Primary care physicians’ attitude and reported prescribing behavior for chronic low back pain: An exploratory cross-sectional study

• DOI: 10.1371/journal.pone.0204613
• Publication Date: 2018-09-27T17:48:09Z
• Authors: Pierre-Yves Rodondi; Julie Dubois; Anne-Sylvie Bill; Daria Koutaïssoff; Jenny Ros; Eléonore Aveni; Jérôme Pasquier; Lilli Herzig; Isabelle Decosterd; Bernard Burnand
• Keywords: Integrative Medicine; Cross-sectional study; Back Pain; Manual therapy; Primary care physician

Objective Recent guidelines for chronic or recurrent low back pain recommend non-pharmacologic treatments as first-line options. The objective of this study was thus to explore the perceived usefulness several conventional and complementary medicine by primary care physicians their reported prescribing behavior. Design An exploratory cross-sectional study. Setting participants Primary French-speaking part Switzerland. Main outcome measures physicians' each treatment recommendation behavior were considered dependent variables in multivariate logistic regression models. All correlations computed between binary variables, phi coefficients calculated estimate correlation strengths. Results 533 answered questionnaire (response rate: 25.6%). top 3 most often useful physiotherapy (94.8%), nonsteroidal anti-inflammatory drugs (87.9%), manual therapy (82.5%), whereas prescribed (99.2%), (97.4%), acetaminophen (94.4%). Osteopathic (78.4%), yoga (69.3%), therapeutic massage (63.9%) managing pain. Being a female physician, younger than 56 years, trained medicine, using all associated with higher general. recommended osteopathic (87.3%), acupuncture (58.7%). 56, more Conclusion Our results highlight importance better understanding patterns Considering frequency burden pain, programs focusing on (cost-) effective should be implemented.