Understanding patient beliefs regarding the use of imaging in the management of low back pain

H. J. Jenkins, M. J. Hancock, C. G. Maher, S. D. French, J. S. Magnussen

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background Imaging for low back pain (LBP) remains common despite guidelines recommending against routine imaging. Patient beliefs about imaging may contribute to the problem. This study aimed to quantitatively investigate patient beliefs regarding the need for imaging in managing LBP and to investigate whether personal characteristics, pain characteristics or back pain beliefs are associated with imaging beliefs. Methods A survey was performed of consecutive patients presenting to general medical practitioners in Sydney, Australia. Nine medical clinics were selected across varied socioeconomic regions. Survey questions assessed beliefs about the importance of imaging for LBP, collected demographic information, LBP history and general beliefs about back pain. Descriptive statistics and multivariate logistic regression were used to analyse findings. Results Three hundred completed surveys were collected with a 79.6% response rate. The mean age was 44 years and 60.7% of respondents were women. Exactly, 54.3% (95%CI: 48.7-58.9%) believed that imaging was necessary for the best medical care for LBP. Exactly, 48.0% (95%CI: 42.4-53.6%) believed that everyone with LBP should obtain imaging. Increased age, lower education level, non-European or non-Anglo-saxon cultural background, history of previous imaging and Back Beliefs Questionnaire scores were associated with beliefs that imaging was necessary. Conclusion Approximately, half of all patients presenting to a medical doctor consider low back imaging to be necessary. This may have important implications for overutilization of low back imaging investigations. Knowledge of the factors associated with the patient's belief that imaging is necessary may be helpful in designing appropriate interventions to reduce unnecessary imaging for LBP.

LanguageEnglish
Pages573-580
Number of pages8
JournalEuropean Journal of Pain (United Kingdom)
Volume20
Issue number4
DOIs
Publication statusPublished - 1 Apr 2016

Fingerprint

Low Back Pain
Back Pain
General Practitioners
Logistic Models
Demography
Surveys and Questionnaires
Guidelines
Education
Pain

Cite this

@article{b0ec31c3b9fc4b05aa4218581877e3a3,
title = "Understanding patient beliefs regarding the use of imaging in the management of low back pain",
abstract = "Background Imaging for low back pain (LBP) remains common despite guidelines recommending against routine imaging. Patient beliefs about imaging may contribute to the problem. This study aimed to quantitatively investigate patient beliefs regarding the need for imaging in managing LBP and to investigate whether personal characteristics, pain characteristics or back pain beliefs are associated with imaging beliefs. Methods A survey was performed of consecutive patients presenting to general medical practitioners in Sydney, Australia. Nine medical clinics were selected across varied socioeconomic regions. Survey questions assessed beliefs about the importance of imaging for LBP, collected demographic information, LBP history and general beliefs about back pain. Descriptive statistics and multivariate logistic regression were used to analyse findings. Results Three hundred completed surveys were collected with a 79.6{\%} response rate. The mean age was 44 years and 60.7{\%} of respondents were women. Exactly, 54.3{\%} (95{\%}CI: 48.7-58.9{\%}) believed that imaging was necessary for the best medical care for LBP. Exactly, 48.0{\%} (95{\%}CI: 42.4-53.6{\%}) believed that everyone with LBP should obtain imaging. Increased age, lower education level, non-European or non-Anglo-saxon cultural background, history of previous imaging and Back Beliefs Questionnaire scores were associated with beliefs that imaging was necessary. Conclusion Approximately, half of all patients presenting to a medical doctor consider low back imaging to be necessary. This may have important implications for overutilization of low back imaging investigations. Knowledge of the factors associated with the patient's belief that imaging is necessary may be helpful in designing appropriate interventions to reduce unnecessary imaging for LBP.",
author = "Jenkins, {H. J.} and Hancock, {M. J.} and Maher, {C. G.} and French, {S. D.} and Magnussen, {J. S.}",
year = "2016",
month = "4",
day = "1",
doi = "10.1002/ejp.764",
language = "English",
volume = "20",
pages = "573--580",
journal = "European Journal of Pain (United Kingdom)",
issn = "1090-3801",
publisher = "John Wiley & Sons",
number = "4",

}

Understanding patient beliefs regarding the use of imaging in the management of low back pain. / Jenkins, H. J.; Hancock, M. J.; Maher, C. G.; French, S. D.; Magnussen, J. S.

