April 2020 PMID 31738226

What is usual care for low back pain? A systematic review of health care provided to patients with low back pain in family practice and emergency departments.

Steven J Kamper, Gabrielle Logan, Bethan Copsey, Jacqueline Thompson, Gustavo C Machado, Christina Abdel-Shaheed, Christopher M Williams, Christopher G Maher, Amanda M Hall

Mentions

57
Peak: 16 in Jun 2020
across 4 sources since May 2020

Extended reach

71,654
potential audience

Total likes

63

Video views

534

Mentions per month

May 2020 – May 2024

Where it's discussed

  • X / Twitter32 posts
  • Facebook21 posts
  • YouTube2 videos
  • News2 articles

AI synopsis

What people are saying

Several comments discuss the significance of the article in highlighting that less than 20% of patients receive evidence-based information, and many are over-referred for imaging or prescribed opioids. The tone ranges from analytical to urgent, with words like 'trouble defining usual care' and 'pain mismanagement' underscoring concerns about current gaps in practice and the potential for the review to shape improvements in low back pain treatment.

AgreementModerate agreement

Most discussions acknowledge the findings of the review, especially highlighting the discrepancy between usual care and evidence-based practices, such as comments about over-referral for imaging and opioid use.

InterestHigh interest

Posts express high relevance by referencing clinical guidelines and the implications for healthcare providers, showing curiosity about improving care standards.

EngagementHigh engagement

Many comments delve into specific aspects like the need for better pain management protocols and comparisons of current practices across different regions, indicating deep engagement.

ImpactModerate impact

Participants recognize that the review could influence clinical practices, as seen in phrases emphasizing the importance of following protocols to reduce risks and costs.

Abstract in brief

  • The study reviews how general practitioners and emergency departments typically treat low back pain, revealing that most care involves excessive imaging and opioid prescriptions, while providing limited evidence-based advice.
  • Less than 20% of patients received proper information and guidance, and a significant number were over-referred for imaging or prescribed opioids, which is often inconsistent with clinical guidelines.
  • This mismatch between usual care and recommended practices may lead to increased health risks and contribute to the global burden of low back pain.]

Top posts

Most liked on X and Bluesky
Pain Science Division CPA
@PainPhysiosCan · X

What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINthejournal here: https://t.co/qKXuMEVDAp https://t.co/PrR7LX90Q0

May 31, 2020 · 51 likes · 26 shares · 5,003 followers View post →
A/Prof Patrick J Owen
@PatrickOwenPhD · X

@ANZBack Thank-you for sharing!

Mar 1, 2021 · 4 likes · 2 shares · 2,093 followers View post →
Geronimo Bejarano
@gero5 · X

@CraigLiebenson @chadcookpt Table 1 shows what the comparator was in the included trial. It seems that there was 4 usual care studies and all of them in Europe so not sure they’ll look like usual care in the US. We have trouble defining usual care though: https://t.co/0qj8FXPPQM

Aug 25, 2021 · 2 likes · 1,525 followers View post →
Craig Liebenson
@CraigLiebenson · X

“Less than 20% of patients with low back pain received evidence-based information and advice from their family practitioner. Around 1 in 4 patients with low back pain received referral for imaging in family practice and 1 in 3 in emergency departments. https://t.co/Q7C3rr47WF

Apr 29, 2021 · 1 like · 8,214 followers View post →
John Orchard
@DrJohnOrchard · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 1, 2020 · 26 shares · 10,905 followers View post →
Canadian Pain Society
@CanadianPain · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 1, 2020 · 26 shares · 8,595 followers View post →

All mentions

Geronimo Bejarano
@gero5 · X

@CraigLiebenson @chadcookpt Table 1 shows what the comparator was in the included trial. It seems that there was 4 usual care studies and all of them in Europe so not sure they’ll look like usual care in the US. We have trouble defining usual care though: https://t.co/0qj8FXPPQM

Aug 25, 2021 · 2 likes · 1,525 followers View post →
Craig Liebenson
@CraigLiebenson · X

“Less than 20% of patients with low back pain received evidence-based information and advice from their family practitioner. Around 1 in 4 patients with low back pain received referral for imaging in family practice and 1 in 3 in emergency departments. https://t.co/Q7C3rr47WF

Apr 29, 2021 · 1 like · 8,214 followers View post →
Dr Clint Miller
@_clintmiller · X

RT @PatrickOwenPhD: @ANZBack Thank-you for sharing!

