Primary care physicians’ attitude and reported prescribing behavior for chronic low back pain: An exploratory cross-sectional study

Autor: Anne-Sylvie Bill, Isabelle Decosterd, Eléonore Aveni, Lilli Herzig, Daria Koutaissoff, Jérôme Pasquier, Jenny Ros, Bernard Burnand, Pierre-Yves Rodondi, Julie Dubois
Rok vydání: 2018
Předmět:
Complementary Therapies
Male
Medical Doctors
NSAIDs
Cross-sectional study
Health Care Providers
Acupuncture Therapy
Attitude of Health Personnel
Chronic Pain/therapy
Cross-Sectional Studies
Female
Humans
Low Back Pain/drug therapy
Low Back Pain/therapy
Manipulation
Chiropractic
Manipulation
Osteopathic
Middle Aged
Physical Therapy Modalities
Physicians
Primary Care
Practice Patterns
Physicians'
Surveys and Questionnaires
Switzerland
lcsh:Medicine
Pathology and Laboratory Medicine
Logistic regression
0302 clinical medicine
Medicine and Health Sciences
Medical Personnel
030212 general & internal medicine
lcsh:Science
Physiotherapy
Response rate (survey)
Analgesics
Multidisciplinary
Pharmaceutics
Drugs
Chronic low back pain
Professions
Chronic Pain
Manual therapy
Research Article
medicine.medical_specialty
Lower Back Pain
Pain
Primary care
03 medical and health sciences
Signs and Symptoms
Pharmacotherapy
Drug Therapy
Complementary and Alternative Medicine
Diagnostic Medicine
Physicians
Acupuncture
medicine
Primary Care
Pharmacology
Treatment Guidelines
Health Care Policy
business.industry
lcsh:R
Pain management
Health Care
People and Places
Physical therapy
Population Groupings
lcsh:Q
business
Low Back Pain
030217 neurology & neurosurgery
Zdroj: PloS one, vol. 13, no. 9, pp. e0204613
PLoS ONE, Vol 13, Iss 9, p e0204613 (2018)
PLoS ONE
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0204613
Popis: Objective Recent guidelines for chronic or recurrent low back pain recommend non-pharmacologic treatments as first-line options. The objective of this study was thus to explore the perceived usefulness of several conventional and complementary medicine treatments for chronic or recurrent low back pain by primary care physicians and their reported prescribing behavior. Design An exploratory cross-sectional study. Setting and participants Primary care physicians of the French-speaking part of Switzerland. Main outcome measures Primary care physicians’ perceived usefulness of each conventional and complementary medicine treatment and their reported recommendation behavior were considered dependent variables in multivariate logistic regression models. All correlations were computed between binary variables, and phi coefficients were calculated to estimate correlation strengths. Results 533 primary care physicians answered the questionnaire (response rate: 25.6%). The top 3 conventional treatments most often considered useful by primary care physicians for chronic or recurrent low back pain were physiotherapy (94.8%), nonsteroidal anti-inflammatory drugs (87.9%), and manual therapy (82.5%), whereas the most prescribed conventional treatments were physiotherapy (99.2%), nonsteroidal anti-inflammatory drugs (97.4%), and acetaminophen (94.4%). Osteopathic treatment (78.4%), yoga (69.3%), and therapeutic massage (63.9%) were the complementary medicine treatments most often considered useful by primary care physicians in managing chronic or recurrent low back pain. Being a female physician, younger than 56 years, trained in complementary medicine, or using complementary medicine were all associated with higher perceived usefulness of complementary medicine treatments in general. The most recommended complementary medicine treatments by primary care physicians were osteopathic treatment (87.3%), acupuncture (69.3%), and therapeutic massage (58.7%). Being a female physician, younger than 56, and using complementary medicine were all associated with more complementary medicine recommendation in general. Conclusion Our results highlight the importance of better understanding the prescribing patterns of primary care physicians for chronic or recurrent low back pain. Considering the frequency and burden of chronic or recurrent low back pain, programs focusing on the most (cost-) effective treatments should be implemented.
Databáze: OpenAIRE
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