Abstract：
OBJECTIVE: To describe the current content of low back pain (LBP) care in Danish general practice, the patients\' self-management activities, and the clinicians\' experienced barriers to providing best practice care.
METHODS: This cross-sectional observational study included adults with LBP seeking care in Danish general practice from August 2022 to June 2023. Patient-reported information included demographics, pain intensity, medical history, treatments, and self-management strategies. Clinicians provided data specific to each consultation, detailing the content of these consultations, and barriers to best practice in the specific cases.
RESULTS: The study involved 71 clinicians from 42 general practice clinics, with patient-reported data from 294 patients, and clinician-reported data from 283 (95%) consultations. The mean age for the included patients was 53 years, 56% were female, and 31% had been on sick leave for LBP during the previous 3 months. Moreover, 44% had seen two or more healthcare professionals in the previous month, 55% had previously undergone diagnostic imaging for LBP, 81% reported using any type of analgesics, and 14% reported using opioids. The majority (91%) reported engaging in self-management activities to alleviate pain. Consultations typically included a physical examination (84%), information about the cause of the pain (74%), and management advice (68%), as reported by clinicians or patients. In general, clinicians reported consultation elements more frequently than patients. Clinicians reported providing best practice care in 84% of cases, with time constraints (23%) and patient expectations (10%) being the most common barriers.
CONCLUSIONS: This study provides detailed insights into the management of LBP in Danish general practice. It reveals a complex landscape of patient engagement, varying management strategies, and differing perceptions of care content between patients and clinicians. Patients were often engaged in self-management activities and clinicians reported few barriers to providing best practice care.
METHODS: This cross-sectional observational study included adults with LBP seeking care in Danish general practice from August 2022 to June 2023. Patient-reported information included demographics, pain intensity, medical history, treatments, and self-management strategies. Clinicians provided data specific to each consultation, detailing the content of these consultations, and barriers to best practice in the specific cases.
RESULTS: The study involved 71 clinicians from 42 general practice clinics, with patient-reported data from 294 patients, and clinician-reported data from 283 (95%) consultations. The mean age for the included patients was 53 years, 56% were female, and 31% had been on sick leave for LBP during the previous 3 months. Moreover, 44% had seen two or more healthcare professionals in the previous month, 55% had previously undergone diagnostic imaging for LBP, 81% reported using any type of analgesics, and 14% reported using opioids. The majority (91%) reported engaging in self-management activities to alleviate pain. Consultations typically included a physical examination (84%), information about the cause of the pain (74%), and management advice (68%), as reported by clinicians or patients. In general, clinicians reported consultation elements more frequently than patients. Clinicians reported providing best practice care in 84% of cases, with time constraints (23%) and patient expectations (10%) being the most common barriers.
CONCLUSIONS: This study provides detailed insights into the management of LBP in Danish general practice. It reveals a complex landscape of patient engagement, varying management strategies, and differing perceptions of care content between patients and clinicians. Patients were often engaged in self-management activities and clinicians reported few barriers to providing best practice care.
摘要：
目的：描述丹麦一般实践中下腰痛（LBP）护理的当前内容，病人的自我管理活动，临床医生在提供最佳实践护理方面遇到了障碍。
方法：这项横断面观察性研究包括2022年8月至2023年6月在丹麦全科医生中寻求治疗的LBP成年人。患者报告的信息包括人口统计学，疼痛强度，病史,治疗,和自我管理策略。临床医生提供了每次咨询的具体数据，详细说明这些磋商的内容，以及特定情况下最佳实践的障碍。
结果：该研究涉及来自42个全科诊所的71名临床医生，根据294名患者的患者报告数据，和来自283次(95%)咨询的临床医生报告数据.纳入患者的平均年龄为53岁，56%是女性，在过去的3个月中，31%的人因LBP病假。此外，44％的人在上个月见过两名或更多的医疗保健专业人员，55%以前接受过LBP诊断成像，81%的人报告使用任何类型的镇痛药，14%的人报告使用阿片类药物。大多数（91％）报告说参与自我管理活动以减轻疼痛。咨询通常包括体检（84%），有关疼痛原因的信息（74％），和管理建议(68%)，据临床医生或患者报告。总的来说,临床医生报告咨询要素的频率高于患者.临床医生报告说，84%的病例提供了最佳实践护理，时间限制（23％）和患者期望（10％）是最常见的障碍。
结论：本研究为丹麦一般实践中LBP的管理提供了详细的见解。它揭示了病人参与的复杂景观，不同的管理策略，以及患者和临床医生对护理内容的不同看法。患者经常从事自我管理活动，临床医生报告提供最佳实践护理的障碍很少。
方法：这项横断面观察性研究包括2022年8月至2023年6月在丹麦全科医生中寻求治疗的LBP成年人。患者报告的信息包括人口统计学，疼痛强度，病史,治疗,和自我管理策略。临床医生提供了每次咨询的具体数据，详细说明这些磋商的内容，以及特定情况下最佳实践的障碍。
结果：该研究涉及来自42个全科诊所的71名临床医生，根据294名患者的患者报告数据，和来自283次(95%)咨询的临床医生报告数据.纳入患者的平均年龄为53岁，56%是女性，在过去的3个月中，31%的人因LBP病假。此外，44％的人在上个月见过两名或更多的医疗保健专业人员，55%以前接受过LBP诊断成像，81%的人报告使用任何类型的镇痛药，14%的人报告使用阿片类药物。大多数（91％）报告说参与自我管理活动以减轻疼痛。咨询通常包括体检（84%），有关疼痛原因的信息（74％），和管理建议(68%)，据临床医生或患者报告。总的来说,临床医生报告咨询要素的频率高于患者.临床医生报告说，84%的病例提供了最佳实践护理，时间限制（23％）和患者期望（10％）是最常见的障碍。
结论：本研究为丹麦一般实践中LBP的管理提供了详细的见解。它揭示了病人参与的复杂景观，不同的管理策略，以及患者和临床医生对护理内容的不同看法。患者经常从事自我管理活动，临床医生报告提供最佳实践护理的障碍很少。
