Study of the information delivery by general practitioners and rheumatologists to patients with acute low back pain
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Yves Henrotin • Dominique Moyse • Thierry Bazin • Christine Cedraschi • Bernard Duplan • Bernard Duquesnoy • Francoise Laroche • Jean-Pierre Valat • M
- چاپ و سال / کشور: 2010
Description
Providing information to patients regarding appropriate management of LBP is a crucial component of primary care and treatment of low back pain (LBP). Limited knowledge is available, however, about the information delivered by physicians to patients with low back pain. Hence, this study aimed at evaluating (1) the self-reported practices of French physicians concerning information about patients with acute LBP (2) the consistency of these practices with the COST B13 guidelines, and (3) the effects of the delivery of a leaflet summarizing the COST B13 recommendations on the management of patient information, using the following study design: 528 French physicians [319 general practitioners (GP) and 209 rheumatologists (RH)] were asked to provide demographic information, responses to a Fear Avoidance Beliefs questionnaire adapted for physicians and responses to a questionnaire investigating the consistency of their practice with the COST B13 guidelines. Half of the participants (163 GP and 105 RH) were randomized to receive a summary of the COST B13 guidelines concerning information delivery to patient with low back pain and half (156 GP and 104 RH) were not given this information. The mean age of physicians was 52.1 ± 7.6 years, 25.2% were females, 75% work in private practice, 63.1% reported to treat 10–50 patients with LBP per month and 18.2%\10 per month. The majority of the physicians (71.0%) reported personal LBP episode (7.1% with a duration superior to 3 months). Among the 18.4% (97) of the physicians that knew the COST B13 guidelines, 85.6% (83/97) reported that they totally or partially applied these recommendations in their practice. The average work (0–24) and physical activity (0–24) FABQ scores were 21.2 ± 8.4 and 10.1 ± 6.0, respectively. The consistency scores
Eur Spine J (2011) 20:720–730 DOI 10.1007/s00586-010-1612-6 Received: 15 June 2009 / Revised: 30 May 2010 / Accepted: 20 October 2010 / Published online: 11 November 2010
