Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Will This Patient Develop Persistent Disabling Low Back Pain?

Will This Patient Develop Persistent Disabling Low Back Pain? THE RATIONAL CLINICIAN’S CORNER CLINICAL EXAMINATION Will This Patient Develop Persistent Disabling Low Back Pain? Roger Chou, MD Context Low back pain is extremely common. Early identification of patients more likely to develop persistent disabling symptoms could help guide decisions regarding Paul Shekelle, MD, PhD follow-up and management. PATIENT SCENARIO Objective To systematically review the usefulness of individual risk factors or risk prediction instruments for identifying patients more likely to develop persistent dis- A 48-year-old woman is evaluated in abling low back pain. clinic with a 3-day history of low Data Sources Electronic searches of MEDLINE (1966-January 2010) and EMBASE back pain without leg pain. She has (1974-February 2010) and review of the bibliographies of retrieved articles. no previous history of cancer and no Study Selection Prospective studies of patients with fewer than 8 weeks of low weight loss, anorexia, or night back pain from which likelihood ratios (LRs) were calculated for prediction of persis- sweats. Her physical examination tent disabling low back pain for findings attainable during the clinical evaluation. reveals mild paralumbar tenderness with normal strength, sensation, and Data Extraction Two authors independently assessed studies and extracted data to estimate LRs. lower extremity reflexes. She has not http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Will This Patient Develop Persistent Disabling Low Back Pain?

Chou, Roger; Shekelle, Paul
JAMA , Volume 303 (13) – Apr 7, 2010
Download PDF
8 pages

Loading next page...
 
/lp/american-medical-association/will-this-patient-develop-persistent-disabling-low-back-pain-bJa104SJ1j

References (58)

Publisher
American Medical Association
Copyright
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2010.344
pmid
20371789
Publisher site
See Article on Publisher Site

Abstract

THE RATIONAL CLINICIAN’S CORNER CLINICAL EXAMINATION Will This Patient Develop Persistent Disabling Low Back Pain? Roger Chou, MD Context Low back pain is extremely common. Early identification of patients more likely to develop persistent disabling symptoms could help guide decisions regarding Paul Shekelle, MD, PhD follow-up and management. PATIENT SCENARIO Objective To systematically review the usefulness of individual risk factors or risk prediction instruments for identifying patients more likely to develop persistent dis- A 48-year-old woman is evaluated in abling low back pain. clinic with a 3-day history of low Data Sources Electronic searches of MEDLINE (1966-January 2010) and EMBASE back pain without leg pain. She has (1974-February 2010) and review of the bibliographies of retrieved articles. no previous history of cancer and no Study Selection Prospective studies of patients with fewer than 8 weeks of low weight loss, anorexia, or night back pain from which likelihood ratios (LRs) were calculated for prediction of persis- sweats. Her physical examination tent disabling low back pain for findings attainable during the clinical evaluation. reveals mild paralumbar tenderness with normal strength, sensation, and Data Extraction Two authors independently assessed studies and extracted data to estimate LRs. lower extremity reflexes. She has not

Journal

JAMA – American Medical Association

Published: Apr 7, 2010

There are no references for this article.