Physicians (n = 15) | Chiropractors (n = 18) | Physiotherapists (n = 14) | ALL (n = 47) | |
---|---|---|---|---|
Age at initial recruitment1 (mean (SD), [min–max]) | 44.7 (10.0) [30–65] | 46.2 (13.8) [28–81] | 35.2 (7.5) [27–51] | 42.4 (12.0) [27–81] |
Sex | 3 M, 12F | 11 M, 7F | 8 M, 6F | 22 M, 25F |
Location of entry-to-practice education | 14 Canadian 1 Internat'l | 13 Canadian 5 Internat'l | 8 Canadian 6 Internat'l | 35 Canadian 12 Internat'l |
Years in practice at initial recruitment1 (mean (SD), [min–max]) | 12.9 (8.3) [3–30] | 19.2 (14.6) [1–59] n = 17 | 7.3 (5.7) [1–20] n = 13 | 13.7 (11.7) [1–59] n = 45 |
Solo practice or group (≥ 2 providers) | 2 solo 12 group n = 14 | 2 solo 16 group | 1 solo 13 group | 5 solo 41 group n = 46 |
Uni-profession or at least 2 profession types at the practice | 6 uni 8 multi n = 14 | 2 uni 16 multi | 3 uni 11 multi | 11 uni 35 multi n = 46 |
Imaging services on-site (number of "yes") | 2 | 3 | 1 | 6 |
Imaging services nearby (number of "yes") | 1 | 0 | 1 | 2 |
Hours per week in practice (median (IQR), [min–max]) | 30 (31) [20–75] | 30 (11) [12–50] | 38 (5) [14–43] | 35 (15) [12–75] |
Number of patients, any type, per typical week (median (IQR), [min–max]) | 98 (80) [30–200] | 50 (76) [20–150] n = 17 | 57.5 (30) [23–100] | 67.5 (55) [20–200] n = 46 |
Number of patients per month consulting for low back pain (median (IQR), [min–max]) | 6 (16) [1–57] | 30 (52) [2–100] n = 15 | 9 (8) [5–23] | 10 (24) [1–100] n = 44 |
Time spent per patient, new visits (median (IQR), [min–max]) | 30 (15) [15–40] | 53 (30) [20–60] | 60 (15) [40–60] | 45 (30) [15–60] |
Time spent per repeat patient visit (median (IQR), [min–max]) | 15 (5) [10–23] | 19 (10) [10–30] | 30 (12.5) [18–45] | 20 (10) [10–45] |
Special interest in low back pain or related (number of "yes") | 1 | 10 | 12 | 23 |
Recruitment to the initial phase of the study (number who received a letter by random selection rather than recruited by snowball) | 12 | 14 | 9 | 35 |
Number of patients the clinician recruited to the study with usable data | 2.3 (3.0) [0–9] | 10.1 (10.4) [0–35] | 8.1 (5.2) [0–20] | 7.0 (8.0) [0–35] |
Pre-interview questionnaire | ||||
Self-reported familiarity with any of a list of low back pain practice guidelines2 (mean (SD), [min–max]) | 2.5 (1.5) [1–5] | 2.9 (1.8) [1–6] | 2.5 (1.3) [1–5] | 2.7 (1.6) [1–6] |
Agreement3 with I am likely to refer low back pain patients for lumbar spine imaging (x-rays, CT or MRI) because patients often expect me to do so (mean (SD), [min–max]) | 1.8 (1.0) [1–5] | 1.3 (0.5) [1, 2] | 1.3 (0.6) [1–3] n = 13 | 1.5 (0.7) [1–5] n = 46 |
Agreement3 with There is a role for lumbar spine imaging (x-rays, CT or MRI) when there are neurological signs associated with low back pain (mean (SD), [min–max]) | 3.9 (1.0) [1–5] | 3.9 (1.0) [2–5] | 3.5 (1.2) [1–5] n = 13 | 3.8 (1.1) [1–5] n = 46 |
Agreement3 with Lumbar spine imaging (x-rays, CT or MRI) are useful to confirm the diagnosis and to direct appropriate treatment of low back pain, even in the absence of red flags for serious disease (mean (SD), [min–max]) | 2.0 (0.6) [1–3] | 2.8 (1.0) [2–5] | 2.0 (1.1) [1–4] | 2.3 (1.0) [1–5] |
Agreement3 with I do not think it is really safe for a person with low back pain to be physically active (mean (SD), [min–max]) | 1.1 (0.3) [1, 2] | 1.3 (0.6) [1–3] | 1.4 (1.1) [1–5] | 1.3 (0.7) [1–5] |