Non-specific low back pain in primary care in the Spanish National Health Service: a prospective study on clinical outcomes and determinants of management
2006

Management of Non-Specific Low Back Pain in Spanish Primary Care

Sample size: 648 publication 10 minutes Evidence: moderate

Author Information

Author(s): Francisco M Kovacs, Carmen Fernández, Antonio Cordero, Alfonso Muriel, Luis González-Luján, María Teresa Gil del Real

Primary Institution: Fundación Kovacs

Hypothesis

What factors influence the management of non-specific low back pain in primary care settings?

Conclusion

After two months of treatment, more than one third of patients continued to experience low back pain, indicating a need for improved management strategies.

Supporting Evidence

  • 37% of patients were still in pain after 2 months.
  • 91.7% of patients received medication.
  • 43.1% of patients underwent X-ray examinations.
  • Only 4.3% of patients had chronic low back pain.
  • 56.6% of participants were in a potentially active work situation.

Takeaway

Doctors in Spain often see patients with back pain, and even after treatment, many still hurt after two months. This shows that we need to find better ways to help them feel better.

Methodology

A cross-sectional study involving 648 patients recruited by 75 physicians across 40 primary care centers in Spain, with assessments at baseline, 14 days, and 60 days.

Potential Biases

The study may be biased as only interested physicians participated, potentially skewing the results towards better management practices.

Limitations

Only 20.8% of invited physicians participated, which may affect the generalizability of the findings.

Participant Demographics

Mean age of participants was 46.5 years, with 56.6% being workers and 52.5% female.

Statistical Information

P-Value

0.000

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6963-6-57

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