Impact of National Low Back Pain Guidelines on Clinical Practice

Jackson, Jeffrey L.; Browning, Robert B.

doi:10.1097/01.smj.0000136261.21711.85

Cited by 36 publications

(25 citation statements)

References 11 publications

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“…We found that 30% of subjects received PT at some point in the year after a physician visit for a new episode of back pain. This is more than Gellhorn et al [11] reported in a large cohort of Medicare beneficiaries, 16% within 1 year, but it is similar to studies using data from the National Ambulatory Medical Care Survey, where PT referrals were made in 21% to 27% of cases [34,35].…”

Section: Discussionsupporting

confidence: 76%

Clinical outcomes of early and later physical therapist services for older adults with back pain

et al. 2015

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Section: Discussionsupporting

confidence: 76%

Clinical outcomes of early and later physical therapist services for older adults with back pain

et al. 2015

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“…7–9 Prior research among patients with back pain revealed significant increases in use of CT/MRI exams, outpatient surgical procedures, and narcotic prescriptions, but many of these studies are over a decade old, limited to specific populations (e.g., Medicare), or study different aspects of utilization such as surgeries or hospitalizations. 6,10–15 …”

mentioning

confidence: 99%

Worsening Trends in the Management and Treatment of Back Pain

et al. 2013

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“…Whether CPGs are worth the resources that continue to be dedicated to them remains a matter of speculation. 40 …”

Section: Review Of Clinical Practice Guidelines For Low Back Painmentioning

confidence: 99%

Conservative Spine Care: Opportunities to Improve the Quality and Value of Care

Kosloff

Elton

Shulman

et al. 2013

Population Health Management

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Low back pain (LBP) has received considerable attention from researchers and health care systems because of its substantial personal, social, work-related, and economic consequences. A narrative review was conducted summarizing data about the epidemiology, care seeking, and utilization patterns for LBP in the adult US population. Recommendations from a consensus of clinical practice guidelines were compared to findings about the current state of clinical practice for LBP. The impact of the first provider consulted on the quality and value of care was analyzed longitudinally across the continuum of episodes of care. The review concludes with a description of recently published evidence that has demonstrated that favorable health and economic outcomes can be achieved by incorporating evidence-informed decision criteria and guidance about entry into conservative low back care pathways. (Population Health Management 2013;16:390-396)

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Impact of National Low Back Pain Guidelines on Clinical Practice

Abstract: The AHRQ clinical practice guidelines for the management of acute low back pain had a modest impact on physician behavior, increasing the use of acetaminophen and nonsteroidals and decreasing the use of muscle relaxants and physical therapy referrals.

Cited by 36 publications

References 11 publications

Clinical outcomes of early and later physical therapist services for older adults with back pain

Clinical outcomes of early and later physical therapist services for older adults with back pain

Worsening Trends in the Management and Treatment of Back Pain

Conservative Spine Care: Opportunities to Improve the Quality and Value of Care

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