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Awareness and knowledge of the common features of inflammatory back pain among primary care physicians in the western region of Saudi Arabia

Often, there is a delay in the diagnosis of inflammatory back pain (IBP) in the primary care setting. This may be attributed to the inability of healthcare providers to distinguish between inflammatory and mechanical back pain. This study aimed to evaluate primary care physicians’ current practices...

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Autores principales: Aljohani, Roaa, Barradah, Noha, Kashkari, Amnah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622622/
https://www.ncbi.nlm.nih.gov/pubmed/36316825
http://dx.doi.org/10.1097/MD.0000000000031626
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author Aljohani, Roaa
Barradah, Noha
Kashkari, Amnah
author_facet Aljohani, Roaa
Barradah, Noha
Kashkari, Amnah
author_sort Aljohani, Roaa
collection PubMed
description Often, there is a delay in the diagnosis of inflammatory back pain (IBP) in the primary care setting. This may be attributed to the inability of healthcare providers to distinguish between inflammatory and mechanical back pain. This study aimed to evaluate primary care physicians’ current practices for assessing patients with IBP using clinical, radiographic, and laboratory tests. A questionnaire-based survey was emailed to all primary care physicians in the western region of Saudi Arabia by the Saudi Commission of Health Specialists from February to May 2021. The questionnaire included data about axial spondyloarthropathy based on the Calin, Berlin, and European Spondyloarthropathy Study Group criteria. A total of 103 primary care physicians responded who represented around 24% of primary care physicians at primary healthcare. The most often perceived IBP symptoms include a response to NSAIDs, morning stiffness lasting >30 minutes, age of onset <45 years old, duration of back pain >3 months, and improvement with exercise. The most frequently questioned patient or family history conditions were peripheral arthritis (92.2%), family history of spondyloarthritis (83.5%), and inflammatory bowel disease (97.6%). The most-reported investigations were CRP/ESR (86.4%) and spinal radiography (66%). For treatment of IBP, NSAIDs were most prescribed (48.6%), followed by physiotherapy (45.6%) and disease-modifying anti-rheumatic drugs (41.7%). Primary care physicians were more confident in management of mechanical back pain than IBP (P < .001). Primary care physicians have good knowledge of IBP symptoms but not of disease-specific features and modest confidence in evaluating patients with IBP, indicating the need for educational programs and a more effective, feasible referral strategy.
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spelling pubmed-96226222022-11-03 Awareness and knowledge of the common features of inflammatory back pain among primary care physicians in the western region of Saudi Arabia Aljohani, Roaa Barradah, Noha Kashkari, Amnah Medicine (Baltimore) 6400 Often, there is a delay in the diagnosis of inflammatory back pain (IBP) in the primary care setting. This may be attributed to the inability of healthcare providers to distinguish between inflammatory and mechanical back pain. This study aimed to evaluate primary care physicians’ current practices for assessing patients with IBP using clinical, radiographic, and laboratory tests. A questionnaire-based survey was emailed to all primary care physicians in the western region of Saudi Arabia by the Saudi Commission of Health Specialists from February to May 2021. The questionnaire included data about axial spondyloarthropathy based on the Calin, Berlin, and European Spondyloarthropathy Study Group criteria. A total of 103 primary care physicians responded who represented around 24% of primary care physicians at primary healthcare. The most often perceived IBP symptoms include a response to NSAIDs, morning stiffness lasting >30 minutes, age of onset <45 years old, duration of back pain >3 months, and improvement with exercise. The most frequently questioned patient or family history conditions were peripheral arthritis (92.2%), family history of spondyloarthritis (83.5%), and inflammatory bowel disease (97.6%). The most-reported investigations were CRP/ESR (86.4%) and spinal radiography (66%). For treatment of IBP, NSAIDs were most prescribed (48.6%), followed by physiotherapy (45.6%) and disease-modifying anti-rheumatic drugs (41.7%). Primary care physicians were more confident in management of mechanical back pain than IBP (P < .001). Primary care physicians have good knowledge of IBP symptoms but not of disease-specific features and modest confidence in evaluating patients with IBP, indicating the need for educational programs and a more effective, feasible referral strategy. Lippincott Williams & Wilkins 2022-10-28 /pmc/articles/PMC9622622/ /pubmed/36316825 http://dx.doi.org/10.1097/MD.0000000000031626 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 6400
Aljohani, Roaa
Barradah, Noha
Kashkari, Amnah
Awareness and knowledge of the common features of inflammatory back pain among primary care physicians in the western region of Saudi Arabia
title Awareness and knowledge of the common features of inflammatory back pain among primary care physicians in the western region of Saudi Arabia
title_full Awareness and knowledge of the common features of inflammatory back pain among primary care physicians in the western region of Saudi Arabia
title_fullStr Awareness and knowledge of the common features of inflammatory back pain among primary care physicians in the western region of Saudi Arabia
title_full_unstemmed Awareness and knowledge of the common features of inflammatory back pain among primary care physicians in the western region of Saudi Arabia
title_short Awareness and knowledge of the common features of inflammatory back pain among primary care physicians in the western region of Saudi Arabia
title_sort awareness and knowledge of the common features of inflammatory back pain among primary care physicians in the western region of saudi arabia
topic 6400
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622622/
https://www.ncbi.nlm.nih.gov/pubmed/36316825
http://dx.doi.org/10.1097/MD.0000000000031626
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