The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index.
Low Back Pain and Best Practice Care: A Survey of General Practice Physicians
Abstract
BACKGROUND: Acute low back pain (LBP) is primarily managed in general practice. We aimed to describe the usual care provided by general practitioners (GPs) and to compare this with recommendations of best practice in international evidence-based guidelines for the management of acute LBP. METHODS: Care provided in 3533 patient visits to GPs for a new episode of LBP was mapped to key recommendations in treatment guidelines. The proportion of patient encounters in which care arranged by a GP aligned with these key recommendations was determined for the period 2005 through 2008 and separately for the period before the release of the local guideline in 2004 (2001-2004). RESULTS: Although guidelines discourage the use of imaging, over one-quarter of patients were referred for imaging. Guidelines recommend that initial care should focus on advice and simple analgesics, yet only 20.5% and 17.7% of patients received these treatments, respectively. Instead, the analgesics provided were typically nonsteroidal anti-inflammatory drugs (37.4%) and opioids (19.6%). This pattern of care was the same in the periods before and after the release of the local guideline. CONCLUSIONS: The usual care provided by GPs for LBP does not match the care endorsed in international evidence-based guidelines and may not provide the best outcomes for patients. This situation has not improved over time. The unendorsed care may contribute to the high costs of managing LBP, and some aspects of the care provided carry a higher risk of adverse effects.
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Why Don't Physicians Follow Clinical Practice Guidelines?: A Framework for Improvement
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Educational outreach visits: effects on professional practice and health care outcomes
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Chapter 3 European guidelines for the management of acute nonspecific low back pain in primary care
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The Prevalence of Low Back Pain: A Systematic Review of the Literature from 1966 to 1998
Walker, B. F. (2000) · Journal of Spinal Disorders · doi:10.1097/00002517-200006000-00003 · Cited by 1,144
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Koes, B. W., van Tulder, M. W., Ostelo, R., Kim Burton, A., & Waddell, G. (2001) · Spine · doi:10.1097/00007632-200111150-00022 · Cited by 690
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European guidelines for the management of acute nonspecific low back pain in primary care
van Tulder, M. W., Becker, A., Bekkering, T., Breen, A. C., Gil, M. T., General, A., Carter, T., Koes, B. W., Kryger-Baggesen, P., & LÆRUM, E. (2006) · European Spine Journal · Cited by 425
Low Back Pain in Australian Adults: The Economic Burden
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The Back Pain Beliefs of Health Care Providers: Are We Fear-Avoidant?
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Cited by
Maher, C., Underwood, M., & Buchbinder, R. (2017) · The Lancet · doi:10.1016/s0140-6736(16)30970-9 · Cited by 2,535
Prevention and treatment of low back pain: evidence, challenges, and promising directions
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Vlaeyen, J. W. S., Maher, C. G., Wiech, K., Van Zundert, J., Meloto, C. B., Diatchenko, L., Battié, M. C., Goossens, M., Koes, B., & Linton, S. J. (2018) · Nature Reviews Disease Primers · doi:10.1038/s41572-018-0052-1 · Cited by 497
CareTrack: assessing the appropriateness of health care delivery in Australia
Runciman, W. B., Hunt, T. D., Hannaford, N. A., Hibbert, P. D., Westbrook, J. I., Coiera, E. W., Day, R. O., Hindmarsh, D. M., McGlynn, E. A., & Braithwaite, J. (2012) · Medical Journal of Australia · doi:10.5694/mja12.10510 · Cited by 436
Worsening Trends in the Management and Treatment of Back Pain
Mafi, J. N., McCarthy, E. P., Davis, R. B., & Landon, B. E. (2013) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2013.8992 · Cited by 359
Metadata
- Authors
- Williams, C. M.
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2010-02-08
- Volume
- 170
- Issue
- 3
- Pages
- 271
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W2134634199
- Cited by
- 262
- References
- 31
- FWCI
- 9.02
- Type
- journal article
- Language
- en
- Open access
- closed
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