PMID: 8597683Feb 24, 1996Paper

General practitioners' management of acute back pain: a survey of reported practice compared with clinical guidelines

BMJ : British Medical Journal
P LittleR Pickering

Abstract

To compare general practitioners' reported management of acute back pain with 'evidence based' guidelines for its management. Confidential postal questionnaire. One health district in the South and West region. 236 general practitioners; 166 (70%) responded. Examination routinely performed, 'danger' symptoms and signs warranting urgent referral, advice given, and satisfaction with management. A minority of general practitioners do not examine reflexes routinely (27%, 95% confidence interval 20% to 34%), and a majority do not examine routinely for muscle weakness or sensation. Although most would refer patients with danger signs, some would not seek urgent advice for saddle anaesthesia (6%, 3% to 11%), extensor plantar response (45%, 37% to 53%), or neurological signs at multiple levels (15%, 10% to 21%). A minority do not give advice about back exercises (42%, 34% to 49%), fitness (34%, 26% to 41%), or everyday activities. A minority performed manipulation (20%) or acupuncture (6%). One third rated their satisfaction with management of back pain as 4 out of 10 or less. The management of back pain by general practitioners does not match the guidelines, but there is little evidence from general practice for many of the recommenda...Continue Reading

References

Aug 12, 1992·JAMA : the Journal of the American Medical Association·R A DeyoD L Kent
Oct 1, 1992·Annals of Internal Medicine·P G ShekelleR H Brook
Oct 1, 1992·Baillière's Clinical Rheumatology·G Waddell
Jun 29, 1991·BMJ : British Medical Journal·B W KoesP G Knipschild
Nov 23, 1991·BMJ : British Medical Journal·B W KoesP G Knipschild
Oct 23, 1986·The New England Journal of Medicine·R A DeyoM Rosenthal
Feb 12, 1983·British Medical Journal·M O RolandR W Morris
Dec 3, 1994·BMJ : British Medical Journal·G Feder
Feb 9, 1995·The New England Journal of Medicine·A MalmivaaraV Vaaranen
May 1, 1993·Annals of the Rheumatic Diseases·G Waddell
Apr 3, 1993·BMJ : British Medical Journal·A Frank

❮ Previous
Next ❯

Citations

Nov 8, 2003·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Violeta González-UrzelaiJosefina López-de-Munain
Mar 24, 2004·Public Health·George Davey Smith, Thierry Mertens
Jun 11, 1999·Spine·M R UnderwoodM R Vickers
Jan 5, 2007·Spine·Joel J GagnierClaire Bombardier
Jun 8, 1996·BMJ : British Medical Journal·P Ward, J Carvell
Oct 19, 1996·BMJ : British Medical Journal·T Greenhalgh
Sep 17, 1999·BMJ : British Medical Journal·J G HowieH Rai
Jun 23, 2001·BMJ : British Medical Journal·R BuchbinderM Wyatt
Sep 25, 2004·BMJ : British Medical Journal·Domhnall MacAuley
Jun 3, 2005·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Alan C BreenGert Bronfort
Oct 3, 2003·Journal of General Internal Medicine·Joel M SchectmanJohn D Voss
Apr 23, 2004·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·J T ChibnallR C Tait
Jan 25, 2011·Journal of Chemical Neuroanatomy·Therese S AbrahamSheng-Xing Ma
Dec 27, 2008·European Journal of Pain : EJP·Brona M FullenDeirdre A Hurley
Jan 26, 2006·European Journal of Pain : EJP·Alan BreenEileen Mann
Apr 1, 2008·Journal of Evaluation in Clinical Practice·Rachel DahanStewart Harris
Nov 28, 2006·European Journal of Pain : EJP·Brona M FullenDeirdre A Hurley
May 4, 2002·Best Practice & Research. Clinical Rheumatology·Henning Zeidler, David Borenstein
Jan 30, 2002·Journal of Critical Care·A HillW J Sibbald
Sep 23, 1998·Clinical Rehabilitation·S A RaeC Penney
Apr 3, 2001·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Jennifer A. Klaber MoffettSteven Spear
Jan 9, 2019·Expert Review of Clinical Pharmacology·Marco SchreijenbergChung-Wei Christine Lin
Feb 7, 2008·The Cochrane Database of Systematic Reviews·A EngersM W van Tulder
Nov 13, 2003·The European Journal of General Practice·Julia S Miller, Mark A Pinnington
Jan 1, 2012·International Journal of Spine Surgery·Adriaan LouwEmilio J Puentedura

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.