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Ounajim A, Billot M, Louis PY, Slaoui Y, Frasca D, Goudman L, Roulaud M, Naiditch N, Lorgeoux B, Baron S, Nivole K, Many M, Adjali N, Page P, Bouche B, Charrier E, Poupin L, Rannou D, de Montgazon GB, Roy-Moreau B, Wood C, Rigoard R, David R, Moens M, Rigoard P. Finite Mixture Models Based on Pain Intensity, Functional Disability and Psychological Distress Composite Assessment Allow Identification of Two Distinct Classes of Persistent Spinal Pain Syndrome after Surgery Patients Related to Their Quality of Life. J Clin Med 2021; 10:4676. [PMID: 34682799 PMCID: PMC8539541 DOI: 10.3390/jcm10204676] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Revised: 09/29/2021] [Accepted: 10/07/2021] [Indexed: 01/01/2023] Open
Abstract
Persistent Spinal Pain Syndrome Type 2 (PSPS-T2), (Failed Back Surgery Syndrome), dramatically impacts on patient quality of life, as evidenced by Health-Related Quality of Life (HRQoL) assessment tools. However, the importance of functioning, pain perception and psychological status in HRQoL can substantially vary between subjects. Our goal was to extract patient profiles based on HRQoL dimensions in a sample of PSPS-T2 patients and to identify factors associated with these profiles. Two classes were clearly identified using a mixture of mixed effect models from a clinical data set of 200 patients enrolled in "PREDIBACK", a multicenter observational prospective study including PSPS-T2 patients with one-year follow-up. We observed that HRQoL was more impacted by functional disability for first class patients (n = 136), and by pain perception for second class patients (n = 62). Males that perceive their work as physical were more impacted by disability than pain intensity. Lower education level, lack of adaptive coping strategies and higher pain intensity were significantly associated with HRQoL being more impacted by pain perception. The identification of such classes allows for a better understanding of HRQoL dimensions and opens the gate towards optimized health-related quality of life evaluation and personalized pain management.
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Affiliation(s)
- Amine Ounajim
- PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; (M.B.); (M.R.); (N.N.); (B.L.); (S.B.); (K.N.); (M.M.); (N.A.); (B.B.); (C.W.); (R.D.); (P.R.)
- Laboratoire de Mathématiques et Applications UMR 7348, CNRS, University of Poitiers, 86073 Poitiers, France;
| | - Maxime Billot
- PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; (M.B.); (M.R.); (N.N.); (B.L.); (S.B.); (K.N.); (M.M.); (N.A.); (B.B.); (C.W.); (R.D.); (P.R.)
| | - Pierre-Yves Louis
- AgroSup Dijon, PAM UMR 02.102, Université Bourgogne Franche-Comté, 21000 Dijon, France;
- Institut de Mathématiques de Bourgogne, UMR 5584 CNRS, Université Bourgogne Franche-Comté, 21000 Dijon, France
| | - Yousri Slaoui
- Laboratoire de Mathématiques et Applications UMR 7348, CNRS, University of Poitiers, 86073 Poitiers, France;
| | - Denis Frasca
- Department of Anaesthesiology and Critical Care, Poitiers University Hospital, 86021 Poitiers, France;
- INSERM UMR-1246, Universities of Nantes and Tours, 37044 Tours, France
| | - Lisa Goudman
- Department of Neurosurgery, Universitair Ziekenhuis Brussel, 1090 Brussels, Belgium; (L.G.); (M.M.)
- STUMULUS Research Group, Vrije Universiteit Brussel, 1090 Brussels, Belgium
| | - Manuel Roulaud
- PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; (M.B.); (M.R.); (N.N.); (B.L.); (S.B.); (K.N.); (M.M.); (N.A.); (B.B.); (C.W.); (R.D.); (P.R.)
| | - Nicolas Naiditch
- PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; (M.B.); (M.R.); (N.N.); (B.L.); (S.B.); (K.N.); (M.M.); (N.A.); (B.B.); (C.W.); (R.D.); (P.R.)
