scholarly journals Self-reported assessment of disability and performance-based assessment of disability are influenced by different patient characteristics in acute low back pain

2009 ◽  
Vol 19 (4) ◽  
pp. 633-640 ◽  
Author(s):  
Benedict Martin Wand ◽  
Lara A. Chiffelle ◽  
Neil Edward O’Connell ◽  
James Henry McAuley ◽  
Lorraine Hilary DeSouza
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Patient Characteristics ◽  
Low Back ◽  
Acute Low Back Pain ◽  
Performance Based Assessment ◽  
And Performance

scholarly journals Prescribing Patterns of Pain Medications in Unspecific Low Back Pain in Primary Care: A Retrospective Analysis

2021 ◽  
Vol 10 (7) ◽  
pp. 1366
Author(s):  
Stefania Di Gangi ◽  
Giuseppe Pichierri ◽  
Stefan Zechmann ◽  
Thomas Rosemann ◽  
Andreas Plate
Keyword(s):  
Primary Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Multivariable Analysis ◽  
Patient Characteristics ◽  
Pain Medication ◽  
Prescribing Patterns ◽  
Low Back ◽  
Acute Low Back Pain ◽  
Pain Medications

Acute low back pain (LBP) is one of the most prevalent diseases worldwide. Since there is evidence of excessive prescriptions of analgesics, i.e., opioids, the aim of this study was to describe the use of pain medications in patients with LBP in the Swiss primary care setting. A retrospective, observational study was performed using medical prescriptions of 180 general practitioners (GP) during years 2009–2020. Patterns of pain medications (nonsteroidal anti-inflammatory drugs (NSAIDs), paracetamol, and opioids) as well as co-medications were analyzed in patients with a LBP diagnosis. Univariable and multivariable regression analyses assessed GP and patient characteristics associated with the prescription of pain medication. Patients included were 10,331 (mean age 51.7 years, 51.2% female); 6449 (62.4%) received at least one pain medication and of these 86% receive NSAIDs and 22% opioids. GP characteristics (i.e., self-employment status) and patient characteristics (male gender and number of consultations) were associated with significantly higher odds of receiving any pain medication in multivariable analysis. 3719 patients (36%) received co-medications. Proton-pump-inhibitors and muscle relaxants were the most commonly used co-medications. In conclusion, two-thirds of LBP patients were treated with pain medications. Prescribing patterns were conservative, with little use of strong opioids and co-medications.

Acute low back pain: Diagnostics and treatment

2001 ◽  
Vol 5 (2) ◽  
pp. 80-84 ◽  
Author(s):  
Faith Coleman Becker
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Acute Low Back Pain

Low Back Pain in Commercial Airline Pilots

2020 ◽  
Vol 91 (12) ◽  
pp. 940-947
Author(s):  
Matthias Albermann ◽  
Maria Lehmann ◽  
Christian Eiche ◽  
Joachim Schmidt ◽  
Johannes Prottengeier
Keyword(s):  
Risk Factors ◽  
Low Back Pain ◽  
Back Pain ◽  
Online Survey ◽  
German Population ◽  
Low Back ◽  
Airline Pilots ◽  
Acute Low Back Pain ◽  
Commercial Airline ◽  
Negative Effect

BACKGROUND: In their working life, airline pilots are exposed to particular risk factors that promote nonspecific low back pain (LBP). Because of the varying incidence internationally, we evaluated the point prevalences of acute, subacute, and chronic nonspecific LBP, as well as the current prevalences in German airline pilots. Furthermore, we compared the prevalence to the general German population and to European counterparts.METHODS: An anonymous online survey of 698 participating German airline pilots was evaluated. The impairment between groups was analyzed. Prevalences from our data were compared to existing data.RESULTS: The following point prevalences were found: 8.2% acute, 2.4% subacute, 82.7% chronic LBP; 74.1% of all individuals were suffering from current LBP when answered the questionnaire. A total time spent flying greater than 600 h within the last 12 mo was significantly related to acute nonspecific LBP. Individuals with any type of LBP were significantly impaired compared to those unaffected. It was found that German airline pilots suffer more often from current LBP than the general population and have a higher point prevalence of total LBP than their European counterparts.CONCLUSIONS: The evaluation showed a surprisingly high, previously unidentified, prevalence of nonspecific LBP in German airline pilots. Why German airline pilots suffer more often from LBP remains uncertain. The number of flying hours appears to have a negative effect on developing acute low back pain, but causation cannot be concluded. Other risk factors could not be confirmed.Albermann M, Lehmann M, Eiche C, Schmidt J, Prottengeier J. Low back pain in commercial airline pilots. Aerosp Med Hum Perform. 2020; 91(12):940947.

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