Evidence map›Paper›PMID 37154804›Full record

ArticleScandinavian journal of primary health care2023

Demographic and clinical characteristics of patients with low back pain in primary and secondary care settings in Southern Denmark.

Anders Hansen, Lars Morsø, Mette Jensen Stochkendahl, Merethe Kirstine Kousgaard Andersen, Berit Schiøttz-Christensen, Simon Dyrløv Madsen, Anders Munck, Jesper Lykkegaard

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

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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

8 authors.

Anders HansenSpine Centre of Southern Denmark, Lillebaelt Hospital, Middelfart, Denmark.ORCID 0000-0002-5400-8847
Lars MorsøOPEN, Open Patient Data Explorative Network, Odense University Hospital, Region of Southern Denmark, Odense, Denmark.ORCID 0000-0003-3084-4186
Mette Jensen StochkendahlChiropractic Knowledge Hub, Odense, Denmark.ORCID 0000-0003-0297-8267
Merethe Kirstine Kousgaard AndersenResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.ORCID 0000-0002-4833-1867
Berit Schiøttz-ChristensenResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.ORCID 0000-0003-3866-856X
Simon Dyrløv MadsenChiropractic Knowledge Hub, Odense, Denmark.ORCID 0000-0002-1054-2327
Anders MunckResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Jesper LykkegaardResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.ORCID 0000-0001-9128-6136

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe and compare the demographic and clinical characteristics of patients with acute or chronic low back pain across all health care settings treating this condition. SUBJECTS: Patients ≥16 years of age with low back pain.

main outcome measureDemographic characteristics, symptoms, and clinical findings were registered and descriptively analysed. Pearson's chi-square tested differences between the populations in the four settings. Multiple logistic regression assessed the odds of consulting specific settings, and

resultsThirty-six general practitioners, 44 chiropractors, 74 physiotherapists, and 35 secondary care Spine Centre personnel provided information on 5645 consultations, including 1462 first-visit consultations. The patients differed significantly across the settings. Patients at the Spine Centre had the most severe symptoms and signs and were most often on sick leave. Compared to the other populations, the chiropractor population was younger, whereas the physiotherapist population was older, more often females, and had prolonged symptoms. In general practice, first-time consultations were with milder cases while patients who attended for a second or later consultation had the worst symptoms, findings, and risk of sick leave compared to the other primary care settings.

conclusionThe demographic and clinical characteristics of patients with low back pain differ considerably across the health care settings treating them.KEY POINTSThe study describes the symptoms and clinical findings of patients with low back pain consulting the Danish health care system in all its settings.Patients with chiropractors were youngest, while those with physiotherapists were the oldest and most frequently female.First consultations in general practice were generally with the least symptomatic patients while those returning for a subsequent consultation had more severe disease including more sick leave compared to patients in the other primary care settings.Our findings call for caution when generalizing between health care settings for patients with low back pain.

Indexed as

Low Back PainPhysical TherapistsDemographyDenmarkFemaleHumansProspective StudiesSecondary Health CareSurveys and Questionnaireschiropracticgeneral practitionersLow back painphysical therapy specialityprimary health care

Identifiers

PMID37154804
PMCPMC10193863

What OpenQuestion holds

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LicenceCC BY
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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.