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The keystone of our study is a two-step model for the management of in-hospital and out-of-hospital LBP patients. First, GPs need to be empowered in their management of LBP through specific training programs and technological clinical tools, and second an investment of resources is needed inside the hospital, because LBP patients should not overload the EDs, which are not built to provide such specialist-treatment pathways.
Therefore, GP training and patient empowerment public campaigns, specific web dissemination, brochures in GP clinic must be carried out together.
With regard to prehospital management, this is the purpose behind the creation of the mobile phone application Minosse, available on the App Store, Google Play, and its website www. It is free software for GPs that provides a methodology for the classification of the disease and consequently of therapeutic management based on priorities introduced in the algorithm of the software by the general practitioner or by the out-of-hospital specialist who evaluates the patient, and guides the physician in the proper management of the patient.
Study limitations This study was conducted in a single ED center, in a limited time window 1 year , and in an urban area easy access to ED, high number of clinicians available in hospital. Footnotes The authors report no conflicts of interest in this work. References 1. A systematic review of the global prevalence of low back pain. Arthritis Rheum. Years lived with disability YLDs for sequelae of diseases and injuries — a systematic analysis for the Global Burden of Disease Study Casazza BA.
Diagnosis and treatment of acute low back pain. Am Fam Physician. Yao and Artusio's Anesthesiology: Problem-Oriented Patient Management. Now in its Sixth Edition, this. Problem-Oriented Patient Management Publisher: LWW Release Date.
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LWW; Eighth edition April 12, Previous Yao and Artusio's Anesthesiology: Print book. Eighth edition.. Problem-Oriented Patient Management, 6th Edition. Edited by Fun-Sun F.
Footnotes The authors report no conflicts of interest in this work. References 1. A systematic review of the global prevalence of low back pain. Arthritis Rheum. Years lived with disability YLDs for sequelae of diseases and injuries — a systematic analysis for the Global Burden of Disease Study Casazza BA.
Diagnosis and treatment of acute low back pain.
Am Fam Physician. Borczuk P. An evidence-based approach to the evaluation and treatment of low back pain in the emergency department.
Emerg Med Pract. Low back pain: influence of early MR imaging or CT on treatment and outcome multicenter randomized trial.
Cost-effectiveness of lumbar spine radiography in primary care patients with low back pain. Exploring general practitioner identification and management of psychosocial yellow flags in acute low back pain.