The Rational Clinical Examination
David L. Simel, Drummond Rennie
Low Back Pain, Disabling
David L. Simel
Make the Diagnosis: Will This Patient Develop Disabling Back Pain?
back pain, criterion standard comparisons (diagnostic tests), likelihood ratio, low back pain, make the diagnosis, pain, prior probability, waddell's signs
"Patients who seek care for back pain of fewer than 8 weeks duration
typically have nonspecific findings, and most patients get better.
However, in primary care clinics, about 11% will have poor outcomes
after 3-6 months with problems such as work absenteeism and workman's
compensation claims. Studies show that problems with persistent
pain and functional limitations occur in a median of 26% of
patients at 3 months and 21% 1 year later. (See Original
Article for references to support these data)...."
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