Ontology highlight
ABSTRACT: Objective
To evaluate health-related quality of life (HRQoL) and its determinants in chronic low back pain (CLBP) patients in Cameroon.Design
Observational cross-sectional study.Setting
Tertiary hospital.Participants
There were 150 eligible adults with low back pain of at least 12 weeks who provided informed consent. Of these, 136 with complete questionnaires were analysed.Outcomes
HRQoL was measured using the WHO Quality of Life questionnaire (WHOQOL-BREF). Outcome measures included its four domain (physical health, psychological, social relationships and environmental) scores and two independent scores for overall quality of life (OQOL) and general health satisfaction (GH).Results
Participants had a median age of 52 years, and median pain duration of 33 (IQR: 69) months. The median OQOL score was 50 (IQR: 25). After multivariable adjustment, tertiary education (β=11.43, 95% CI 3.12 to 19.75), age (β=0.49, 95% CI 0.12 to 0.87) and being a student (β=23.07, 95% CI 0.28 to 45.86) contributed to better OQOL. Age (β=0.57, 95% CI 0.10 to 1.04) and physical-type employment (β=-14.57, 95% CI -25.83 to -3.31) affected GH. Smoking (β=-20.49, 95% CI -35.49 to -5.48) and radiological anomalies (β=-7.57, 95% CI -14.64 to -0.49) affected the physical health domain, while disability (β=-0.67, 95% CI -1.14 to -0.20) and duration of pain (β=-0.13, 95% CI -0.20 to -0.05) affected the psychological domain. Income (β=14.94, 95% CI 4.06 to 25.81) affected the social domain, while education (β=9.96, 95% CI 1.41 to 18.50) and disability (β=-0.75, 95% CI -1.26 to -0.24) affected the environmental domain.Conclusions
Our findings suggest that CLBP affects HRQoL and multiple socioeconomic and clinical factors influence its impact on different domains of HRQoL. Multipronged management programmes, especially those that reduce disability, could improve HRQoL in patients with CLBP.
SUBMITTER: Aminde JA
PROVIDER: S-EPMC7539580 | biostudies-literature | 2020 Oct
REPOSITORIES: biostudies-literature

Aminde Jeannine Anyingu JA Aminde Leopold Ndemnge LN Bija Marie Doualla MD Lekpa Fernando Kemta FK Kwedi Felix Mangan FM Yenshu Emmanuel Vubo EV Chichom Alain Mefire AM
BMJ open 20201006 10
<h4>Objective</h4>To evaluate health-related quality of life (HRQoL) and its determinants in chronic low back pain (CLBP) patients in Cameroon.<h4>Design</h4>Observational cross-sectional study.<h4>Setting</h4>Tertiary hospital.<h4>Participants</h4>There were 150 eligible adults with low back pain of at least 12 weeks who provided informed consent. Of these, 136 with complete questionnaires were analysed.<h4>Outcomes</h4>HRQoL was measured using the WHO Quality of Life questionnaire (WHOQOL-BREF ...[more]