Diagnosis value of patient evaluation components applicable in primary care settings for the diagnosis of low back pain: A scoping review of systematic reviews

Mathieu, J., Pasquier, M., Descarreaux, M. et Marchand, A.-A. (2023). Diagnosis value of patient evaluation components applicable in primary care settings for the diagnosis of low back pain: A scoping review of systematic reviews. Journal of Clinical Medicine, 12 (10). Article 3581. ISSN 2077-0383 DOI 10.3390/jcm12103581

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Résumé

Abstract: Low back pain ranks as the leading cause of years lived with disability worldwide. Although best practice guidelines share a consistent diagnostic approach for the evaluation of patients with low back pain, confusion remains as to what extent patient history and physical examination findings can inform management strategies. The aim of this study was to summarize evidence investigating the diagnostic value of patient evaluation components applicable in primary care settings for the diagnosis of low back pain. To this end, peer-reviewed systematic reviews were searched in MEDLINE, CINAHL, PsycINFO and Cochrane databases from 1 January 2000 to 10 April 2023. Paired reviewers independently reviewed all citations and articles using a two-phase screening process and independently extracted the data. Of the 2077 articles identified, 27 met the inclusion criteria, focusing on the diagnosis of lumbar spinal stenosis, radicular syndrome, non- specific low back pain and specific low back pain. Most patient evaluation components lack diagnostic accuracy for the diagnosis of low back pain when considered in isolation. Further research is needed to develop evidence-based and standardized evaluation procedures, especially for primary care settings where evidence is still scarce.

Type de document:	Article
Mots-clés libres:	Low back pain Diagnostic accuracy History taking Physical examination Primary care
Date de dépôt:	04 déc. 2023 18:51
Dernière modification:	04 déc. 2023 18:51
Version du document déposé:	Version officielle de l'éditeur
URI:	https://depot-e.uqtr.ca/id/eprint/11052

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