Fibromyalgia & musculoskeletal pain

Identifying Long‐Term Trajectories of Foot Pain Severity and Potential Prognostic Factors: A Population‐Based Cohort Study

Arthritis Care Res (Hoboken)Published Prospective cohort study

Authors' conclusion

Four distinct trajectories of foot pain were identified over a 7-year period, with one-third of individuals classified as having pain that is persistently moderate-severe and severe in intensity.

Study context

Population
Adults aged ≥50 years with current or recent foot pain registered with 4 general practices in North Staffordshire, UK425 (76%) analysed
Participants
560 adults
Exposure
Less favourable vs more favourable foot pain trajectories
Outcome
Trajectories of foot pain severity (NRS 0-10)
Follow-up
7 years
Methodological detailspopulation-based, latent class growth analysis, covariate-adjusted, Postal surveys at 18, 36, 54 and 84 months
  • Population-based
  • Latent class growth analysis
  • Covariate-adjusted
  • Postal surveys at 18, 36, 54 and 84 months

Main finding

As reported in the abstract

Foot pain severity trajectories (latent class growth analysis (LCGA), 4-trajectory model)

Observational data: associations, not effects.

Further findings

Baseline prognostic factors, persistent vs improving trajectories

Persistent trajectories more likely to be obese, have routine/manual and intermediate occupations, poorer physical and mental health, catastrophizing beliefs, greater foot-specific functional limitation and self-assessed hallux valgus
  • Covariate-adjusted

Original publication

Identifying Long‐Term Trajectories of Foot Pain Severity and Potential Prognostic Factors: A Population‐Based Cohort Study. Arthritis Care Res (Hoboken). Published 25 November 2022. doi:10.1002/acr.24823

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