Evaluation of the Efficacy of a Coordinated Interprofessional Care Pathway on Disability in Patients With Chronic and at Risk of Chronic Low Back Pain in Primary Care

Phase

N/A

Condition

Chronic Pain

Treatment

collaboration general practitioner and physiotherapist

Clinical Study ID

NCT05531201

CNGE-2021/01

2021-A02432-39

Ages 18-65
All Genders

Study Summary

Low back pain is a public health problem with major individual and socio-economic repercussions. In primary care, strong disparities are observed in the management of low back pain patients. While general practitioners (GPs) and physiotherapists appear as two essential first-line caregivers, collaboration between these professionals remains underdeveloped, most often characterized by a lack of consultation or coordination. Systematic increased interprofessional collaboration is likely to improve the results of the care pathway, by optimizing the existing care offer.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Adult patients between the ages of 18 and 65

Patients consulting their GP for a first or new eisode of acute low back pain (morethan 12 months from the previous one) with a STarT Back screening tool score greaterthan 3.
OR low back pain at risk of chronicity (presence of yellow flags, according to therecommendation of the High Health Authority (HAS) of 2019
OR recurrent low back pain: in the event of recurrence of low back pain within 12months after the previous episode, then considered to be at risk of chronicity
OR having chronic low back pain (low back pain for more than 3 months)
Patients benefiting from the general social security system
Patients who understand and speak French fluently
Patients who have given their consent after having received complete information onthe protocol

Exclusion

Exclusion Criteria:

Minor patients
Pregnant women (declared pregnancy) or immediately postpartum (up to 3 months)
Patients with "red flags" (serious neurological impairment, cancer, infection,fracture or inflammatory disease), according to the 2019 HAS recommendation
Patients referred immediately for imaging or specialist advice during the firstconsultation with the GP (suspicion of underlying pathology)
Patients with no history of acute low back pain, at low risk of chronicity (STarTBack screening tool score less than or equal to 3)
Patients with a contraindication to rehabilitation by physiotherapy
Patients who have already undergone spine surgery
Patients with cognitive impairment
Patients whose life expectancy is less than 12 months
Patients under guardianship or curatorship, under judicial protection or safeguardof justice
Patients not affiliated to the general social security system
Patients with difficulties in understanding the French language
Patients with an inability to give express consent

Study Design