Chronic low back pain: non-clinical factors impacting on management by Irish doctors

Abstract

These factors operate at national and local levels. Nationally, they underscore the lack of resources, and the impact of the medico-legal system. Local issues include changing practice by reassuring patients using evidence-based biopsychosocial strategies to maximise patient care and reduce healthcare costs.

Barriers to Primary Care Clinician Adherence to Clinical Guidelines for the Management of Low Back Pain

“…Another 15 were excluded after review of the full text (six papers were not about clinical practice guidelines; three contained only quantitative data in the analysis; one paper was not about clinician perceptions and beliefs; and five were systematic reviews about guidelines in general). Seventeen papers fulfilled inclusion criteria (54)(55)(56)(57)(58)(59)(60)(61)(62)(63)(64)(65)(66)(67)(68)(69)(70).…”

“…Table 1 describes the characteristics of the included studies. Studies were performed in various countries: five were conducted in the UK (56,58,63,65,66), four were from Canada (54,59,68,69), two were from the Netherlands (64,69) and the USA (55,70) and there was one trial each from Germany (57), Israel (61), New Zealand (60) and Norway (62).There was a range of study participants: nine studies included general practitioners or family practitioners (56-58, 60-63, 68, 69), three studies included physical therapists (59,64,65), two included chiropractors (54,55), and a single study included occupational therapists (67).…”

Do “Myths” of low back pain exist among Irish population? A cross-sectional study

“…In the year of 2002, disability payments from the Department of Social and Family Affairs amounted to 348 million euros and insurance payments cost of 10.5 million euros [6]. Fullen et al [7] further suggests that cost of health care for particular disease and conditions is important for policy makers since it affects the allocation of limited resources in publically funded health systems like the UK and Ireland. Chronic low back pain incurs significant financial cost including & Sudarshan Munigangaiah drsudarshan79@gmail.com low productivity, healthcare costs as well as insurance and disability payments.…”

“…In Ireland, 53 % of the patients who were referred to an orthopaedic clinic wait for more than 6 months compared to 13 % of their counterpart in the UK [7], which puts an enormous burden on the Health Services in Ireland. Even though major funds have been spent on low back pain [6], there is limited availability of secondary care services.…”

Langzeiteffekte interventioneller Behandlungen von chronischen Schmerzen des Bewegungssystems

“…Die Behandlungen spiegeln diesen Aspekt jedoch oft nicht wieder. Häufig werden monomodale Behandlungsstrategien, die z. T. weniger von der Befundlage als von den jeweiligen Präferenzen des behandelnden Arztes bestimmt werden, angewendet [6,7,8,9]. Neben deutlich gestiegenen Operationszahlen, z.…”