- Dyname, UMR 7367, Faculty of Social Sciences, University of Strasbourg, 67083 Strasbourg, France
| | - Bertille Lorgeoux
- PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; (M.B.); (M.R.); (N.N.); (B.L.); (S.B.); (K.N.); (M.M.); (N.A.); (B.B.); (C.W.); (R.D.); (P.R.)
| | - Sandrine Baron
- PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; (M.B.); (M.R.); (N.N.); (B.L.); (S.B.); (K.N.); (M.M.); (N.A.); (B.B.); (C.W.); (R.D.); (P.R.)
| | - Kevin Nivole
- PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; (M.B.); (M.R.); (N.N.); (B.L.); (S.B.); (K.N.); (M.M.); (N.A.); (B.B.); (C.W.); (R.D.); (P.R.)
| | - Mathilde Many
- PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; (M.B.); (M.R.); (N.N.); (B.L.); (S.B.); (K.N.); (M.M.); (N.A.); (B.B.); (C.W.); (R.D.); (P.R.)
| | - Nihel Adjali
- PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; (M.B.); (M.R.); (N.N.); (B.L.); (S.B.); (K.N.); (M.M.); (N.A.); (B.B.); (C.W.); (R.D.); (P.R.)
| | - Philippe Page
- Department of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, France;
| | - Bénédicte Bouche
- PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; (M.B.); (M.R.); (N.N.); (B.L.); (S.B.); (K.N.); (M.M.); (N.A.); (B.B.); (C.W.); (R.D.); (P.R.)
| | - Elodie Charrier
- Pain Evaluation and Treatment Centre, Poitiers University Hospital, 86021 Poitiers, France; (E.C.); (L.P.); (D.R.)
| | - Laure Poupin
- Pain Evaluation and Treatment Centre, Poitiers University Hospital, 86021 Poitiers, France; (E.C.); (L.P.); (D.R.)
| | - Delphine Rannou
- Pain Evaluation and Treatment Centre, Poitiers University Hospital, 86021 Poitiers, France; (E.C.); (L.P.); (D.R.)
| | | | - Brigitte Roy-Moreau
- Pain Evaluation and Treatment Centre, Nord Deux-Sèvres Hospital, 79000 Niort, France;
| | - Chantal Wood
- PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; (M.B.); (M.R.); (N.N.); (B.L.); (S.B.); (K.N.); (M.M.); (N.A.); (B.B.); (C.W.); (R.D.); (P.R.)
| | - Raphaël Rigoard
- CEA Cadarache, Département de Support Technique et Gestion, Service des Technologies de l’Information et de la Communication, 13108 Saint-Paul-Lez-Durance, France;
| | - Romain David
- PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; (M.B.); (M.R.); (N.N.); (B.L.); (S.B.); (K.N.); (M.M.); (N.A.); (B.B.); (C.W.); (R.D.); (P.R.)
- Physical and Rehabilitation Medicine Unit, Poitiers University Hospital, University of Poitiers, 86021 Poitiers, France
| | - Maarten Moens
- Department of Neurosurgery, Universitair Ziekenhuis Brussel, 1090 Brussels, Belgium; (L.G.); (M.M.)
- STUMULUS Research Group, Vrije Universiteit Brussel, 1090 Brussels, Belgium
| | - Philippe Rigoard
- PRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, 86021 Poitiers, France; (M.B.); (M.R.); (N.N.); (B.L.); (S.B.); (K.N.); (M.M.); (N.A.); (B.B.); (C.W.); (R.D.); (P.R.)
- Department of Spine Surgery & Neuromodulation, Poitiers University Hospital, 86021 Poitiers, France;
- Prime Institute UPR 3346, CNRS, ISAE-ENSMA, University of Poitiers, 86360 Chasseneuil-du-Poitou, France
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