Why managing sciatica is difficult: patients' experiences of an NHS sciatica pathway. A qualitative, interpretative study.

BMJ Open
Clare RyanLisa Roberts

Abstract

Amid a political agenda for integrated, high-value care, the UK is implementing its Low Back and Radicular Pain Pathway. To align care with need, it is imperative to understand the patients' perspective. The purpose of this study was, therefore, to explore how people experience being managed for sciatica within an National Health Service (NHS) pathway. Qualitative interpretative study. Musculoskeletal Service in an NHS, Primary Care Trust, UK. The sample comprised 14 people aged ≥18 years with a clinical presentation of sciatica, who were currently under the care of a specialist physiotherapist (the specialist spinal triage practitioner), had undergone investigations (MRI) and received the results within the past 6 weeks. People were excluded if they had previously undergone spinal surgery or if the suspected cause of symptoms was cauda equina syndrome or sinister pathology. Participants were sampled purposively for variation in age and gender. Data were collected using individual semi-structured interviews (duration: 38-117 min; median: 82.6 min), which were audio-recorded and transcribed verbatim. Data were analysed thematically. A series of problems with the local pathway (insufficient transparency and information; clinician...Continue Reading

References

Jun 23, 2007·BMJ : British Medical Journal·B W KoesW C Peul
Oct 17, 2008·Spine·Kika Konstantinou, Kate M Dunn
Feb 24, 2011·Spine·Bie Nio OngElaine Hay
Jan 1, 2014·Sociology of Health & Illness·David Armstrong
Apr 15, 2014·Pain·Deborah FitzsimmonsClaire Wilkinson
May 3, 2014·The Spine Journal : Official Journal of the North American Spine Society·Kevork Hopayian, Caitlin Notley
Feb 26, 2016·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Jonathan BooteMunyaradzi Dimairo
Apr 30, 2016·International Journal of Rheumatic Diseases·Carlos El-HaddadWendy Hu
Nov 28, 2017·The Spine Journal : Official Journal of the North American Spine Society·Kika KonstantinouUNKNOWN ATLAS Study Team
Nov 29, 2017·Musculoskeletal Science & Practice·Clare Ryan, Lisa C Roberts
Mar 27, 2018·Lancet·Rachelle BuchbinderUNKNOWN Lancet Low Back Pain Series Working Group
Dec 1, 2018·Musculoskeletal Science & Practice·Clare Ryan, Lisa Roberts

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