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Adherence of Irish general practitioners to European guidelines for acute low back pain: A prospective pilot study by Brona M. Fullen; Thomas Maher; Gerard Bury; Aodan Tynan; Leslie E. Daly; Deirdre A. Hurley is a Medicine article available to read on EtoBox.

What is Adherence of Irish general practitioners to European guidelines for acute low back pain: A prospective pilot study about?

## Abstract There are no national low back pain (LBP) clinical guidelines in Ireland, and neither the level of adherence of General Practitioners (GPs) to the European guidelines, nor the cost of LBP to the patient and the state, have been investigated. A prospective pilot study was conducted on 54 consenting patients (18M, 36F: mean age (SD): 40.5 (14.3) years) with a new episode of acute LBP (<3 months) attending one of nine participating GPs. Baseline demographic, LBP classification [i.e. simple back ache (SBA), nerve root pain (NRP), serious spinal pathology (SSP)] and primary care management data were recorded over a three month period. Adherence and costs were estimated based on: medication prescription, referral for investigations, treatment or consultations, and wage replacement costs (time signed off work). For both SBA and NRP, medication prescriptions were consistent with European guideline recommendations, but not for referral for further treatment (39% of SBA patients were referred on first visit), secondary care (54% of NRP patients were referred on first visit), or discontinuation of work (50% NRP patients on first GP visit). The average total cost (direct and wage r

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Author
Brona M. Fullen; Thomas Maher; Gerard Bury; Aodan Tynan; Leslie E. Daly; Deirdre A. Hurley
Publisher
Elsevier Science; Wiley (John Wiley & Sons); Wiley-Blackwell; Wiley; FASEB (ISSN 1090-3801)
Published
2007
Language
EN
Field
Medicine (Health Sciences)