
Low Back Pain
Keywords
Low back pain, Back surgery, Postoperative pain, Predictors of return to work, Fear of movement-related pain, Avoidance, Fear generalization, Avoidance generalization, Disability, Quality of life
Medical subject headings
Low Back Pain, Pain, Postoperative

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Self-reported (sustainable) work resumption assessed by self-report questionnaires

    The investigators make a distinction between being fit for work, work resumption, and sustainable work resumption. Being fit for work will be operationalized by not receiving disability benefits. Work resumption will be operationalized by being at work without receiving disability benefits, and time to relapse. Time to relapse is defined as the time for participants to be in sick leave again after being fit for work. Sustainable work resumption will be operationalized by being at work for at least three consecutive months without receiving disability benefits. In addition, the duration of work resumption will be measured.

    Measured: 6 weeks post-surgery

  2. Self-reported (sustainable) work resumption assessed by self-report questionnaires

    The investigators make a distinction between being fit for work, work resumption, and sustainable work resumption. Being fit for work will be operationalized by not receiving disability benefits. Work resumption will be operationalized by being at work without receiving disability benefits, and time to relapse. Time to relapse is defined as the time for participants to be in sick leave again after being fit for work. Sustainable work resumption will be operationalized by being at work for at least three consecutive months without receiving disability benefits. In addition, the duration of work resumption will be measured.

    Measured: 3 months post-surgery

  3. Self-reported (sustainable) work resumption assessed by self-report questionnaires

    The investigators make a distinction between being fit for work, work resumption, and sustainable work resumption. Being fit for work will be operationalized by not receiving disability benefits. Work resumption will be operationalized by being at work without receiving disability benefits, and time to relapse. Time to relapse is defined as the time for participants to be in sick leave again after being fit for work. Sustainable work resumption will be operationalized by being at work for at least three consecutive months without receiving disability benefits. In addition, the duration of work resumption will be measured.

    Measured: 6 months post-surgery

  4. Self-reported (sustainable) work resumption assessed by self-report questionnaires

    The investigators make a distinction between being fit for work, work resumption, and sustainable work resumption. Being fit for work will be operationalized by not receiving disability benefits. Work resumption will be operationalized by being at work without receiving disability benefits, and time to relapse. Time to relapse is defined as the time for participants to be in sick leave again after being fit for work. Sustainable work resumption will be operationalized by being at work for at least three consecutive months without receiving disability benefits. In addition, the duration of work resumption will be measured.

    Measured: 12 months post-surgery

Secondary outcomes (12)
  1. Self-reported ratings of how much pain the participants experiences, assessed by one question of the short Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ)

    Pain severity will be operationalized as the intensity of the pain, and will be assessed by one questions of the short ÖMPSQ (Linton et al., 2011). Participants are requested to answer this item (i.e., How would you rate the pain that you have had during the past week?) on a numerical rating scale with labels from 0 = no pain to 10 = pain as bad as it could be. The score on this item will be used as a measure of pain severity before and immediately after the surgery (as baseline measures) and six weeks, three months, six months and twelve months post-surgery.

    Measured: 6 weeks post-surgery

  2. Self-reported ratings of how much pain the participants experiences, assessed by one question of the short ÖMPSQ

    Pain severity will be operationalized as the intensity of the pain, and will be assessed by one questions of the short ÖMPSQ (Linton et al., 2011). Participants are requested to answer this item (i.e., How would you rate the pain that you have had during the past week?) on a numerical rating scale with labels from 0 = no pain to 10 = pain as bad as it could be. The score on this item will be used as a measure of pain severity before and immediately after the surgery (as baseline measures) and six weeks, three months, six months and twelve months post-surgery.

    Measured: 3 months post-surgery

  3. Self-reported ratings of how much pain the participants experiences, assessed by one question of the short ÖMPSQ

    Pain severity will be operationalized as the intensity of the pain, and will be assessed by one questions of the short ÖMPSQ (Linton et al., 2011). Participants are requested to answer this item (i.e., How would you rate the pain that you have had during the past week?) on a numerical rating scale with labels from 0 = no pain to 10 = pain as bad as it could be. The score on this item will be used as a measure of pain severity before and immediately after the surgery (as baseline measures) and six weeks, three months, six months and twelve months post-surgery.

    Measured: 6 months post-surgery

  4. Self-reported ratings of how much pain the participants experiences, assessed by one question of the short ÖMPSQ

    Pain severity will be operationalized as the intensity of the pain, and will be assessed by one questions of the short ÖMPSQ (Linton et al., 2011). Participants are requested to answer this item (i.e., How would you rate the pain that you have had during the past week?) on a numerical rating scale with labels from 0 = no pain to 10 = pain as bad as it could be. The score on this item will be used as a measure of pain severity before and immediately after the surgery (as baseline measures) and six weeks, three months, six months and twelve months post-surgery.

    Measured: 12 months post-surgery

  5. Self-reported ratings of the extent that pain interferes with functioning, assessed by Pain Disability Index (PDI)

    Disability will be operationalized as the degree to which pain interferes with functioning, and will be assessed by the Pain Disability Index (PDI) questionnaire (Pollard, 1984). The PDI is a self-report questionnaire that measures the degree to which pain interferes with functioning in seven areas: i.e., family/home responsibilities, recreation, social activity, occupation, sexual behavior, self-care, and life-support activity (Tait et al., 1990). Ratings for each item range from 0 = no disability to 5 = total disability. A total score will be calculated as a reliable and valid (Tait et al., 1990) measure of degree of disability before and immediately after the surgery (as baseline measures) and six weeks, three months, six months and twelve months post-surgery.

