Articles: low-back-pain.
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Effective pain control is vital for successful surgery in the ambulatory setting. Our study aims to characterize a case series of patients who underwent lumbar decompression (LD) in the ambulatory surgical center (ASC) with the use of a multimodal analgesic (MMA) protocol. ⋯ This is the largest clinical case series focused on LD procedures within an ASC requiring no planned 23-hour observation. This study demonstrates the feasibility of performing LD surgery in an ASC with proper patient selection, surgical technique, and MMA protocol. All patients were discharged from the surgical center on the same day of surgery.
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Int. J. Clin. Pract. · Oct 2021
Retraction Of Publication Retracted PublicationPrevalence and Significance of Sacroiliac Joint Variations on Magnetic Resonance Imaging in Patients With Low Back Pain.
Aysu Başak Özbalci (2021) Prevalence and significance of sacroiliac joint variations on magnetic resonance imaging in patients with low back pain, International Journal of Clinical Practice, e14375 (https://doi.org/10.1111/ijcp.14375). The above article from the International Journal of Clinical Practice published online on 18 May 2021 in Wiley Online Library (wileyonlinelibrary.com), has been withdrawn by agreement between the journal's Editor-in-Chief, Charles Young, and John Wiley & Sons Ltd. ⋯ The author is not responsible for this error. The publisher regrets any confusion this error may have caused.
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BMJ quality & safety · Oct 2021
Randomized Controlled TrialEffectiveness of a multifaceted intervention to improve emergency department care of low back pain: a stepped-wedge, cluster-randomised trial.
Overuse of lumbar imaging is common in the emergency department (ED). Few trials have examined interventions to address this. We evaluated the effectiveness of a multifaceted intervention to implement guideline recommendations for low back pain in the emergency department. ⋯ It is uncertain if a multifaceted intervention to implement guideline recommendations for low back pain care decreased lumbar imaging in the ED; however, it did reduce opioid prescriptions without adversely affecting patient outcomes. Trial registration number ACTRN12617001160325.
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Randomized Controlled Trial
Effectiveness of Stratified Treatment for Back Pain in Danish Primary Care: A Randomised Controlled Trial.
A randomized controlled trial (RCT) of stratified care demonstrated superior clinical outcomes and cost-effectiveness for low back pain (LBP) patients in UK primary care. This is the first study in Europe, outside of the original UK study, to investigate the clinical efficacy and cost-effectiveness of stratified care compared with current practice for patients with non-specific LBP. ⋯ Stratified care for low back pain based on risk profile is recommended by recent evidence based clinical guidelines. This study is the first broad replication of the STarT Back Trial in Europe. Therefore, the study adds to the body of knowledge evaluating the effectiveness of stratified care for low back pain in primary care, and provides insight into the effects of stratification on clinical practice.
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Randomized Controlled Trial
The mediating effect of pain catastrophizing on pain intensity: the influence of the timing of assessments.
Pain catastrophizing underpins several psychosocial theories of pain, but there is limited evidence to support the proposal that changes in pain catastrophizing cause changes in pain. Results from mediation analyses have conflicting results, and one reason for these might be the timing of the assessment of pain catastrophizing. This study aimed to test the effect of the timing of the assessment of pain catastrophizing on its mediating role on pain intensity. ⋯ The timing of the assessment influenced the mediating role of pain catastrophizing on pain intensity. These results raise questions on the casual role that pain catastrophizing has on pain intensity. Psychosocial interventions such as clinical hypnosis can reduce pain intensity even when there has been no change in pain catastrophizing.