Mar 2, 2021 · 2 shares · 456 followers View post →
A/Prof Patrick J Owen
@PatrickOwenPhD · X

@ANZBack Thank-you for sharing!

Mar 1, 2021 · 4 likes · 2 shares · 2,093 followers View post →
Cynthia Marcotte Stamer
@SolutionsLawyer · X

Pain management is increasingly a high risk activity for healthcare providers. Health care providers should use care to follow current protocols and documenting well. https://t.co/Ps8Bv16Zga https://t.co/8tXhmPezNP

Jan 5, 2021 · 425 followers View post →
Cynthia Marcotte Stamer
@SolutionsLawyer · X

Pain mismanagement drives health and disability costs and undermines productivity. Confirm your health plan pain management protocols promote current best evidence based practices use. https://t.co/VFD6d4lPxz https://t.co/ECm3uutkP0

Jan 5, 2021 · 425 followers View post →
HEIMER THE PEPE CONTACT CENTER
@HEIMERTHEPEPECC · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 7, 2020 · 26 shares · 2,498 followers View post →
Tiffany Gill
@tiff_gill14 · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 4, 2020 · 26 shares · 217 followers View post →
Israel Garcia Z
@isgazu · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 2, 2020 · 26 shares · 268 followers View post →
Liz Monserrath Ortiz
@LizMonserrath · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 1, 2020 · 26 shares · 34 followers View post →
CannaLytica
@CannaLytica · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 1, 2020 · 26 shares · 1,089 followers View post →
Canadian Pain Society
@CanadianPain · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 1, 2020 · 26 shares · 8,595 followers View post →
M44
@MVDZ6 · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 1, 2020 · 26 shares · 79 followers View post →
Pain Revolution
@PainRevolution · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 1, 2020 · 26 shares · 5,854 followers View post →
Fabricio S Souza
@fabralsouza · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 1, 2020 · 26 shares · 100 followers View post →
JJ
@ferguson_jj · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 1, 2020 · 26 shares · 161 followers View post →
New Brunswick Physiotherapy Association
@NBPhysioAssoc · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 1, 2020 · 26 shares · 418 followers View post →
John Orchard
@DrJohnOrchard · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 1, 2020 · 26 shares · 10,905 followers View post →
Firmansyah Purwanto
@MovementPainPT · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 1, 2020 · 26 shares · 1,296 followers View post →
Greg Savides
@gregthephysio · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 1, 2020 · 26 shares · 353 followers View post →
Virginia Rivers Bulkeley
@BulkeleyV · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 1, 2020 · 26 shares · 986 followers View post →
Hsieh-Hsing Wu
@TaiwanOzPhysio · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

Jun 1, 2020 · 26 shares · 997 followers View post →
Giovanni Ferreira
@giovanni_ef · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

May 31, 2020 · 26 shares · 2,420 followers View post →
Australia & NZ Low Back Pain Research Network
@ANZBack · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

May 31, 2020 · 26 shares · 804 followers View post →
Gustavo Machado
@gustavocmachado · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

May 31, 2020 · 26 shares · 1,219 followers View post →
Daniel Searle Physiotherapy he/him
@searle_daniel · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

May 31, 2020 · 26 shares · 306 followers View post →
EskeleThor
@EskeleThor · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

May 31, 2020 · 26 shares · 406 followers View post →
Institute for Musculoskeletal Health
@msk_health · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

May 31, 2020 · 26 shares · 5,358 followers View post →
Steve Kamper
@stevekamper1 · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

May 31, 2020 · 26 shares · 3,977 followers View post →
Dr Kerstin Rolfe
@kerstin_rolfe · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

May 31, 2020 · 26 shares · 402 followers View post →
Kyle Vader
@vader_kyle · X

RT @PainPhysiosCan: What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINt…

May 31, 2020 · 26 shares · 2,878 followers View post →
Pain Science Division CPA
@PainPhysiosCan · X

What is usual care for low back pain? Check out this recent systematic review by @stevekamper1 and colleagues in @PAINthejournal here: https://t.co/qKXuMEVDAp https://t.co/PrR7LX90Q0

May 31, 2020 · 51 likes · 26 shares · 5,003 followers View post →