Stratified care for patients with sciatica in primary care

Not Applicable

Completed

• Conditions: Sciatica; Musculoskeletal Diseases

• Registration Number: ISRCTN75449581
• Lead Sponsor: Keele University (UK)

Brief Summary

2017 protocol in https://www.ncbi.nlm.nih.gov/pubmed/28441971 2020 results in https://pubmed.ncbi.nlm.nih.gov/32617529/ (added 06/07/2020) 2020 results in https://pubmed.ncbi.nlm.nih.gov/33043881/ (added 13/10/2020)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2014-11-20
• Study Completion: 2019-01-31
• Last Update Posted: 26 October 2020

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 476

Inclusion Criteria

1. Aged 18 years and over
2. Consulting in general practice with back and/or leg symptoms, and GP suspects sciatica
3. Following clinical assessment in research clinics, have a clinical diagnosis of sciatica
4. Have a mobile phone that can receive and send SMS texts or have access to a land-line telephone
5. Able to read and communicate in English (to give full informed consent and to complete the baseline and outcome assessments)
6. Willing to participate

Exclusion Criteria

1. Have suspected serious spinal pathology or ?red-flags? (eg. cauda equina syndrome, suspicion of spinal tumours, infection, fractures, inflammatory spondyloarthopathy)
2. Have had any previous lumbar spine surgery
3. Are currently receiving ongoing care from or have been in consultation with a secondary care doctor or physiotherapist for the same problem in the last 3 months
4. Have serious co-morbidity preventing them from attending the research clinic and/or been able to undergo assessment and potentially interventions
5. Have severe enduring mental health condition
6. Are currently pregnant
7. Are currently participating in any other research study because they have symptoms of back and leg pain or sciatica

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Time to resolution of sciatica symptoms measured on a 6-point ordered categorical scale. Data will be collected by weekly SMS text messages for the first 4 months, then from months 4 to 12 the SMS data collection will change to monthly, or until patients report on two consecutive occasions that they have recovered.