caa a22 4500 445834404 CHVBK 20180317145326.0 cr unu---uuuuu 170323e20110501xx s 000 0 eng 10.1007/s00586-010-1612-6 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1612-6 Study of the information delivery by general practitioners and rheumatologists to patients with acute low back pain [Elektronische Daten] [Yves Henrotin, Dominique Moyse, Thierry Bazin, Christine Cedraschi, Bernard Duplan, Bernard Duquesnoy, Francoise Laroche, Jean-Pierre Valat, Marc Marty] Providing information to patients regarding appropriate management of LBP is a crucial component of primary care and treatment of low back pain (LBP). Limited knowledge is available, however, about the information delivered by physicians to patients with low back pain. Hence, this study aimed at evaluating (1) the self-reported practices of French physicians concerning information about patients with acute LBP (2) the consistency of these practices with the COST B13 guidelines, and (3) the effects of the delivery of a leaflet summarizing the COST B13 recommendations on the management of patient information, using the following study design: 528 French physicians [319 general practitioners (GP) and 209 rheumatologists (RH)] were asked to provide demographic information, responses to a Fear Avoidance Beliefs questionnaire adapted for physicians and responses to a questionnaire investigating the consistency of their practice with the COST B13 guidelines. Half of the participants (163 GP and 105 RH) were randomized to receive a summary of the COST B13 guidelines concerning information delivery to patient with low back pain and half (156 GP and 104 RH) were not given this information. The mean age of physicians was 52.1±7.6years, 25.2% were females, 75% work in private practice, 63.1% reported to treat 10-50 patients with LBP per month and 18.2% <10 per month. The majority of the physicians (71.0%) reported personal LBP episode (7.1% with a duration superior to 3months). Among the 18.4% (97) of the physicians that knew the COST B13 guidelines, 85.6% (83/97) reported that they totally or partially applied these recommendations in their practice. The average work (0-24) and physical activity (0-24) FABQ scores were 21.2±8.4 and 10.1±6.0, respectively. The consistency scores (11 questions scored 0 to 6, total score was standardized from 0 to 100) were significantly higher in the RH group (75.6±11.6) than in GP group (67.2±12.6; p<0.001). The delivery of a summary of the COST B13 guidelines significantly improved the consistency score (p=0.018). However, a multivariate analysis indicated that only GP consistency was improved by recommendations' delivery.The results indicated that GP were less consistent with the European COST B13 guidelines on the information of patients with acute LBP than RH. Interestingly, delivery of a summary of these guidelines to GP improved their consistency score, but not that of the RH. This suggests that GP information campaign can modify the message that they deliver to LBP, and subsequently could change patient's beliefs on LBP. Springer-Verlag, 2010 Low back pain nationallicence Information nationallicence Guidelines nationallicence Beliefs nationallicence Henrotin Yves Belgian Back Society, Bone and Cartilage Research Unit, University of Liège, Institute of Pathology, CHU Sart-Tilman, 4000, Liège, Belgium aut Moyse Dominique Médecin Statisticien, La Poissonière, 49170, Paris, France aut Bazin Thierry Centre Médical Dupic, Lyon, France aut Cedraschi Christine Multidisciplinary Pain Center, Division of Clinical Pharmacology and Toxicology, Division of General Medical Rehabilitation, Geneva University Hospitals, Geneva, Switzerland aut Duplan Bernard Hôpital Reine Hortense, Centre Hospitalier d'Aix-les-bains, Aix-les-Bains, France aut Duquesnoy Bernard Service de Rhumatologie, Hôpital Roger Salengro, Lille, France aut Laroche Francoise Centre d'Evaluation et de Traitement de la Douleur, Hôpital Saint-Antoine, Paris, France aut Valat Jean-Pierre Université François Rabelais de Tours, Rhumatologie, 37032, Tours, France aut Marty Marc Service de Rhumatologie, Hôpital Henri Mondor, Créteil, France aut European Spine Journal Springer-Verlag 20/5(2011-05-01), 720-730 0940-6719 20:5<720 2011 20 586 https://doi.org/10.1007/s00586-010-1612-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1612-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Henrotin Yves Belgian Back Society, Bone and Cartilage Research Unit, University of Liège, Institute of Pathology, CHU Sart-Tilman, 4000, Liège, Belgium aut NATIONALLICENCE 700 1- Moyse Dominique Médecin Statisticien, La Poissonière, 49170, Paris, France aut NATIONALLICENCE 700 1- Bazin Thierry Centre Médical Dupic, Lyon, France aut NATIONALLICENCE 700 1- Cedraschi Christine Multidisciplinary Pain Center, Division of Clinical Pharmacology and Toxicology, Division of General Medical Rehabilitation, Geneva University Hospitals, Geneva, Switzerland aut NATIONALLICENCE 700 1- Duplan Bernard Hôpital Reine Hortense, Centre Hospitalier d'Aix-les-bains, Aix-les-Bains, France aut NATIONALLICENCE 700 1- Duquesnoy Bernard Service de Rhumatologie, Hôpital Roger Salengro, Lille, France aut NATIONALLICENCE 700 1- Laroche Francoise Centre d'Evaluation et de Traitement de la Douleur, Hôpital Saint-Antoine, Paris, France aut NATIONALLICENCE 700 1- Valat Jean-Pierre Université François Rabelais de Tours, Rhumatologie, 37032, Tours, France aut NATIONALLICENCE 700 1- Marty Marc Service de Rhumatologie, Hôpital Henri Mondor, Créteil, France aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/5(2011-05-01), 720-730 0940-6719 20:5<720 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer