PRACTICE BASED RESEARCH ON LOW BACK PAIN IN PRIMARY CARE

AHCPR已将下腰痛研究确定为主要优先事项。它 将确定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 患有急性LBP的王国包括：人口、职业、薪酬、 和临床特征；诊断评估和 从所有来源获得的治疗方法及其感知的有效性； 患者对背部问题的卫生保健资源利用率在2 首次报告数月，结果为2个月。这些数据将 被分析以确定暴露之间的关系，包括因素 介绍初始演示、治疗方法和使用模式，其中包括 结果包括持续性疼痛和残疾。政府官员的行为 在两个国家初级保健研究网络内的研究将允许 发展确定文化或国家因素的方法， 特别是在国家康复和残疾系统中 补偿，影响慢性残疾的发展。这个 拟议的两国前瞻性临床队列研究将解决这一需求 对于描述性信息，请创建用于二次分析的数据集，并 作为一项更大规模的国际研究的试点，将在 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.