Survey of acute low back pain management by specialty group and practice experience

Barbara S. Webster, Theodore K. Courtney, Yueng-hsiang Huang, Simon Matz, David C. Christiani

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

OBJECTIVE: The objective of this study was to explore concurrence with evidence-based management of acute back pain by primary care specialty and years in practice groups. METHODS: Participants randomly selected from five American Medical Association physician groups were surveyed asking their initial care recommendations for case scenarios with and without sciatica. Response differences were compared among groups and with the Agency for Health Research Quality's guideline. RESULTS: Response rate was 25%. Emergency physicians were least likely to order diagnostic studies for both cases but more often made recommendations likely to promote inactivity. Occupational physicians were less likely to order diagnostic studies and more likely choose treatments conducive to increasing activity. The longer physicians were in practice, the less likely they were to follow recommendations. All specialty groups selected more nonevidence-based interventions for the patient with sciatica. General practitioners were least likely to follow the guidelines in either case. CONCLUSIONS: Despite widespread dissemination of acute low back pain guidelines, the study suggests a lack of adherence by certain primary care groups, physicians with more practice experience, and in specific areas of management.

Original languageEnglish (US)
Pages (from-to)723-732
Number of pages10
JournalJournal of occupational and environmental medicine
Volume48
Issue number7
DOIs
StatePublished - Jul 1 2006
Externally publishedYes

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Group Practice
Pain Management
Low Back Pain
Physicians
Sciatica
Guidelines
Acute Pain
American Medical Association
Primary Care Physicians
Back Pain
General Practitioners
Primary Health Care
Emergencies
Surveys and Questionnaires
Health
Research
Therapeutics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this

Survey of acute low back pain management by specialty group and practice experience. / Webster, Barbara S.; Courtney, Theodore K.; Huang, Yueng-hsiang; Matz, Simon; Christiani, David C.

In: Journal of occupational and environmental medicine, Vol. 48, No. 7, 01.07.2006, p. 723-732.

Research output: Contribution to journalArticle

Webster, Barbara S. ; Courtney, Theodore K. ; Huang, Yueng-hsiang ; Matz, Simon ; Christiani, David C. / Survey of acute low back pain management by specialty group and practice experience. In: Journal of occupational and environmental medicine. 2006 ; Vol. 48, No. 7. pp. 723-732.
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