Management of Chronic Nonspecific Low Back Pain in Primary Care: A Descriptive Study
SpinePublished 1 January 1997Open access
Maurits W. van Tulder, Bart W. Koes, L.M. Bouter, Job Metsemakers
Citations72
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Clinical guidelines are needed to improve the management of chronic low back pain in primary care as diagnostic and therapeutic procedures for patients with chronicLow back pain seem to lack consistency.
Abstract
The therapeutic management of chronic low back pain seems to lack consistency. Clinical guidelines are needed to improve the management of chronic low back pain in primary care.
Keywords
Medicine
SpineA Study of the Natural History of Back Pain
3,380 Citations1983Martín Roland, Richard Morris
The development and validation of a questionnaire designed to measure selfrated disability due to back pain is described, which is short, simple, sensitive, and reliable.
Spine1987 Volvo Award in Clinical Sciences: A New Clinical Model for the Treatment of Low-Back Pain
1,240 Citations1987Gordon Waddell
Observations of natural history and epidemiology suggest that low-back pain should be a benign, self-limiting condition, that low back-disability as opposed to pain is a relatively recent Western epidemic, and that the role of medicine in that epidemic must be critically examined.
Orthopedic Clinics of North AmericaAn Overview of the Incidences and Costs of Low Back Pain
919 Citations1991John W. Frymoyer, William L. Cats‐Baril
The future challenge, if costs are to be controlled, appears to lie squarely with prevention and optimum management of disability, rather than perpetrating a myth that low back pain is a serious health disorder.
SpineNeck Pain: A Long-term Follow-up of 205 Patients
638 Citations1987Donald R. Gore, SUSAN B. SEPIC +2 more
SpinePhysician Views About Treating Low Back Pain
515 Citations1995Daniel C. Cherkin, Richard A. Deyo +2 more
A lack of consensus among physicians about treatment efficacy for patients with low back pain could be attributable to the absence of clear evidencebsed clinical guidelines, ignorance or rejection of existing scientific evidence, excessive commitment to a particular mode of therapy, or a tendency to discount the efficacy of competing treatments.
SpineA Study of the Natural History of Low-Back Pain
460 Citations1983Martín Roland, Richard Morris
The natural history of the symptom of low-back pain has been described and clinical features predictive of outcome have been identified in order to define groups of patients who were relatively homogeneous with respect to the outcome of the episode.
American Journal of Public HealthCharacteristics of physician visits for back symptoms: a national perspective.
294 Citations1983Beulah K. Cypress
Data from the National Ambulatory Medical Care Surveys of 1977 and 1978 were examined using the sex of the patient and the physician's degree (MD or DO) as control variables, and typical encounter characteristics as dependent variables to provide insight into the scope of the problem.
PubMedComputerized health information in The Netherlands: a registration network of family practices.
274 Citations1992Job Metsemakers, P. Höppener +3 more
A registration network of family practices (Registratienet Huisartspraktijken) has recently been established in the Netherlands, allowing researchers to identify patients with particular health problems.
SpineComparative Validity of the Sickness Impact Profile and Shorter Scales for Functional Assessment in Low-Back Pain
236 Citations1986Richard A. Deyo
The modified Roland Scale appeared to have reliability, validity, and sensitivity that were at least as good as the overall SIP or its major subscales, although the Roland Scale did not measure psychosocial function well.
SpineCare-Seeking Among Individuals With Chronic Low Back Pain
201 Citations1995Timothy S. Carey, Arthur T. Evans +4 more
Chronic back pain is common, and the level of care-seeking and costs of care among those afflicted are extremely high.
Arthritis & RheumatismPhysician Variation in Diagnostic Testing for Low Back Pain. Who You See Is What You Get
172 Citations1994Daniel C. Cherkin, Richard A. Deyo +2 more
There is little consensus, either within or among specialties, on the use of diagnostic tests for patients with back pain, and the diagnostic evaluation depends heavily on the individual physician and his or her specialty, and not just the patient's symptoms and findings.
Clinical Orthopaedics and Related ResearchAdvances in Low-Back Pain
155 Citations1985Alf Nachemson
guided activation of large muscle groups is a benefit for the structures of the back as well as the body's own pain-reducing enkephalins, which should be avoided.
Journal of General Internal MedicineLumbar spine films in primary care
122 Citations1986Richard A. Deyo, Andrew K. Diehl
Archives of Internal MedicineRoentgenograms in Primary Care Patients With Acute Low Back Pain
104 Citations1982Matthew H. Liang
The risks and costs of obtaining lumbar roentgenograms at the initial visit in patients with acute low back pain do not seem to justify the relatively small associated benefit.
Journal of Rehabilitation MedicineIntraabdominal pressure and trunk muscle activity during lifting--effect of abdominal muscle training in healthy subjects
87 Citations1983M. B.
Previous, particularly recent use of medical services turned out to be a prognostic indicator for LBP in the follow-up year, while none of the work related parameters seemed to be good predictors, which may be because of the uncertainties related to these parameters.
PubMedLow back pain in forty to forty-seven year old men. I. Frequency of occurrence and impact on medical services.
69 Citations1982HANS-OLOF SVENSSON, G B Andersson
The incidence and prevalence rates were underestimated when based on interview findings from the participants because among the participants who, during the interview, stated that they had never had LBP there were 27% who had been sicklisted with an LBP diagnosis.
Journal of General Internal MedicineUtilization of medical services for the treatment of acute low back pain
68 Citations1992W. Scott Schroth, Joel M. Schectman +2 more
It is necessary to determine whether underutilization of plain lumbar radiography adversely affects diagnostic accuracy and whether over utilization of other services improves important clinical outcomes, given the generally benign natural history of this condition.
PubMedMusculoskeletal clinic in general practice: study of one year's referrals.
56 Citations1994Daniel B. Peters, P.H. O'Connor Davies +1 more
A need was identified for better communication about the potential of the approaches used in order that referrals to secondary specialists, particularly orthopaedic specialists, could be further reduced.
PubMedSurvey of general practitioners' opinions on the role of radiology in patients with low back pain.
41 Citations1990J. P. Owen, G Rutt +5 more
When general practitioners understood radiological terms they had clear therapeutic and specialist referral preferences, and those with which they were familiar but unclear about the implications for management were identified.
Southern Medical JournalLow Back Pain and X-ray Films of the Lumbar Spine
21 Citations1986Daniel M. Kaplan, Mark Knapp +3 more
Patients with x-ray evidence of DJD were three times more likely than those with normal films to receive nonsteroidal anti-inflammatory drugs other than aspirin, and patients given a “diagnostic label” ofDJD were more likely to express satisfaction with medical care and less likely to seek care elsewhere.
