National trends in nonoperative care for nonspecific back pain.
National trends in nonoperative care for nonspecific back pain.
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DOI：
10.1016/j.spinee.2003.08.003
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发表时间：
2004-01-01
期刊：
影响因子：
--
通讯作者：
Huang, Grant D
中科院分区：
文献类型：
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作者：
Feuerstein, Michael;Marcus, Steven C;Huang, Grant D
背景情况：很少有经验数据可以证明非特异性腰痛的评估和治疗的基于人群的比率的变化。目的：确定1987年至1997年美国非特异性腰痛的门诊评估和治疗模式的变化程度。1987年全国医疗支出调查和1997年医疗支出小组调查，两个具有全国代表性的调查，采用类似的抽样方法和问题，被使用。非特异性背痛的任何卫生服务的比率变化以及提供者特定护理和所提供服务类型的发生率。特定药物类别（即，非甾体抗炎药[NSAID]，肌肉松弛剂，非麻醉性和麻醉性镇痛药）处方的变化也investigated.RESULTS：门诊治疗非特异性背痛在美国人口的整体率是相对稳定的十年（4.48%，1987年，4.53%，1997年，p= 0.85）。在接受治疗的人中，接受医生治疗的比例从1987年的64%上升到1997年的74%（p
BACKGROUND CONTEXT: Few empirical data are available that document changes in population-based rates for the evaluation and treatment of nonspecific back pain.PURPOSE: To determine the extent of change in the pattern of outpatient evaluation and treatment of nonspecific low back pain in the United States between 1987 and 1997.STUDY DESIGN AND SETTING: The 1987 National Medical Expenditure Survey and the 1997 Medical Expenditure Panel Survey, two nationally representative surveys with similar sampling methods and questions, were used.PATIENT SAMPLE: Noninstitutionalized adults in the United States.OUTCOME MEASURES: Changes in rates of any health service for nonspecific back pain and occurrence of provider-specific care and types of services provided. Changes in the prescription of specific medication classes (ie, nonsteroidal anti-inflammatory drugs [NSAIDs], muscle relaxants, nonnarcotic and narcotic analgesics) were also investigated.RESULTS: Overall rate for outpatient treatment for nonspecific back pain in the US population was relatively stable over the decade (4.48% in 1987, 4.53% in 1997, p=.85). Among those receiving care, the proportion receiving physician care increased from 64% in 1987 to 74% in 1997 (p