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

Last updated: November 26, 2024
Sponsor: CNGE Conseil
Overall Status: Active - Recruiting

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

Total Participants: 150
Treatment Group(s): 1
Primary Treatment: collaboration general practitioner and physiotherapist
Phase:
Study Start date:
February 15, 2023
Estimated Completion Date:
November 13, 2026

Connect with a study center

  • Maison de Santé Pluriprofessionnelle Universitaire

    Fontainebleau, 77300
    France

    Active - Recruiting

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