scholarly journals Review: clinical findings should determine choice of imaging test for patients with low back pain in a primary care setting

2003 ◽  
Vol 8 (2) ◽  
pp. 62-62 ◽  
Author(s):  
E. S Gibson
Keyword(s):  
Primary Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Care Setting ◽  
Primary Care Setting ◽  
Clinical Findings ◽  
Low Back ◽  
Imaging Test

scholarly journals Effect of a Simple Information Booklet on Pain Persistence after an Acute Episode of Low Back Pain: A Non-Randomized Trial in a Primary Care Setting

PLoS ONE ◽  
2007 ◽  
Vol 2 (8) ◽  
pp. e706 ◽  
Author(s):  
Emmanuel Coudeyre ◽  
Florence Tubach ◽  
François Rannou ◽  
Gabriel Baron ◽  
Fernand Coriat ◽  
...  
Keyword(s):  
Primary Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Randomized Trial ◽  
Care Setting ◽  
Primary Care Setting ◽  
Acute Episode ◽  
Low Back ◽  
Information Booklet

scholarly journals Frequency and Interrelations of Risk Factors for Chronic Low Back Pain in a Primary Care Setting

PLoS ONE ◽  
2009 ◽  
Vol 4 (3) ◽  
pp. e4874 ◽  
Author(s):  
Marie-Martine Lefevre-Colau ◽  
Fouad Fayad ◽  
François Rannou ◽  
Jacques Fermanian ◽  
Fernand Coriat ◽  
...  
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Care Setting ◽  
Primary Care Setting ◽  
Low Back

scholarly journals Predictors of Opioid Prescribing for Non-Malignant Low Back Pain in an Italian Primary Care Setting

2021 ◽  
Vol 10 (16) ◽  
pp. 3699
Author(s):  
Simona Cammarota ◽  
Valeria Conti ◽  
Graziamaria Corbi ◽  
Luigi Di Gregorio ◽  
Pasquale Dolce ◽  
...  
Keyword(s):  
Primary Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Pain Intensity ◽  
Care Setting ◽  
Primary Care Setting ◽  
Low Back ◽  
Opioid Prescription ◽  
Opioid Prescribing ◽  
First Pain

This study explores which patient characteristics could affect the likelihood of starting low back pain (LBP) treatment with opioid analgesics vs. Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) in an Italian primary care setting. Through the computerized medical records of 65 General Practitioners, non-malignant LBP subjects who received the first pain intensity measurement and an NSAID or opioid prescription, during 2015–2016, were identified. Patients with an opioid prescription 1-year before the first pain intensity measurement were excluded. A multivariable logistic regression model was used to determine predictive factors of opioid prescribing. Results were reported as Odds Ratios (ORs) with a 95% confidence interval (CI), with p < 0.05 indicating statistical significance. A total of 505 individuals with LBP were included: of those, 72.7% received an NSAID prescription and 27.3% an opioid one (64% of subjects started with strong opioid). Compared to patients receiving an NSAID, those with opioid prescriptions were younger, reported the highest pain intensity (moderate pain OR = 2.42; 95% CI 1.48–3.96 and severe pain OR = 2.01; 95% CI 1.04–3.88) and were more likely to have asthma (OR 3.95; 95% CI 1.99–7.84). Despite clinical guidelines, a large proportion of LBP patients started with strong opioid therapy. Asthma, younger age and pain intensity were predictors of opioid prescribing when compared to NSAIDs for LBP treatment.

scholarly journals Managing Low Back Pain in the Primary Care Setting: The Know-Do Gap

2010 ◽  
Vol 15 (6) ◽  
pp. 392-400 ◽  
Author(s):  
N Ann Scott ◽  
Carmen Moga ◽  
Christa Harstall
Keyword(s):  
Primary Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Care Setting ◽  
Primary Care Setting ◽  
Diagnosis And Treatment ◽  
Low Back ◽  
Knowledge Gaps ◽  
Survey Tool ◽  
Primary Care Practitioners

OBJECTIVE: To ascertain knowledge gaps in the diagnosis and treatment of acute and chronic low back pain (LBP) in the primary care setting to prepare a scoping survey for identifying knowledge gaps in LBP management among Alberta’s primary care practitioners, and to identify potential barriers to implementing a multidisciplinary LBP guideline.METHODS: English language studies, published from 1996 to 2008, comparing the clinical practice patterns of primary care practitioners with guideline recommendations were identified by systematically searching literature databases, the websites of various health technology assessment agencies and libraries, and the Internet. Data were synthesized qualitatively.RESULTS: The literature search identified 14 relevant studies. Knowledge gaps were reported among various primary care practitioner groups in the assessment of red flags, use of diagnostic imaging, provision of advice regarding sick leave and continuing activity, administration of some medications (muscle relaxants, oral steroids and opioids) and recommendation of particular treatments (acupuncture, physiotherapy, spinal manipulation, traction, ultrasound, transcutaneous electrical nerve stimulation and spinal mobilization).CONCLUSIONS: A know-do gap clearly exists among primary care practitioners with respect to the diagnosis and treatment of LBP. The information on know-do gaps will be used to construct a survey tool for unearthing the local knowledge gaps extant among Alberta’s primary care practitioners, and to develop a dissemination strategy for a locally produced multidisciplinary LBP guideline, with the aim of ensuring that the know-do gaps inherent within each primary practice discipline are specifically targeted.

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