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  1. Management of chronic nonspecific low back pain in primary care : A descriptive study.

    Article - En anglais

    Study Design

    A retrospective, descriptive study.

    Objectives.

    To describe the diagnostic and therapeutic procedures for patients with chronic low back pain in primary care.

    Summary of Background Data

    Most previous studies have described the management of acute low back pain, but little is known about the management of chronic low back pain in Primary care.

    Methods 

    Twenty-six general practitioners involved in the Registration Network of Family Practices of the University of Limburg in The Netherlands participated in this study.

    All patients and general practitioners were asked to complete a retrospective, questionnaire, and there was a 12-month follow-up.

    Results

    The total study population consisted of 524 patients with chronic low back pain, Twenty-three percent of the patients had had radiographs taken during the previous 12 months, and 5% had been examined by other imaging techniques.

    Twenty-nine percent of the study population had not received any therapy at all, 46% had received medication, mostly (36%) nonsteroidal anti-inflammatory drugs (NSAIDs), and for 18% (bed) - rest had been advised.

    Thirty-six percent of the study population had been referred to physiotherapist.

    Conclusions

    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.

    Mots-clés Pascal : Lombalgie, Chronique, Homme, Médecin généraliste, Evaluation, Soin santé primaire, Epidémiologie, Diagnostic, Traitement, Douleur, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie

    Mots-clés Pascal anglais : Low back pain, Chronic, Human, General practitioner, Evaluation, Primary health care, Epidemiology, Diagnosis, Treatment, Pain, Diseases of the osteoarticular system, Spine disease, Rachialgia

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0147422

    Code Inist : 002B15F. Création : 21/05/1997.