Usual care for low back pain and barriers to best practice: A cross-sectional study in Danish general practice
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Usual care for low back pain and barriers to best practice : A cross-sectional study in Danish general practice. / Arnbak, Bodil Al Mashhadi; Jensen, Tue Secher; Lund, Rikke Arnborg; Hartvigsen, Jan; Søndergaard, Jens; Thomsen, Janus Laust; Andersen, John Sahl; Møller, Anne; Nørgaard, Birgitte; Rossen, Camilla Blach; Kongsted, Alice.
In: Musculoskeletal Care, Vol. 22, No. 2, e1911, 2024.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Usual care for low back pain and barriers to best practice
T2 - A cross-sectional study in Danish general practice
AU - Arnbak, Bodil Al Mashhadi
AU - Jensen, Tue Secher
AU - Lund, Rikke Arnborg
AU - Hartvigsen, Jan
AU - Søndergaard, Jens
AU - Thomsen, Janus Laust
AU - Andersen, John Sahl
AU - Møller, Anne
AU - Nørgaard, Birgitte
AU - Rossen, Camilla Blach
AU - Kongsted, Alice
N1 - Publisher Copyright: © 2024 The Author(s). Musculoskeletal Care published by John Wiley & Sons Ltd.
PY - 2024
Y1 - 2024
N2 - Objectives: To describe the current content of low back pain (LBP) care in Danish general practice, the patients' self-management activities, and the clinicians' experienced barriers to providing best practice care. Methods: This cross-sectional observational study included adults with LBP seeking care in Danish general practice from August 2022 to June 2023. Patient-reported information included demographics, pain intensity, medical history, treatments, and self-management strategies. Clinicians provided data specific to each consultation, detailing the content of these consultations, and barriers to best practice in the specific cases. Results: The study involved 71 clinicians from 42 general practice clinics, with patient-reported data from 294 patients, and clinician-reported data from 283 (95%) consultations. The mean age for the included patients was 53 years, 56% were female, and 31% had been on sick leave for LBP during the previous 3 months. Moreover, 44% had seen two or more healthcare professionals in the previous month, 55% had previously undergone diagnostic imaging for LBP, 81% reported using any type of analgesics, and 14% reported using opioids. The majority (91%) reported engaging in self-management activities to alleviate pain. Consultations typically included a physical examination (84%), information about the cause of the pain (74%), and management advice (68%), as reported by clinicians or patients. In general, clinicians reported consultation elements more frequently than patients. Clinicians reported providing best practice care in 84% of cases, with time constraints (23%) and patient expectations (10%) being the most common barriers. Conclusions: This study provides detailed insights into the management of LBP in Danish general practice. It reveals a complex landscape of patient engagement, varying management strategies, and differing perceptions of care content between patients and clinicians. Patients were often engaged in self-management activities and clinicians reported few barriers to providing best practice care.
AB - Objectives: To describe the current content of low back pain (LBP) care in Danish general practice, the patients' self-management activities, and the clinicians' experienced barriers to providing best practice care. Methods: This cross-sectional observational study included adults with LBP seeking care in Danish general practice from August 2022 to June 2023. Patient-reported information included demographics, pain intensity, medical history, treatments, and self-management strategies. Clinicians provided data specific to each consultation, detailing the content of these consultations, and barriers to best practice in the specific cases. Results: The study involved 71 clinicians from 42 general practice clinics, with patient-reported data from 294 patients, and clinician-reported data from 283 (95%) consultations. The mean age for the included patients was 53 years, 56% were female, and 31% had been on sick leave for LBP during the previous 3 months. Moreover, 44% had seen two or more healthcare professionals in the previous month, 55% had previously undergone diagnostic imaging for LBP, 81% reported using any type of analgesics, and 14% reported using opioids. The majority (91%) reported engaging in self-management activities to alleviate pain. Consultations typically included a physical examination (84%), information about the cause of the pain (74%), and management advice (68%), as reported by clinicians or patients. In general, clinicians reported consultation elements more frequently than patients. Clinicians reported providing best practice care in 84% of cases, with time constraints (23%) and patient expectations (10%) being the most common barriers. Conclusions: This study provides detailed insights into the management of LBP in Danish general practice. It reveals a complex landscape of patient engagement, varying management strategies, and differing perceptions of care content between patients and clinicians. Patients were often engaged in self-management activities and clinicians reported few barriers to providing best practice care.
KW - general practice
KW - healthcare
KW - low back pain
KW - self-management
U2 - 10.1002/msc.1911
DO - 10.1002/msc.1911
M3 - Journal article
C2 - 38923268
AN - SCOPUS:85196773200
VL - 22
JO - Musculoskeletal Care
JF - Musculoskeletal Care
SN - 1478-2189
IS - 2
M1 - e1911
ER -
ID: 396925324