Access the full text.
Sign up today, get DeepDyve free for 14 days.
J. Mafi, E. McCarthy, Roger Davis, B. Landon (2013)
Worsening trends in the management and treatment of back pain.JAMA internal medicine, 173 17
D. Cherkin, R. Deyo, E. Volinn, J. Loeser (1992)
Use of the International Classification of Diseases (ICD‐9‐CM) to Identify Hospitalizations for Mechanical Low Back Problems in Administrative DatabasesSpine, 17
C. Demetrescu, Michael Kaufmann, S. Kobourov, Petra Mutzel (1998)
1 Executive summary
C. Green, K. Anderson, T. Baker, L. Campbell, S. Decker, R. Fillingim, D. Kalauokalani, K. Lasch, C. Myers, R. Tait, K. Todd, A. Vallerand (2003)
The unequal burden of pain: confronting racial and ethnic disparities in pain.Pain medicine, 4 3
S. Haldeman, L. Carroll, J. Cassidy, Jon Schubert, Å. Nygren (2009)
The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders: executive summary.Journal of manipulative and physiological therapeutics, 32 2 Suppl
K. Todd, Nigel Samaroo, J. Hoffman (1993)
Ethnicity as a risk factor for inadequate emergency department analgesia.JAMA, 269 12
J. Kress, B. Gehlbach, M. Lacy, N. Pliskin, A. Pohlman, Jesse Hall (2003)
The long-term psychological effects of daily sedative interruption on critically ill patients.American journal of respiratory and critical care medicine, 168 12
Letters the need for increased vigilance. While we acknowledge that the intensive care unit (ICU) is, and will always remain, a high- To the Editor We wish to congratulate Mafi and colleagues on intensity monitoring and treatment environment, in our ar- their article “Worsening Trends in the Management and Treat- ticle we explicated that more intensive monitoring and treat- ment of Back Pain.” The assessment and management of back ment is in many cases not associated with better outcome and pain has long been recognized as suboptimal in the United may even do harm. We therefore do not agree with the au- States, with perceived overutilization of health services that thors’ suggestion that any reduction in vigilance, monitor- are not in accordance with recommendations from evidence- ing, and treatment intensity will lead to undesirable clinical based clinical practice guidelines (CPGs) and underutiliza- outcomes because there is simply no evidence to support this. tion of recommended health services. Nevertheless, this ar- For instance, with regard to monitoring, a recent meta- ticle has stimulated additional thought on several issues that analysis confirmed the results found in the observational warrant attention. study we initially referred to by showing that a restrictive chest
JAMA Internal Medicine – American Medical Association
Published: Mar 1, 2014
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.