In: European Journal of Pain (United Kingdom), Vol. 20, No. 4, 01.04.2016, p. 573-580.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Understanding patient beliefs regarding the use of imaging in the management of low back pain

AU - Jenkins,H. J.

AU - Hancock,M. J.

AU - Maher,C. G.

AU - French,S. D.

AU - Magnussen,J. S.

PY - 2016/4/1

Y1 - 2016/4/1

N2 - Background Imaging for low back pain (LBP) remains common despite guidelines recommending against routine imaging. Patient beliefs about imaging may contribute to the problem. This study aimed to quantitatively investigate patient beliefs regarding the need for imaging in managing LBP and to investigate whether personal characteristics, pain characteristics or back pain beliefs are associated with imaging beliefs. Methods A survey was performed of consecutive patients presenting to general medical practitioners in Sydney, Australia. Nine medical clinics were selected across varied socioeconomic regions. Survey questions assessed beliefs about the importance of imaging for LBP, collected demographic information, LBP history and general beliefs about back pain. Descriptive statistics and multivariate logistic regression were used to analyse findings. Results Three hundred completed surveys were collected with a 79.6% response rate. The mean age was 44 years and 60.7% of respondents were women. Exactly, 54.3% (95%CI: 48.7-58.9%) believed that imaging was necessary for the best medical care for LBP. Exactly, 48.0% (95%CI: 42.4-53.6%) believed that everyone with LBP should obtain imaging. Increased age, lower education level, non-European or non-Anglo-saxon cultural background, history of previous imaging and Back Beliefs Questionnaire scores were associated with beliefs that imaging was necessary. Conclusion Approximately, half of all patients presenting to a medical doctor consider low back imaging to be necessary. This may have important implications for overutilization of low back imaging investigations. Knowledge of the factors associated with the patient's belief that imaging is necessary may be helpful in designing appropriate interventions to reduce unnecessary imaging for LBP.

AB - Background Imaging for low back pain (LBP) remains common despite guidelines recommending against routine imaging. Patient beliefs about imaging may contribute to the problem. This study aimed to quantitatively investigate patient beliefs regarding the need for imaging in managing LBP and to investigate whether personal characteristics, pain characteristics or back pain beliefs are associated with imaging beliefs. Methods A survey was performed of consecutive patients presenting to general medical practitioners in Sydney, Australia. Nine medical clinics were selected across varied socioeconomic regions. Survey questions assessed beliefs about the importance of imaging for LBP, collected demographic information, LBP history and general beliefs about back pain. Descriptive statistics and multivariate logistic regression were used to analyse findings. Results Three hundred completed surveys were collected with a 79.6% response rate. The mean age was 44 years and 60.7% of respondents were women. Exactly, 54.3% (95%CI: 48.7-58.9%) believed that imaging was necessary for the best medical care for LBP. Exactly, 48.0% (95%CI: 42.4-53.6%) believed that everyone with LBP should obtain imaging. Increased age, lower education level, non-European or non-Anglo-saxon cultural background, history of previous imaging and Back Beliefs Questionnaire scores were associated with beliefs that imaging was necessary. Conclusion Approximately, half of all patients presenting to a medical doctor consider low back imaging to be necessary. This may have important implications for overutilization of low back imaging investigations. Knowledge of the factors associated with the patient's belief that imaging is necessary may be helpful in designing appropriate interventions to reduce unnecessary imaging for LBP.

UR - http://www.scopus.com/inward/record.url?scp=84960491424&partnerID=8YFLogxK

U2 - 10.1002/ejp.764

DO - 10.1002/ejp.764

M3 - Article

VL - 20

SP - 573

EP - 580

JO - European Journal of Pain (United Kingdom)

T2 - European Journal of Pain (United Kingdom)

JF - European Journal of Pain (United Kingdom)

SN - 1090-3801

IS - 4

ER -