Radiography of the lumbar spine in primary care patients with low back pain: randomised controlled trial

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Primary care Radiography of the lumbar spine in primary care patients with low back pain: randomised controlled trial

Objective To test the hypothesis that radiography of the lumbar spine in patients with low back pain is not associated with improved clinical outcomes or satisfaction with care. Design Randomised unblinded controlled trial. Setting 73 general practices in Nottingham, north Nottinghamshire, southern Derbyshire, north Lincolnshire, and north Leicestershire. 52 practices recruited participants to ...

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Radiography for low back pain: a randomised controlled trial and observational study in primary care.

BACKGROUND Lumbar spine radiography has limited use in diagnosing the cause of acute low back pain. Consensus-based guidelines recommend that lumbar spine x-rays are not used routinely. However there have been no studies of the effect of referral for radiography at first presentation with low back pain in primary care. AIM To compare short and long-term physical, social, and psychiatric outco...

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Randomised controlled trial to compare surgical stabilisation of the lumbar spine with an intensive rehabilitation programme for patients with chronic low back pain: the MRC spine stabilisation trial.

OBJECTIVES To assess the clinical effectiveness of surgical stabilisation (spinal fusion) compared with intensive rehabilitation for patients with chronic low back pain. DESIGN Multicentre randomised controlled trial. SETTING 15 secondary care orthopaedic and rehabilitation centres across the United Kingdom. PARTICIPANTS 349 participants aged 18-55 with chronic low back pain of at least o...

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Comparison of stratified primary care management for low back pain with current best practice (STarT Back): a randomised controlled trial

BACKGROUND Back pain remains a challenge for primary care internationally. One model that has not been tested is stratification of the management according to the patient's prognosis (low, medium, or high risk). We compared the clinical effectiveness and cost-effectiveness of stratified primary care (intervention) with non-stratified current best practice (control). METHODS 1573 adults (aged ...

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pelvic incidence and lumbar spine instability correlations in patients with chronic low back pain

purpose many factors such as lumbar instability and spinopelvic alignment are associated with low back pain. our purpose was to analyze the pelvic incidence - one of spinopelvic alignment parameters- and spine instability correlations in patients with chronic low back pain. methods fifty-two patients suffering from chronic low back pain entered this case control study. lateral spine radiography...

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ژورنال

عنوان ژورنال: BMJ

سال: 2001

ISSN: 0959-8138

DOI: 10.1136/bmj.322.7283.400