The Outcomes and Costs of Care for Acute Low Back Pain among Patients Seen by Primary Care Practitioners, Chiropractors, and Orthopedic Surgeons

Carey, Timothy S.; Garrett, Joanne M.; Jackman, Anne; McLaughlin, Curtis P.; Fryer, J. G.; Smucker, Douglas R.

doi:10.1056/nejm199510053331406

Cited by 485 publications

(297 citation statements)

References 17 publications

Supporting

Mentioning

278

Contrasting

Unclassified

Order By: Relevance

“…Carey [5] compared treatment by chiropractors, orthopaedic surgeons and general practitioners. His chiropractor group were more satisfied than the others.…”

Section: Discussionmentioning

confidence: 99%

“…Studying patients with acute low-back pain, Carey et al [5] found similar outcomes of care from primary care practitioners, chiropractors and orthopaedic surgeons. Patients seen by chiropractors reported greater satisfaction with the examination and explanation of the problem.…”

Section: Introductionmentioning

confidence: 95%

“…The controlled dropouts compared to non-controlled dropouts and patients not leaving the study exhibited the following characteristics: (1) higher mean age, (2) sitting more at work, (3) more satisfaction at the workplace, (4) previous sciatica common, (5) no special reason for current low-back pain episode, (6) pain on coughing, (7) highest values for pain, (8) movement pain and positive Lasegue sign, (9) higher mean Oswestry score, (10) less lumbar spine mobility.…”

Section: Controlled Dropouts (N = 17 At 1-year Follow-up)mentioning

confidence: 99%

See 2 more Smart Citations

Conservative treatment in patients sick-listed for acute low-back pain: a prospective randomised study with 12 months' follow-up

Seferlis

Németh

Carlsson

et al. 1998

European Spine Journal

View full text Add to dashboard Cite

We evaluated three different conservative treatment methods for acute low-back pain patients in groups following a manual therapy programme, an intensive training programme, or a general practitioner programme, the latter serving as the control group. Patients aged 19-64 years on sick leave for low-back pain with or without sciatica were included in a prospective randomised study evaluating outcomes such as impairment, pain, functional disability, socio-economic disability and satisfaction with the treatment or explanations. Evaluation by unbiased observers was performed at 1, 3 and 12 months. The three treatment groups were comparable at baseline. With regard to satisfaction, the patients in the manual therapy programme and those in the intensive training programme were more satisfied with the treatment than those in the general practitioner programme at all follow-ups. With regard to the explanations of current low-back pain episodes, the patients in the manual therapy programme were more satisfied than those in the general practitioner programme at all follow-ups. The manual therapy programme group were also more satisfied with the explanations than those in the intensive training programme

show abstract

“…Carey [5] compared treatment by chiropractors, orthopaedic surgeons and general practitioners. His chiropractor group were more satisfied than the others.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

Section: Controlled Dropouts (N = 17 At 1-year Follow-up)mentioning

confidence: 99%

See 1 more Smart Citation

Conservative treatment in patients sick-listed for acute low-back pain: a prospective randomised study with 12 months' follow-up

Seferlis

Németh

Carlsson

et al. 1998

European Spine Journal

View full text Add to dashboard Cite

show abstract

“…2,3 It is estimated that about 40% of low back pain are work-related, with probable variations by region, level of economic development of the country, and the occupation of workers. 4 Approximately 30% of patients with acute back pain will not be fully recovered in 6 months and may develop chronic pain or recurrent episodes of low back pain (LBP), which emphasizes the importance of diagnosis.…”

mentioning

confidence: 99%

“…4 Approximately 30% of patients with acute back pain will not be fully recovered in 6 months and may develop chronic pain or recurrent episodes of low back pain (LBP), which emphasizes the importance of diagnosis. 3 Although the causal relationship is questionable, some risk factors should be pointed out such as the work dependent on vigorous physical activity, repetitive movements and which demand paraspinal muscles (getting up and down, bending, etc. ), exposure to vibration, prolonged static postures, and more.…”

mentioning

confidence: 99%

Initial approach to patients with acute lower back pain

Joaquim

2016

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

Low back pain is in one of the most common reasons for seeking medical care in emergency care units, and also the second most common cause of work absenteeism. The recognition of red flags for serious diseases such as tumors and fractures, through proper history-taking and clinical examination, is essential for proper treatment and to rule out differential diagnoses. In the absence of suspected severe underlying disease, subsidiary radiological examinations are unnecessary. Analgesic and anti-inflammatory drugs are the treatment of choice and can be cautiously associated with muscle relaxants and opioids in more severe cases. Most patients will have complete improvement of symptoms after a few months, but a minority can develop chronic low back pain or present with recurrent episodes. The proper understanding of all of the above can optimize results and avoid diagnostic and therapeutic errors.

show abstract

Practitioner Self-confidence and Patient Outcomes in Acute Low Back Pain

Smucker

Konrad²,

Curtis³

et al. 1998

Archives of Family Medicine

View full text Add to dashboard Cite

show abstract

The Outcomes and Costs of Care for Acute Low Back Pain among Patients Seen by Primary Care Practitioners, Chiropractors, and Orthopedic Surgeons

Abstract: Among patients with acute low back pain, the outcomes are similar whether they receive care from primary care practitioners, chiropractors, or orthopedic surgeons. Primary care practitioners provide the least expensive care for acute low back pain.

Cited by 485 publications

References 17 publications

Conservative treatment in patients sick-listed for acute low-back pain: a prospective randomised study with 12 months' follow-up

Conservative treatment in patients sick-listed for acute low-back pain: a prospective randomised study with 12 months' follow-up

Initial approach to patients with acute lower back pain

Practitioner Self-confidence and Patient Outcomes in Acute Low Back Pain

Contact Info

Product

Resources

About