ArticleBMC family practice2013
Patients' expectations of acute low back pain management: implications for evidence uptake.
Article in BMC family practice, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
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The trial behind it
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Who cites it
25 citing papers in PubMed, 61 citations in OpenAlex.
- The influence of a MOBile-based video Instruction for Low back pain (MOBIL) on initial care decisions made by primary care providers: a randomized controlled trial.BMC family practice · 2021Trial
- Expectations of pain and functioning in patients with musculoskeletal disorders: a cross-sectional study.BMC musculoskeletal disorders · 2017Trial
- Let's talk about pain: A mixed methods exploration of patients' pain knowledge and preferred ways to introduce the biopsychosocial model of pain.Canadian journal of pain = Revue canadienne de la douleur · 2026Article
- Facilitators and barriers to deferring imaging for acute low back pain: a qualitative study.BMC primary care · 2025Article
- Article
- [Pain prevention in the primary care setting : Facts for resident physicians].Schmerz (Berlin, Germany) · 2021Review
- Patient Expectations From Consultation and Treatment of Spine Pain in a Private Spine Rehabilitation Clinic in Urban India.Journal of patient experience · 2021Article
- Concordance of patient beliefs and expectations regarding the management of low back pain with guideline recommendations - a cross-sectional study in Germany.BMC family practice · 2020Article
- Plausibility of Using a Checklist With YouTube to Facilitate the Discovery of Acute Low Back Pain Self-Management Content: Exploratory Study.JMIR formative research · 2020Article
- Clinician and patient beliefs about diagnostic imaging for low back pain: a systematic qualitative evidence synthesis.BMJ open · 2020Article
- Characterizing patients' expectations in hip and knee osteoarthritis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020Article
- Article
- Imaging use for low back pain by Ontario primary care clinicians: protocol for a mixed methods study - the Back ON study.BMC musculoskeletal disorders · 2019Article
- Using behaviour change theory and preliminary testing to develop an implementation intervention to reduce imaging for low back pain.BMC health services research · 2018Article
- Patients' perceived needs for medical services for non-specific low back pain: A systematic scoping review.PloS one · 2018Article
- Diagnosis and management of low-back pain in primary care.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017Review
- Using Electronic Health Records and Clinical Decision Support to Provide Return-to-Work Guidance for Primary Care Practitioners for Patients With Low Back Pain.Journal of occupational and environmental medicine · 2017Review
- "Take me seriously and do something!" - a qualitative study exploring patients' perceptions and expectations of an upcoming orthopaedic consultation.BMC musculoskeletal disorders · 2017Article
- Causal Attribution and Coping Maxims Differences between Immigrants and Non-Immigrants Suffering from Back Pain in Switzerland.PloS one · 2016Article
- Physical Therapy or Advanced Imaging as First Management Strategy Following a New Consultation for Low Back Pain in Primary Care: Associations with Future Health Care Utilization and Charges.Health services research · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn many countries, general practitioner (GP) care of acute low back pain often does not adhere to evidence-based clinical guidelines. There has been little exploration of this deviation from evidence-based care from the patients' perspective, particularly in relation to patients' care expectations. The aim of this study was to explore the care expectations in patients who present to their GP with acute low back pain, influences on expectation development, and congruence of these expectations with clinical guideline recommendations.
methodsQualitative study in an inner urban general practice in Brisbane, Australia. Semi-structured interviews were conducted with 11 patients who presented to their GP with acute low back pain.
resultsPatients had a biomechanical understanding of back pain, how it should be tested and treated, and a poor understanding of its natural history. Most expected x-rays, believing they were necessary to identify the "cause of the pain" without belief of any downsides to x-rays. Patients' expectations were primarily influenced by the experiences of family and friends, their own previous experiences of low back pain care, and comments from other health professionals they were consulting. The GP-patient relationship was important in influencing patient satisfaction of care provided. Most patient expectations, and some of the care that they reported receiving, were incongruent with guideline recommendations.
conclusionsA biomechanical approach to management rather than an awareness of empirical evidence was evident in patients' expectations. Communication and education by the GP that includes specifically enquiring about patients' expectations, provides an opportunity to correct misperceptions, explain acute low back pain natural history, and the rationale for test and treatment recommendations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.