+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Patterns in low back pain hospitalizations: implications for the treatment of low back pain in an era of health care reform



Patterns in low back pain hospitalizations: implications for the treatment of low back pain in an era of health care reform



Clinical Journal of Pain 10(1): 64-70



To examine patterns in both surgical and nonsurgical low back pain (LBP) hospitalizations through time and among geographic regions and to explore the practical implications of these patterns for health care reform. For time trends, the U.S. (1979-1987); for geographic variations, major regions of the U.S. (1987). DATE SOURCE: The National Hospital Discharge Survey. Rates of both surgical and nonsurgical LBP hospitalization varied twofold among regions of the U.S., and average lengths of stay for these types of hospitalization varied considerably as well. The U.S. rate of LBP surgery increased sharply during the period covered by the study. Over the same time, the U.S. rate of nonsurgical LBP hospitalization declined, as did average lengths of stay for both types of LBP hospitalization. Wide variations in LBP hospitalization practices raise the issue of which practices are most appropriate. Outcomes research addresses this issue, as does research on patient preferences for certain types of treatment. As indicated by the increasing rate of LBP surgery, more research also needs to be done on changing physician practice style. If such research were to result in a reduction in LBP hospitalization, savings in health care costs would be considerable.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 046935550

Download citation: RISBibTeXText

PMID: 8193446


Related references

Backing back pain care Nurses are prime candidates for receiving as well as giving appropriate care for acute and chronic back pain. A recent report recommends that back pain should be given key area status for The Health of the Nation. Nursing Standard 1987) 9(15): 14-14, 1995

Lumbar disc screening using back pain questionnaires: oswestry low back pain score, aberdeen low back pain scale, and acute low back pain screening questionnaire. Korean Journal of Spine 9(3): 153-158, 2012

Health care providers communicate less well with patients with chronic low back pain--a study of encounters at a back pain clinic in Denmark. Pain 150(3): 458-461, 2010

Prevention of low back pain in the military cluster randomized trial: effects of brief psychosocial education on total and low back pain-related health care costs. Spine Journal 14(4): 571-583, 2014

Summaries for patients. Back supports to prevent back pain in home care workers with previous low back pain. Annals of Internal Medicine 147(10): I54-I54, 2007

The predictive effect of fear-avoidance beliefs on low back pain among newly qualified health care workers with and without previous low back pain: a prospective cohort study. Bmc Musculoskeletal Disorders 10: 117, 2009

Studies on low back pain among workers in a train repair factory the incidence and occupational cause of low back pain and the influence of low back pain on activities in daily life. Okayama Igakkai Zasshi 97(5-6): 481-492, 1985

Pain-related impairment and health care utilization in children and adolescents: a comparison of orofacial pain with abdominal pain, back pain, and headache. Quintessence International 37(5): 381-390, 2006

The impact of treatment confidence on pain and related disability among patients with low-back pain: results from the University of California, Los Angeles, low-back pain study. Spine Journal 2(6): 391-399, 2002

The impact of treatment confidence on pain and related disability among patients with low-back pain: results from the University of California, Los Angeles, low-back pain study. Spine Journal 2(6): 391-9; Discussion 399-401, 2003

Quebec Back Pain Disability Scale, Low Back Outcome Score and revised Oswestry low back pain disability scale for patients with low back pain due to degenerative disc disease: evaluation of Polish versions. Spine 36(26): E1722, 2011

The burden of chronic low back pain: clinical comorbidities, treatment patterns, and health care costs in usual care settings. Spine 37(11): E668-E677, 2012

Patterns in Low Back Pain Hospitalizations. The Clinical Journal of Pain 10(1): 64-70, 1994

THU0631-HPRValidation of the Swedish Version of Start Back Tool Against the Short Version of The Rebro Musculoskeletal Pain Screening Questionnaire in Patients with Back and/or Neck Pain in Primary Health Care. Annals of the Rheumatic Diseases 74(Suppl 2): 1319.2-1319, 2015

Patterns of ordering diagnostic tests for patients with acute low back pain. The North Carolina Back Pain Project. Annals of Internal Medicine 125(10): 807-814, 1996