TY - JOUR
T1 - Clinical management of occupational low back pain in Australia
T2 - What is the real picture?
AU - Hush, Julia M.
PY - 2008/12
Y1 - 2008/12
N2 - Introduction: The aim of this study was to compare the clinical management of patients with occupational low back pain (LBP) presenting to secondary care practitioners in Australia with national and international practice guidelines. Methods: A consecutive cohort of 401 patients with LBP following a work injury was assembled at the time of referral to secondary rehabilitation. A comprehensive assessment was performed to collect demographic, clinical and occupational data, which were analysed using descriptive statistics. Clinical and occupational management data were compared with evidence-based guidelines for the management of LBP. Results: This study revealed that in this cohort presenting to secondary care, referral for guideline-based active treatment was delayed until, on average, 10 months post-injury; radiographic investigations had been ordered for almost every patient, including those presenting in the first three months of their injury; the prevalence of co-morbidities was high and there were signs that psychological distress was under-diagnosed. Conclusions: This study reveals a lack of compliance with clinical guidelines for occupational back pain management in Australia.
AB - Introduction: The aim of this study was to compare the clinical management of patients with occupational low back pain (LBP) presenting to secondary care practitioners in Australia with national and international practice guidelines. Methods: A consecutive cohort of 401 patients with LBP following a work injury was assembled at the time of referral to secondary rehabilitation. A comprehensive assessment was performed to collect demographic, clinical and occupational data, which were analysed using descriptive statistics. Clinical and occupational management data were compared with evidence-based guidelines for the management of LBP. Results: This study revealed that in this cohort presenting to secondary care, referral for guideline-based active treatment was delayed until, on average, 10 months post-injury; radiographic investigations had been ordered for almost every patient, including those presenting in the first three months of their injury; the prevalence of co-morbidities was high and there were signs that psychological distress was under-diagnosed. Conclusions: This study reveals a lack of compliance with clinical guidelines for occupational back pain management in Australia.
UR - http://www.scopus.com/inward/record.url?scp=58549104891&partnerID=8YFLogxK
U2 - 10.1007/s10926-008-9149-9
DO - 10.1007/s10926-008-9149-9
M3 - Article
C2 - 18780162
AN - SCOPUS:58549104891
SN - 1053-0487
VL - 18
SP - 375
EP - 380
JO - Journal of Occupational Rehabilitation
JF - Journal of Occupational Rehabilitation
IS - 4
ER -