    Measured: 6 weeks post-surgery

  6. Self-reported ratings of the extent that pain interferes with functioning, assessed by Pain Disability Index (PDI)

    Disability will be operationalized as the degree to which pain interferes with functioning, and will be assessed by the Pain Disability Index (PDI) questionnaire (Pollard, 1984). The PDI is a self-report questionnaire that measures the degree to which pain interferes with functioning in seven areas: i.e., family/home responsibilities, recreation, social activity, occupation, sexual behavior, self-care, and life-support activity (Tait et al., 1990). Ratings for each item range from 0 = no disability to 5 = total disability. A total score will be calculated as a reliable and valid (Tait et al., 1990) measure of degree of disability before and immediately after the surgery (as baseline measures) and six weeks, three months, six months and twelve months post-surgery.

    Measured: 3 months post-surgery

  7. Self-reported ratings of the extent that pain interferes with functioning, assessed by Pain Disability Index (PDI)

    Disability will be operationalized as the degree to which pain interferes with functioning, and will be assessed by the Pain Disability Index (PDI) questionnaire (Pollard, 1984). The PDI is a self-report questionnaire that measures the degree to which pain interferes with functioning in seven areas: i.e., family/home responsibilities, recreation, social activity, occupation, sexual behavior, self-care, and life-support activity (Tait et al., 1990). Ratings for each item range from 0 = no disability to 5 = total disability. A total score will be calculated as a reliable and valid (Tait et al., 1990) measure of degree of disability before and immediately after the surgery (as baseline measures) and six weeks, three months, six months and twelve months post-surgery.

    Measured: 6 months post-surgery

  8. Self-reported ratings of the extent that pain interferes with functioning, assessed by Pain Disability Index (PDI)

    Disability will be operationalized as the degree to which pain interferes with functioning, and will be assessed by the Pain Disability Index (PDI) questionnaire (Pollard, 1984). The PDI is a self-report questionnaire that measures the degree to which pain interferes with functioning in seven areas: i.e., family/home responsibilities, recreation, social activity, occupation, sexual behavior, self-care, and life-support activity (Tait et al., 1990). Ratings for each item range from 0 = no disability to 5 = total disability. A total score will be calculated as a reliable and valid (Tait et al., 1990) measure of degree of disability before and immediately after the surgery (as baseline measures) and six weeks, three months, six months and twelve months post-surgery.

    Measured: 12 months post-surgery

  9. Self-reported ratings of how satisfied the participants is with his/her life overall, assessed by one item of the Riverside Life Satisfaction Scale

    Quality of life will be operationalized as satisfaction with life. It will be measured by the one item of the Riverside Life Satisfaction Scale (RLSS) with the highest factor loading (Margolis et al., 2019). Participants are requested to answer this item (i.e., I am satisfied with my life overall.) on a 7-point Likert scale ranging from strongly disagree to strongly agree.

    Measured: 6 weeks post-surgery

  10. Self-reported ratings of how satisfied the participants is with his/her life overall, assessed by one item of the Riverside Life Satisfaction Scale

    Quality of life will be operationalized as satisfaction with life. It will be measured by the one item of the Riverside Life Satisfaction Scale (RLSS) with the highest factor loading (Margolis et al., 2019). Participants are requested to answer this item (i.e., I am satisfied with my life overall.) on a 7-point Likert scale ranging from strongly disagree to strongly agree.

    Measured: 3 months post-surgery

  11. Self-reported ratings of how satisfied the participants is with his/her life overall, assessed by one item of the Riverside Life Satisfaction Scale

    Quality of life will be operationalized as satisfaction with life. It will be measured by the one item of the Riverside Life Satisfaction Scale (RLSS) with the highest factor loading (Margolis et al., 2019). Participants are requested to answer this item (i.e., I am satisfied with my life overall.) on a 7-point Likert scale ranging from strongly disagree to strongly agree.

    Measured: 6 months post-surgery

  12. Self-reported ratings of how satisfied the participants is with his/her life overall, assessed by one item of the Riverside Life Satisfaction Scale

    Quality of life will be operationalized as satisfaction with life. It will be measured by the one item of the Riverside Life Satisfaction Scale (RLSS) with the highest factor loading (Margolis et al., 2019). Participants are requested to answer this item (i.e., I am satisfied with my life overall.) on a 7-point Likert scale ranging from strongly disagree to strongly agree.

    Measured: 12 months post-surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Feb 2021
  2. Study start23 Feb 2021
  3. Primary completion1 Feb 2023 (estimated)
  4. Study completion1 Feb 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
300 participants (estimated)
Target duration
1 Year
IDs, dates and publications
ClinicalTrials.gov ID
NCT04747860
Sponsor's protocol ID
S63018
Other IDs
ctu2019088, AZGS2020051
Acronym
WABS
Status last verified
Sep 2021
First submitted
20 Aug 2018
Last updated
2 Sep 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Masuy R, Bamelis L, Bogaerts K, Depreitere B, De Smedt K, Ceuppens J, Lenaert B, Lonneville S, Peuskens D, Van Lerbeirghe J, Van Schaeybroeck P, Vorlat P, Zijlstra S, Meulders A, Vlaeyen JWS. Generalization of fear of movement-related pain and avoidance behavior as predictors of work resumption after back surgery: a study protocol for a prospective study (WABS). BMC Psychol. 2022 Feb 22;10(1):39. doi: 10.1186/s40359-022-00736-5.

    PubMed 35193697

Questions about this trial

What is this clinical trial studying?

An observational study of Low Back Pain, run by KU Leuven at 9 sites in Belgium.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 2 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Rini Masuy (+32 16 37 66 41, rini.masuy@kuleuven.be), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Self-reported (sustainable) work resumption assessed by self-report questionnaires (time frame: 6 weeks post-surgery). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04747860, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Sep 2021.

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