ArticleHealth expectations : an international journal of public participation in health care and health policy2025
'I Have Never Been in That Kind of All-Consuming Pain … I Did Not Know What Else to Do': The Journey to Hospital Admission With Low Back Pain From the Perspectives of Patients.
Article in Health expectations : an international journal of public participation in health care and health policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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Who cites it
2 citing papers in PubMed.
- A Hospital Avoidance Pathway With Digitally Supported Follow-Up for Low Back Pain: An Alternative to Emergency Department Care.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- 'There's No Improvement. I'm Still Bedridden': Recovery After Hospital Admission for Low Back Pain and Alignment With Patient Expectations.Musculoskeletal care · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThere is a need to better understand patient factors contributing to low back pain (LBP)-related hospitalisations to improve health service delivery and reduce avoidable admissions.
objectiveThis study explored the experiences of people with LBP leading up to and resulting in hospital admission.
designQualitative descriptive methodology using semi-structured interviews. SETTING AND
participantsPatients admitted with non-specific LBP at a large Australian tertiary public hospital meeting specific inclusion and exclusion criteria were pragmatically identified and recruited, and they consented to participate. Interviews were audio-recorded, and thematic analysis generated codes and themes from the data.
resultsSixteen patients consented to participate. The cohort had an average age of 52 years (SD = 17) and had an average hospital length of stay of 13 days (SD = 10.8, range = 2-31). Two themes were identified. The first related to the impact of LBP on patients' lives, with sub-themes including difficulty coping with pain, difficulty managing daily activities and escalating distress. The second theme related to unmet treatment needs, with sub-themes including ineffectiveness of past treatments, inability to access timely and affordable community healthcare, and expectations for emergency care.
conclusionPatients impacted by severe LBP regarded hospitals as a last resort for management of pain when community healthcare was perceived to be ineffective or inaccessible. This study highlights the practice gaps before hospitalisation for LBP from the perspectives of patients and the need to improve the delivery and access of healthcare for this condition. PATIENT OR PUBLIC CONTRIBUTION: This study sought insights from patients with low back pain (LBP) who were admitted to hospital with LBP. The findings will inform stakeholders, including consumers, on the co-design of an optimal system of care to improve the delivery and access of health services for LBP. All patients were offered the opportunity to review a summary of the study's results.
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