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?
Topics Discussed:
back pain, criterion standard comparisons (diagnostic tests), likelihood ratio, low back pain, make the diagnosis, pain, prior probability, waddell's signs
Excerpt:
"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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