![]() ![]() A “specific clinical enquiry” search on PubMed identifies more than 1200 published trials and systematic reviews on LBP therapy. 4Ĭlinical practice guidelines aim to provide the clinician with evidence-based recommendations for patient treatment. 4 Moreover, LBP problems are estimated to be the seventh most common reason for a general practitioner (GP) visit in Australia 5 and the fifth most common reason in the United States. In the United States, the figure is over $50 billion. The direct costs of treatment in Australia are approximately A$1 billion per annum (US $927.7 million) 3 with a further A$8 billion spent on indirect costs. With a point prevalence of 25% 1 and half of those with LBP expected to seek care, 2 the economic burden is enormous. Low back pain (LBP) continues to be a major burden for individuals and society. ![]() The unendorsed care may contribute to the high costs of managing LBP, and some aspects of the care provided carry a higher risk of adverse effects. This situation has not improved over time. This pattern of care was the same in the periods before and after the release of the local guideline.Ĭonclusions The usual care provided by GPs for LBP does not match the care endorsed in international evidence-based guidelines and may not provide the best outcomes for patients. Instead, the analgesics provided were typically nonsteroidal anti-inflammatory drugs (37.4%) and opioids (19.6%). Guidelines recommend that initial care should focus on advice and simple analgesics, yet only 20.5% and 17.7% of patients received these treatments, respectively. Results Although guidelines discourage the use of imaging, over one-quarter of patients were referred for imaging. The proportion of patient encounters in which care arranged by a GP aligned with these key recommendations was determined for the period 2005 through 2008 and separately for the period before the release of the local guideline in 2004 (2001-2004). Methods Care provided in 3533 patient visits to GPs for a new episode of LBP was mapped to key recommendations in treatment guidelines. ![]() We aimed to describe the usual care provided by general practitioners (GPs) and to compare this with recommendations of best practice in international evidence-based guidelines for the management of acute LBP. Shared Decision Making and Communicationīackground Acute low back pain (LBP) is primarily managed in general practice.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.From fracture care to arthroscopic repairs to joint replacement, our team offers the most advanced treatment options available to relieve pain and get you back to the activities you love. Providing our patients with the highest quality, state-of-the-art comprehensive orthopedic care is our mission. ![]() Our focus is total musculoskeletal health and supporting our patients’ journey through injury and recovery, and we have a team approach to care with orthopedic services, outpatient surgery center, MRI, physical therapy and trauma services. When it comes to the expert care of your musculoskeletal system, our 10 Fellowship trained and Board Certified Orthopedic Surgeons offer knowledge and experience that allows them to treat both routine and difficult joint, bone, and soft tissue problems. About Front Range Orthopedics & Spineįront Range Orthopedics & Spine empowers patients to keep their bodies in pace with their passions. All FROC operations will immediately identify as OCR and actively adopt the healthcare provider’s standard of procedures and robust resources. This new partnership forms the largest privately owned fully vertically integrated orthopedic and spine medical group in Colorado, and one of the largest in the U.S. Orthopaedic & Spine Center of the Rockies (OCR) and Front Range Orthopedics & Spine (FROC) have merged into one entity under the OCR name as of January 1, 2021. Appointment Request Our Providers Our Locations ![]()
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