Interventions to improve the quality of low back pain care in emergency departments: a systematic review and meta-analysis

(2020–2021) Australian institute of health and welfare. Australian hospital statistics: Emergency department care 2020–2021

Edwards J, Hayden J, Asbridge M, Gregoire B, Magee K (2017) Prevalence of low back pain in emergency settings: a systematic review and meta-analysis. BMC Musculoskelet Disord 18:143. https://doi.org/10.1186/s12891-017-1511-7

Article  PubMed  PubMed Central  Google Scholar 

Soares Oliveira I, da Silva T, Costa LOP, Medeiros FC, Oshima RKA, de Freitas DG, Fukuda TY, Costa L (2021) The long-term prognosis in people with recent onset low back pain from emergency departments: an inception cohort study. J Pain 22:1497–1505. https://doi.org/10.1016/j.jpain.2021.05.002

Article  PubMed  Google Scholar 

Bernstein IA, Malik Q, Carville S, Ward S (2017) Low back pain and sciatica: summary of NICE guidance. BMJ 356:i6748. https://doi.org/10.1136/bmj.i6748

Article  PubMed  Google Scholar 

Care ACoSaQiH (2022) Low back pain clinical care standard. Book low back pain clinical care standard, Australian Commission on Safety and Quality in Health Care, Sydney

Lin I, Wiles L, Waller R, Goucke R, Nagree Y, Gibberd M, Straker L, Maher CG, O’Sullivan PPB (2020) What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review. Br J Sports Med 54:79–86. https://doi.org/10.1136/bjsports-2018-099878

Article  PubMed  Google Scholar 

NSW Agency for Clinical Innovation CNH (2016) Management of people with acute low back pain: model of care

Stochkendahl MJ, Kjaer P, Hartvigsen J, Kongsted A, Aaboe J, Andersen M, Andersen MO, Fournier G, Hojgaard B, Jensen MB, Jensen LD, Karbo T, Kirkeskov L, Melbye M, Morsel-Carlsen L, Nordsteen J, Palsson TS, Rasti Z, Silbye PF, Steiness MZ, Tarp S, Vaagholt M (2018) National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. Eur Spine J 27:60–75. https://doi.org/10.1007/s00586-017-5099-2

Article  PubMed  Google Scholar 

Wiles LK, Hibbert PD, Stephens JH, Molloy C, Maher CG, Buchbinder R, Moseley GL, O’Sullivan PB, Lin I, Briggs AM, Slater H, Harris IA, Jan S, Dwyer A, Fallon K, Hogg M, Fried K, Needs C, Casey P, Dabestani R, Kay D, Braithwaite J, Runciman WB (2022) What constitutes “appropriate care” for low back pain?: Point-of-care clinical indicators from guideline evidence and experts (the STANDING Collaboration Project). Spine (Phila Pa 1976) 47:879–891. https://doi.org/10.1097/BRS.0000000000004274

Article  PubMed  Google Scholar 

Downie A, Hancock M, Jenkins H, Buchbinder R, Harris I, Underwood M, Goergen S, Maher CG (2020) How common is imaging for low back pain in primary and emergency care? Systematic review and meta-analysis of over 4 million imaging requests across 21 years. Br J Sports Med 54:642–651. https://doi.org/10.1136/bjsports-2018-100087

Article  PubMed  Google Scholar 

Buchbinder R, Bourne A, Staples M, Lui C, Walker K, Ben-Meir M, Gorelik A, Blecher G (2021) Management of patients presenting with low back pain to a private hospital emergency department in Melbourne, Australia. Emerg Med Australas. https://doi.org/10.1111/1742-6723.13814

Article  PubMed  Google Scholar 

Ferreira GE, Machado GC, Abdel Shaheed C, Lin C-WC, Needs C, Edwards J, Facer R, Rogan E, Richards B, Maher CG (2019) Management of low back pain in Australian emergency departments. BMJ Qual Saf 28:826–834. https://doi.org/10.1136/bmjqs-2019-009383

Article  PubMed  Google Scholar 

Blokzijl J, Dodd RH, Copp T, Sharma S, Tcharkhedian E, Klinner C, Maher CG, Traeger AC (2021) Understanding overuse of diagnostic imaging for patients with low back pain in the Emergency Department: a qualitative study. Emerg Med J 38:529–536. https://doi.org/10.1136/emermed-2020-210345

Article  PubMed  Google Scholar 

Coombs DM, Machado GC, Richards B, Needs C, Buchbinder R, Harris IA, Howard K, McCaffery K, Billot L, Edwards J, Rogan E, Facer R, Qiang L, Maher CG (2021) Effectiveness of a multifaceted intervention to improve emergency department care of low back pain: a stepped-wedge, cluster-randomised trial. BMJ Qual Saf 30:825–835. https://doi.org/10.1136/bmjqs-2020-012337

Article  PubMed  Google Scholar 

Davidson SRE, Bolsewicz K, Kamper SJ, Haskins R, Petkovic D, Feenan N, Smith D, O’Flynn M, Pallas J, Williams CM (2022) Perspectives of emergency department clinicians on the challenges of addressing low back pain in the emergency setting: a qualitative study. Emerg Med Australas 34:199–208. https://doi.org/10.1111/1742-6723.13854

