Evaluation of the Efficacy of a Coordinated Interprofessional Care Pathway on Disability in Patients With Chronic and at Risk of Chronic Low Back Pain in Primary Care (EFFIBACK)

CNGE Conseil

Status

Enrolling

Conditions

Low Back Pain

Treatments

Procedure: collaboration general practitioner and physiotherapist

Study type

Interventional

Funder types

Other

Identifiers

NCT05531201

2021-A02432-39 (Registry Identifier)

CNGE-2021/01

Details and patient eligibility

About

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.

Enrollment

150 estimated patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Adult patients between the ages of 18 and 65

Patients consulting their GP for a first or new eisode of acute low back pain (more than 12 months from the previous one) with a STarT Back screening tool score greater than 3.
OR low back pain at risk of chronicity (presence of yellow flags, according to the recommendation of the High Health Authority (HAS) of 2019
OR recurrent low back pain: in the event of recurrence of low back pain within 12 months after the previous episode, then considered to be at risk of chronicity
OR having chronic low back pain (low back pain for more than 3 months)
Patients benefiting from the general social security system
Patients who understand and speak French fluently
Patients who have given their consent after having received complete information on the protocol

Exclusion criteria

Minor patients
Pregnant women (declared pregnancy) or immediately postpartum (up to 3 months)
Patients with "red flags" (serious neurological impairment, cancer, infection, fracture or inflammatory disease), according to the 2019 HAS recommendation
Patients referred immediately for imaging or specialist advice during the first consultation with the GP (suspicion of underlying pathology)
Patients with no history of acute low back pain, at low risk of chronicity (STarT Back screening tool score less than or equal to 3)
Patients with a contraindication to rehabilitation by physiotherapy
Patients who have already undergone spine surgery
Patients with cognitive impairment
Patients whose life expectancy is less than 12 months
Patients under guardianship or curatorship, under judicial protection or safeguard of justice
Patients not affiliated to the general social security system
Patients with difficulties in understanding the French language
Patients with an inability to give express consent