Evidence map›Paper›PMID 32943052›Full record

ArticleBMC health services research2020

Health-care access and utilization among individuals with low back pain in Iran: a WHO-ILAR COPCORD study.

Seyedeh Tahereh Faezi, Azarakhsh Baghdadi, Mohammad Nejadhosseinian, Maziar Moradi-Lakeh, Mir Saeed Yekaninejad, Kourosh Holakoui, Nasrin Moghimi, Mahnaz Sandoughi, Ali Dehghan, Arash Tehrani Banihashemi and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Seyedeh Tahereh FaeziRheumatology Research center, Tehran University of Medical Sciences, North Amirabad street, Tehran, 1411713137, Iran.
Azarakhsh BaghdadiRheumatology Research center, Tehran University of Medical Sciences, North Amirabad street, Tehran, 1411713137, Iran. azarakhsh.baghdadi88@gmail.com.ORCID http://orcid.org/0000-0003-0783-9207
Mohammad NejadhosseinianRheumatology Research center, Tehran University of Medical Sciences, North Amirabad street, Tehran, 1411713137, Iran.
Maziar Moradi-LakehPreventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran.
Mir Saeed YekaninejadDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Kourosh HolakouiDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Nasrin MoghimiDepartment of Internal Medicine, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Mahnaz SandoughiDepartment of internal medicin Ali Ebn Abitaleb Hospital, Zahedan university of medical sciences, Zahedan, Iran.
Ali DehghanDepartment of Internal Medicine, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Arash Tehrani BanihashemiPreventive Medicine and Public Health Research Center, Community Medicine Department, Iran University of Medical Sciences, Tehran, Iran.
Maryam GhadimiRussell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Fereydoun DavatchiRheumatology Research center, Tehran University of Medical Sciences, North Amirabad street, Tehran, 1411713137, Iran.
Tehran University of Medical Sciences · IRIran University of Medical Sciences · IRJohns Hopkins University · USKurdistan University of Medical Sciences · IRShahid Sadoughi University of Medical Sciences and Health Services · IRZahedan University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow back pain (LBP) is a major contributor to chronic pain and disability. The purpose of this study was to evaluate health-care access and utilization among patients with LBP in Iran. We also sought to study the pattern and characteristics of care-utilization behavior in these patients.

methodsData from the Community Oriented Program for Control of Rheumatic Diseases (COPCORD) were used for this study. Three cities (Zahedan, Sanandaj, Yazd) were selected to represent the Iranian population, with different socioeconomic status and ethnic, cultural, and religious background. Demographic data, acute or chronic LBP, disability index, and utilizing care from conventional medicine (CM), allied health providers (AHP), and complementary and alternative medicine (CAM) providers were recorded.

resultsOf 9101 patients, 38.6% reported LBP. Only 3.3% did not utilize care of any kind, 66.7% referred to CM providers, 20.8% to AHP, and 9.2% to CAM care. Health-care utilization was higher in female patients, older age, higher education, and higher disability index.

conclusionsThe findings of this study indicate a high rate of health-care utilization among patients with LBP in Iran. CM is the most prevalent health-care resource sought by patients. These findings could be used as a framework in developing more efficient health-care programs according to the needs of specific populations.

Indexed as

AdultAgedFemaleHealth Services AccessibilityHumansIranLow Back PainMaleMiddle AgedPatient Acceptance of Health CarePersons with DisabilitiesWorld Health OrganizationCOPCORDEpidemiologyHealth-care accessLow back painPublic healthRheumatologic diseases

Identifiers

PMID32943052
PMCPMC7499974
OpenAlexW3087337962

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Registered trials

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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.