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| ID | Type | Description | Link |
|---|---|---|---|
| 2021-A02432-39 | Registry Identifier | IDRCB |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interventional | Experimental | Trainig of GP and physiotherapist at collaborative coordinated care pathway |
|
| Control | No Intervention | without modification of the usual follow-up |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| collaboration general practitioner and physiotherapist | Procedure | training general practitioner and physiotherapist |
|
| Measure | Description | Time Frame |
|---|---|---|
| Disability at 3 months | Absolute change in overall Oswestry Disability Index (ODI) scale score between 0 and 3 months. Total score ranging from 0 (no functional disability) to 100 (severe functional disability). | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Disability at 12 months | Absolute change in overall ODI scale score between 0 and 12 months. Total score ranging from 0 (no functional disability) to 100 (severe functional disability). | 12 months |
| Health-related quality of life at 3 months |
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Inclusion Criteria:
Adult patients between the ages of 18 and 65
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tan-Trung PHAN | Département Universitaire d'Enseignement et de Recherche en Médecine Générale - Université Paris-Est Créteil, 8 rue du Général Sarrail 94010 Créteil Cedex | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maison de Santé Pluriprofessionnelle Universitaire | Fontainebleau | 77300 | France |
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Absolute change of health-related quality of life by the EuroQol 5 Dimensions scale (EQ-5D) between 0 and 3 months and between 0 and 12 months
| 3 months |
| Health-related quality of life at 12 months | Absolute change of health-related quality of life by the EuroQol 5 Dimensions scale (EQ-5D) between 0 and 12 months | 12 months |
| Evaluation of the course of care: compliance | number (%) of patients having followed the entire course of care | 12 months |
| Evaluation of the course of care: number of consultations | total number of consultations with GPs and physiotherapists (PTs) | 12 months |
| Evaluation of the course of care: medical imaging | total number of medical imaging related to low back during the follow up | 12 months |
| Evaluation of the course of care: total cost | total cost (in euros €) of healthcare pathway in the two groups | 12 months |
| Evaluation of effective collaborative practices | qualitative analysis of GP/PT collaboration using semi-structured interviews with professionals | 12 months |
| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D059825 | Physical Therapists |
| ID | Term |
|---|---|
| D006282 | Health Personnel |
| D005159 | Health Care Facilities Workforce and Services |
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