Article  PubMed  Google Scholar 

Oliveira CB, Hamilton M, Traeger A, Buchbinder R, Richards B, Rogan E, Maher CG, Machado GC (2022) Do patients with acute low back pain in emergency departments have more severe symptoms than those in general practice? A systematic review with meta-analysis. Pain Med 23:614–624. https://doi.org/10.1093/pm/pnab260

Article  PubMed  Google Scholar 

Sharma S, Traeger AC, Tcharkhedian E, Middleton PM, Cullen L, Maher CG (2021) Effect of a waiting room communication strategy on imaging rates and awareness of public health messages for low back pain. Int J Qual Health Care. https://doi.org/10.1093/intqhc/mzab129

Article  PubMed  Google Scholar 

Oliveira CB, Coombs D, Machado GC, McCaffery K, Richards B, Pinto RZ, O’Keeffe M, Maher CG, Christofaro DGD (2023) Process evaluation of the implementation of an evidence-based model of care for low back pain in Australian emergency departments. Musculoskel Sci Prac 66:ARTN 102814. https://doi.org/10.1016/j.msksp.2023.102814

Article  Google Scholar 

Peters S, Jacobs K, Van Wambeke P, Rummens S, Schelfaut S, Moke L, Dejaegher J, Spriet A, Van den Broeck AL, Vliers J, Depreitere B (2022) Applying a knowledge translation framework for triaging low back pain and radicular pain at an emergency department: an iterative process within an uncontrolled before-and-after design. BMJ Open Qual. https://doi.org/10.1136/bmjoq-2022-002075

Article  PubMed  PubMed Central  Google Scholar 

Venkatesh AK, Scofi JE, Rothenberg C, Berdahl CT, Tarrant N, Sharma D, Goyal P, Pilgrim R, Klauer K, Schuur JD (2021) Choosing wisely in emergency medicine: early results and insights from the ACEP emergency quality network (E-QUAL). Am J Emerg Med 39:102–108. https://doi.org/10.1016/j.ajem.2020.01.029

Article  PubMed  Google Scholar 

Sapadin J, Campbell L, Bajaj K, Moskovitz JB (2022) Reducing thoracic and lumbar radiographs in an urban emergency department through a clinical champion led quality improvement intervention. BMC Emerg Med 22:69. https://doi.org/10.1186/s12873-022-00611-x

Article  PubMed  PubMed Central  Google Scholar 

Tracey NG, Martin JB, McKinstry CS, Mathew BM (1994) Guidelines for lumbar spine radiography in acute low back pain: effect of implementation in an accident and emergency department. Ulster Med J 63:12–17

CAS  PubMed  PubMed Central  Google Scholar 

Blokzijl J, Dodd RH, Copp T, Sharma S, Tcharkhedian E, Klinner C, Maher CG, Traeger AC (2021) Understanding overuse of diagnostic imaging for patients with low back pain in the Emergency Department: a qualitative study. Emerg Med J 38(7):529–535

Article  PubMed  Google Scholar 

Liu C, Desai S, Krebs LD, Kirkland SW, Keto-Lambert D, Rowe BH, the PCWT (2018) Effectiveness of interventions to decrease image ordering for low back pain presentations in the emergency department: a systematic review. Acad Emerg Med 25:614–626. https://doi.org/10.1111/acem.13376

Article  PubMed  Google Scholar 

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hrobjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Rev Esp Cardiol (Engl Ed) 74:790–799. https://doi.org/10.1016/j.rec.2021.07.010

Article  PubMed  Google Scholar 

Covidence systematic review software. Veritas Health Innovation. www.covidence.org

Higgins JP, Altman DG, Gotzsche PC, Juni P, Moher D, Oxman AD, Savovic J, Schulz KF, Weeks L, Sterne JA, Cochrane Bias Methods G, Cochrane Statistical Methods G (2011) The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ 343:d5928. https://doi.org/10.1136/bmj.d5928

Article  PubMed  PubMed Central  Google Scholar 

Downs SH, Black N (1998) The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health 52:377–384. https://doi.org/10.1136/jech.52.6.377

Article  CAS  PubMed  PubMed Central  Google Scholar 

Hootman JM, Driban JB, Sitler MR, Harris KP, Cattano NM (2011) Reliability and validity of three quality rating instruments for systematic reviews of observational studies. Res Synth Methods 2:110–118. https://doi.org/10.1002/jrsm.41

Article  PubMed  Google Scholar 

Hooper P, Jutai JW, Strong G, Russell-Minda E (2008) Age-related macular degeneration and low-vision rehabilitation: a systematic review. Can J Ophthalmol 43:180–187. https://doi.org/10.3129/i08-001

Article  PubMed  Google Scholar 

Powell BJ, Waltz TJ, Chinman MJ, Damschroder LJ, Smith JL, Matthieu MM, Proctor EK, Kirchner JE (2015) A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. Implement Sci 10:21. https://doi.org/10.1186/s13012-015-0209-1

Article  PubMed  PubMed Central 

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