RT Journal Article
SR Electronic
T1 Primary healthcare physicians’ adherence to acute lower back pain referral guidelines in Riyadh, Saudi Arabia
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 838
OP 841
DO 10.15537/smj.2018.8.22539
VO 39
IS 8
A1 Albahlal, Jarallah M.
A1 Alhandi, Ali A.
A1 Aldihan, Khalid A.
A1 Alsultan, Odai H.
A1 Alhusain, Faisal A.
A1 Alqahtani, Hanadi M.
A1 Aleissa, Sami I.
YR 2018
UL http://smj.org.sa/content/39/8/838.abstract
AB Objectives: To assess the primary healthcare physicians’ adherence to referral guidelines for acute low back pain and if there is any association with experience level.Methods: A cross-sectional study held in Tertiary care hospital, Riyadh, Kingdom of Saudi Arabia. Questionnaires were distributed in-person between October 2017 and January 2018 among 100 primary healthcare physicians, with a 79% response rate.Results: The distribution between male to female was 43%-57%. Twenty-five percent of physicians encounter 1-5 patients weekly, while 28% encounter more than 15 patients. The physicians included had a higher than expected adherence to referral guidelines with percentages ranging between 63-94% referral rates for back pain related red flags. A trend was noted where there was an increase in referral decisions with increased experience when encountering red flags. More experienced physicians were more likely to refer when encountering; pain worse after prolonged sitting, limited mobility, and pain worse while coughing or sneezing (p<0.05).Conclusion: Primary healthcare physicians working in one health system in Riyadh had a higher than expected adherence to referral guidelines for back pain related red flags.