World Rural Health Conference
Home Print this page Email this page Small font size Default font size Increase font size
Users Online: 806
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2018  |  Volume : 7  |  Issue : 6  |  Page : 1185-1192

Development of a return to work tool for primary care providers for patients with low back pain: A pilot study


1 Department of Rehabilitation Medicine, Icahn School of Medicine, Mount Sinai Hospital, New York, USA
2 Department of Health Policy and Management, New York Medical College, New York, USA
3 Department of Environmental Medicine and Public Health, Icahn School of Medicine, Mount Sinai Hospital, New York, USA

Correspondence Address:
Dr. Ismail Nabeel
Icahn School of Medicine at Mount Sinai, 17 East 102nd Street, Box 1043, New York, NY - 10029-6574
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_262_18

Rights and Permissions

Context: Low back pain (LBP) is a common cause of disability in adults and primary care physicians (PCPs) are commonly the first medical practitioners to assess these patients. Despite this, PCPs often feel unprepared to make return to work (RTW) recommendations. Aims: The purpose of our project was to develop RTW guidelines for patients with LBP in the form of an accessible and adaptable electronic medical records (EMR) integrated tool. Settings and Design: All licensed physicians and physician extenders who see patients over the age of 18 years, presenting with acute LBP who are currently employed were eligible for participation. PCPs were randomized with and without the RTW guidelines and charts were reviewed to assess if PCPs made RTW recommendations. Subjects and Methods: RTW guidelines were developed using the Oswestry LBP Disability Questionnaire and the Official Disability Guidelines and integrated into the EMR. Statistical Analysis Used: A Chi-square analysis was used to compare physicians in the interventional and control groups. Results: Forty-four PCPs were randomized into the intervention group and 37 into the control group. In the intervention group, 301 patient encounters met the inclusion criteria for acute LBP. Of these, RTW recommendations were used in 7.3% encounters. Comparatively, there were 256 cases of LBP in the control group and RTW recommendations were offered in 1.6% of encounters (P < 0.001). Conclusion: This study showed that PCPs with access to the RTW guidelines in an EMR-integrated tool were significantly more likely to make such recommendations.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed67    
    Printed1    
    Emailed0    
    PDF Downloaded23    
    Comments [Add]    

Recommend this journal