PRACTICE BASED RESEARCH ON LOW BACK PAIN IN PRIMARY CARE

AHCPR已将腰痛研究确定为主要优先事项。 它 将识别患者的特征和自然病史， 向美国和美国的初级保健医生介绍 急性LBP王国包括：人口统计学、职业、补偿， 和临床特征;诊断评估模式， 从所有来源获得的治疗及其感知的有效性; 患者在2年内利用医疗保健资源治疗背部问题 初始表现的月数和2个月时的结果。 这些数据将 分析以确定暴露之间的关系，包括因素 在最初的表现，治疗和利用模式， 结果包括持续疼痛和残疾。 的行为 两个国家初级保健研究网络内的研究将允许 制定确定文化或国家因素的方法， 特别是在国家康复和残疾人系统中， 补偿，影响慢性残疾的发展。 的 拟议的两国前瞻性临床队列研究将满足需求 对于描述性信息，创建用于次要分析的数据集，以及 作为一项更大规模的国际研究的试点， 国际初级保健网络。

AHCPR has identified research on low back pain as a major priority. It will identify the characteristics and natural history of patients presenting to primary care physicians in the United States and the United Kingdom with acute LBP including: demographic, occupational, compensation, and clinical characteristics; patterns of diagnostic evaluation and therapies received from all sources and their perceived effectiveness; patient utilization of health care resources for back problems within 2 months of initial presentation, and outcomes at 2 months. These data will be analyzed to identify relationships between exposures, including factors present at initial presentation, therapies and utilization patterns, with outcomes including persistent pain and disability. The conduct of the study within two national primary care research networks will allow development of methods to identify cultural or country factors, particularly in the national systems of rehabilitation and disability compensation, which influence development of chronic disability. The proposed binational prospective clinical cohort study will address the need for descriptive information, create a data set for secondary analyses, and serve as a pilot for a larger international study to be conducted in the International Primary Care Network.