-
Something wrong with this record ?
Level of education as a risk factor for extensive prevalence of cervical intervertebral disc degenerative changes and chronic neck pain
V. Markotić, D. Zubac, M. Miljko, G. Šimić, A. Zalihić, G. Bogdan, D. Radančević, A. D. Šimić, J. Mašković
Language English Country Czech Republic
Document type Journal Article
Digital library NLK
Source
NLK
Free Medical Journals
from 2004
ProQuest Central
from 2009-03-01 to 6 months ago
Medline Complete (EBSCOhost)
from 2006-03-01 to 6 months ago
Nursing & Allied Health Database (ProQuest)
from 2009-03-01 to 6 months ago
Health & Medicine (ProQuest)
from 2009-03-01 to 6 months ago
Public Health Database (ProQuest)
from 2009-03-01 to 6 months ago
ROAD: Directory of Open Access Scholarly Resources
from 1993
PubMed
29022686
DOI
10.21101/cejph.a4897
Knihovny.cz E-resources
- MeSH
- Neck Pain epidemiology MeSH
- Chronic Pain epidemiology MeSH
- Intervertebral Disc Degeneration diagnostic imaging epidemiology MeSH
- Comorbidity MeSH
- Middle Aged MeSH
- Humans MeSH
- Magnetic Resonance Imaging MeSH
- Intervertebral Disc diagnostic imaging MeSH
- Prevalence MeSH
- Risk Factors MeSH
- Educational Status * MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Bosnia and Herzegovina epidemiology MeSH
OBJECTIVE: The aim of this study was to document the prevalence of degenerative intervertebral disc changes in the patients who previously reported symptoms of neck pain and to determine the influence of education level on degenerative intervertebral disc changes and subsequent chronic neck pain. METHODS: One hundred and twelve patients were randomly selected from the University Hospital in Mostar, Bosna and Herzegovina, (aged 48.5±12.7 years) and submitted to magnetic resonance imaging (MRI) of the cervical spine. MRI of 3.0 T (Siemens, Skyrim, Erlangen, Germany) was used to obtain cervical spine images. Patients were separated into two groups based on their education level: low education level (LLE) and high education level (HLE). Pfirrmann classification was used to document intervertebral disc degeneration, while self-reported chronic neck pain was evaluated using the previously validated Oswestry questionnaire. RESULTS: The entire logistic regression model containing all predictors was statistically significant, (χ2(3)=12.2, p=0.02), and was able to distinguish between respondents who had chronic neck pain and vice versa. The model explained between 10.0% (Cox-Snell R2) and 13.8% (Nagelkerke R2) of common variance with Pfirrmann classification, and it had the strength to discriminate and correctly classify 69.6% of patients. The probability of a patient being classified in the high or low group of degenerative disc changes according to the Pfirrmann scale was associated with the education level (Wald test: 5.5, p=0.02). Based on the Pfirrmann assessment scale, the HLE group was significantly different from the LLE group in the degree of degenerative changes of the cervical intervertebral discs (U=1,077.5, p=0.001). CONCLUSION: A moderate level of intervertebral disc degenerative changes (grade II and III) was equally matched among all patients, while the overall results suggest a higher level of education as a risk factor leading to cervical disc degenerative changes, regardless of age differences among respondents.
