The Effect of Chiropractor-informed Triage Versus Usual Medical Management on Low Back Pain Patient Outcomes and Trajectories in Tertiary Care Settings: a Controlled Clinical Study.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 118
- 试验地点
- 1
- 主要终点
- Change from baseline in back and leg pain intensity (current and past week)
研究概览
简要总结
Almost everyone will have low back pain (LBP) at some point in their lives. LBP is a complex multifactorial condition for which diagnosis and clinical management remains a challenge. Factors such as wait times, delays in diagnosis or proper referral can result in Canadian patients having difficulty getting the care that they need. The overall objective of this project is to explore how chiropractors, who specialize in the diagnosis and clinical management of spinal conditions, can transform healthcare trajectories and improve the health of patients with LBP by integrating medical specialist team.To do so, patients with low back pain seeking medical care within the public health system will be first seen by chiropractors. Chiropractors will play a key role in identifying the type of low back pain and subsequently offering guidance to medical specialists with regard to the best treatment and management options that are currently recommended. Participating patients will be followed over a year while extensive health-related data will be collected and compared to non-triage patients with LBP.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being ≥ 18 years of age
- •Being scheduled in the outpatient clinics with a primary complaint of LBP (either acute, chronic or recurring episodes), consistent with LBP definition (pain between the lower rib margins and the buttock creases, with or without associated symptoms in the lower limb(s)).
- •Being able to comprehend and express oneself in French
排除标准
- •Patients involved in litigation related to their LBP condition (i.e., worker's compensation, public automobile insurance plan or other litigations)
结局指标
主要结局
Change from baseline in back and leg pain intensity (current and past week)
时间窗: baseline, week 1, week 12, week 24 and 12 months follow-up
11-point numerical rating scale (NRS) :global measure of pain intensity anchored by two extremes of pain intensity ranging from 0 ('no pain') to 10 ('pain as bad as it could be').
次要结局
- Number of subsequent visits to the outpatient clinic or medical specialist(over a one year period)
- Number of significant pain episodes of LBP(over a one year period)
- Number of visit to non-publicity funded care(over a one year period)
- Diagnosis made by the specialist(up to 4 weeks post-baseline assessment)
- Number of requests for medication prescriptions(over a one year period)
- Disability(baseline, week 1, week 12, week 24 and 12 months follow-up)
- Patient satisfaction(After the baseline assessment)
- Number of requests for medical imaging(over a one year period)
- Change from baseline Health-related quality of life(baseline, week 1, week 12, week 24 and 12 months follow-up)
- General expectations of recovery(baseline)
- Perceived Global Rating of Change(week 1, week 12, week 24 and 12 months follow-up)
- Number of requests for laboratory tests(over a one year period)
研究者
Martin Descarreaux
Full professor
Université du Québec à Trois-Rivières