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  • Management of chronic low back pain in family practice = Obravnava kronične bolečine v križu v družinski medicini
    Kersnik, Janko, 1960-2015 ; Car, Josip ; Švab, Igor
    Objective: There is a paucity of data about diagnostic and therapeutic interventions used by family practitioners (FPs) in patients with chronic low back pain. The aim of the study was to investigate ... the decision-making of FPs in the management of these patients in Slovenia. Methods: The participants were sent a written scenario about a 57-year-old man with chronic low back pain and a questionnaire inquiring about diagnostic and therapeutic proceduresused in patients with chronic low back pain. A total of 198 (25.5 %)FPs were surveyed. Results: The questionnaire was answered by 129 participants (75.4 % response rate), i.e. by 16.6 % of the population of Slovene family physicians. Fourty-five (35 %) respondents ordered one or several diagnostic tests to substantiate the diagnosis. Ordering rates were higher for FPs with larger patients lists (p = 0.02). All FPs but one prescribed medicines for pain relief. Twenty-one generic types of oral and topical analgesics from eight different groups were prescribed. Twenty-five (19.3 %) FPs added topical ointment to oral medication. Bedrest for a few dayswas recommended by 31 (24 %) FPs, and maintenance of normal daily activityby only 18 (14 %). Ninety-four (73 %) FPs advised their patients to engage in regular physical exercises. Sick notes were more frequently given byFPs who worked more hours per week (p = 0.05). Conclusions: Our study showedthat FPs take a very varied approach to the management of chronic low back pain. The results strongly indicate a need for adopting evidence-based guidelines for low back pain management.
    Vir: Zdravstveno varstvo : Slovenian journal of public health. - ISSN 0351-0026 (Letn. 44, št. 4, 2005, str. 193-198)
    Vrsta gradiva - članek, sestavni del ; neleposlovje za odrasle
    Leto - 2005
    Jezik - angleški
    COBISS.SI-ID - 1516005

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