Department of Clinical Radiology University Hospital Mostar Bosnia and Herzegovina
School of Medicine University Hospital in Mostar Mostar Bosnia and Herzegovina
Science and Research Centre Koper Institute for Kinesiology Research Koper Slovenia
References provided by Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc18002491
- 003
- CZ-PrNML
- 005
- 20180126092603.0
- 007
- ta
- 008
- 180117s2017 xr d f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.21101/cejph.a4897 $2 doi
- 035 __
- $a (PubMed)29022686
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a xr
- 100 1_
- $a Markotić, Vedran $u Department of Clinical Radiology, University Hospital, Mostar, Bosnia and Herzegovina
- 245 10
- $a Level of education as a risk factor for extensive prevalence of cervical intervertebral disc degenerative changes and chronic neck pain / $c V. Markotić, D. Zubac, M. Miljko, G. Šimić, A. Zalihić, G. Bogdan, D. Radančević, A. D. Šimić, J. Mašković
- 520 9_
- $a OBJECTIVE: The aim of this study was to document the prevalence of degenerative intervertebral disc changes in the patients who previously reported symptoms of neck pain and to determine the influence of education level on degenerative intervertebral disc changes and subsequent chronic neck pain. METHODS: One hundred and twelve patients were randomly selected from the University Hospital in Mostar, Bosna and Herzegovina, (aged 48.5±12.7 years) and submitted to magnetic resonance imaging (MRI) of the cervical spine. MRI of 3.0 T (Siemens, Skyrim, Erlangen, Germany) was used to obtain cervical spine images. Patients were separated into two groups based on their education level: low education level (LLE) and high education level (HLE). Pfirrmann classification was used to document intervertebral disc degeneration, while self-reported chronic neck pain was evaluated using the previously validated Oswestry questionnaire. RESULTS: The entire logistic regression model containing all predictors was statistically significant, (χ2(3)=12.2, p=0.02), and was able to distinguish between respondents who had chronic neck pain and vice versa. The model explained between 10.0% (Cox-Snell R2) and 13.8% (Nagelkerke R2) of common variance with Pfirrmann classification, and it had the strength to discriminate and correctly classify 69.6% of patients. The probability of a patient being classified in the high or low group of degenerative disc changes according to the Pfirrmann scale was associated with the education level (Wald test: 5.5, p=0.02). Based on the Pfirrmann assessment scale, the HLE group was significantly different from the LLE group in the degree of degenerative changes of the cervical intervertebral discs (U=1,077.5, p=0.001). CONCLUSION: A moderate level of intervertebral disc degenerative changes (grade II and III) was equally matched among all patients, while the overall results suggest a higher level of education as a risk factor leading to cervical disc degenerative changes, regardless of age differences among respondents.
- 650 _2
- $a Bosna a Hercegovina $x epidemiologie $7 D017522
- 650 _2
- $a chronická bolest $x epidemiologie $7 D059350
- 650 _2
- $a komorbidita $7 D015897
- 650 12
- $a stupeň vzdělání $7 D004522
- 650 _2
- $a ženské pohlaví $7 D005260
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a meziobratlová ploténka $x diagnostické zobrazování $7 D007403
- 650 _2
- $a degenerace meziobratlové ploténky $x diagnostické zobrazování $x epidemiologie $7 D055959
- 650 _2
- $a magnetická rezonanční tomografie $7 D008279
- 650 _2
- $a mužské pohlaví $7 D008297
- 650 _2
- $a lidé středního věku $7 D008875
- 650 _2
- $a bolest krku $x epidemiologie $7 D019547
- 650 _2
- $a prevalence $7 D015995
- 650 _2
- $a rizikové faktory $7 D012307
- 655 _2
- $a časopisecké články $7 D016428
- 700 1_
- $a Zubac, Damir $u Science and Research Centre Koper, Institute for Kinesiology Research, Koper, Slovenia
- 700 1_
- $a Miljko, Miro $u School of Medicine, University Hospital in Mostar, Mostar, Bosnia and Herzegovina
- 700 1_
- $a Šimić, Goran $u University Hospital, Mostar, Bosnia and Herzegovina
- 700 1_
- $a Zalihić, Amra $u School of Medicine, University Hospital in Mostar, Mostar, Bosnia and Herzegovina
- 700 1_
- $a Bogdan, Gojko $u Department of Clinical Radiology, University Hospital, Mostar, Bosnia and Herzegovina
- 700 1_
- $a Radančević, Dorijan $u Department of Clinical Radiology, University Hospital, Mostar, Bosnia and Herzegovina
- 700 1_
- $a Šimić, Ana Dugandžić $u University Hospital, Mostar, Bosnia and Herzegovina
- 700 1_
- $a Mašković, Josip $u Department of Clinical Radiology, University Hospital, Mostar, Bosnia and Herzegovina
- 773 0_
- $w MED00001083 $t Central European journal of public health $x 1210-7778 $g Roč. 25, č. 3 (2017), s. 245-250
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/29022686 $y Pubmed
- 910 __
- $a ABA008 $b B 1829 $c 562 $y 4 $z 0
- 990 __
- $a 20180117 $b ABA008
- 991 __
- $a 20180125103006 $b ABA008
- 999 __
- $a ok $b bmc $g 1271979 $s 999160
- BAS __
- $a 3
- BAS __
- $a PreBMC
- BMC __
- $a 2017 $b 25 $c 3 $d 245-250 $i 1210-7778 $m Central European Journal of Public Health $n Cent. Eur. J. Public Health $x MED00001083
- LZP __
- $b NLK118 $a Pubmed-20180117
