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Text
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URL Address
<a href="http://doi.org/10.1017/S1463423614000504" target="_blank" rel="noreferrer noopener">http://doi.org/10.1017/S1463423614000504</a>
Pages
461–469
Issue
5
Volume
16
Dublin Core
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Title
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The assessment and treatment of back and neck pain: an initial investigation in a primary care practice-based research network.
Publisher
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Primary health care research & development
Date
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2015
2015-09
Subject
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*Research; 80 and over; acute back and neck pain; Acute Disease; Adult; Aged; Back Pain; chronic back and neck pain; Chronic Pain; Chronic Pain/diagnosis/therapy; Female; Human; Humans; Logistic Regression; Low Back Pain; Low Back Pain/*diagnosis/*therapy; Male; Middle Aged; Neck Pain; Neck Pain/*diagnosis/*therapy; non-malignant back and neck pain; Pain Measurement; primary care providers; Primary Health Care; Primary Health Care/*methods; Prospective Studies; Surveys; T-Tests; Treatment Outcome; Young Adult
Creator
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Fischbein Rebecca; McCormick Kenelm; Selius Brian A; Schrop Susan Labuda; Hewit Michael; Baughman Kristin; Meeker James
Description
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AIM: The purpose of this study was to conduct an exploratory examination of the current state of non-malignant acute and chronic back and neck pain assessment and management among primary care providers in a multi-site, practice-based research network. BACKGROUND: Acute and chronic pain are distinct conditions that often require different assessment and management approaches, however, little research has examined assessment and management of acute and chronic pain as separate conditions. The large majority of patients with acute and chronic back and neck pain are managed in primary care settings. Given the differences between acute and chronic pain, it is necessary to identify differences in patient characteristics, practitioner evaluation, treatment and management in primary care settings. METHODS: Over a two-week period, 24 practitioners in a multi-site practice-based research network completed 196 data cards about 39 patients experiencing acute back and neck pain and 157 patients suffering from chronic back and neck pain. Findings There were significant differences between the patients experiencing acute and chronic pain in regards to practitioner evaluation, current medication management and current treatment for depression. In addition, diagnostics differed between patients experiencing acute versus chronic back and neck pain. Further, primary care providers' review of online drug monitoring program reports during the current visit was associated with current medication management using short term opioids, long-term opioids or tramadol. Most research examining acute and chronic pain focuses on the low back. Additional research needs to be conducted to explore and compare acute and chronic pain across the whole spine.
Identifier
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<a href="http://doi.org/10.1017/S1463423614000504" target="_blank" rel="noreferrer noopener">10.1017/S1463423614000504</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Research
2015
80 and over
acute back and neck pain
Acute Disease
Adult
Aged
back pain
Baughman Kristin
chronic back and neck pain
Chronic pain
Chronic Pain/diagnosis/therapy
College of Medicine
Department of Family & Community Medicine
Female
Fischbein Rebecca
Hewit Michael
Human
Humans
Logistic Regression
Low Back Pain
Low Back Pain/*diagnosis/*therapy
Male
McCormick Kenelm
Meeker James
Middle Aged
Neck Pain
Neck Pain/*diagnosis/*therapy
NEOMED College of Medicine
non-malignant back and neck pain
Pain Measurement
primary care providers
Primary Health Care
Primary health care research & development
Primary Health Care/*methods
Prospective Studies
Schrop Susan Labuda
Selius Brian A
Surveys
T-Tests
Treatment Outcome
Young Adult