全科医生对放射学在腰痛患者中作用的意见调查。
Survey of general practitioners' opinions on the role of radiology in patients with low back pain.
作者信息
Owen J P, Rutt G, Keir M J, Spencer H, Richardson D, Richardson A, Barclay C
机构信息
Department of Radiology, Royal Victoria Infirmary, Newcastle upon Tyne.
出版信息
Br J Gen Pract. 1990 Mar;40(332):98-101.
Abstract
Ninety general practitioners responded to a questionnaire about the role of radiology in patients with low back pain. Their clinical indications for requesting radiographs were mostly in agreement with the opinions of radiologists, but nearly 80% requested investigations for their own or patients' reassurance. Understanding of the terms used by radiologists was good, although 25% thought that acute disc prolapse could be demonstrated on plain films. Previous training in radiology did not seem to influence knowledge. When general practitioners understood radiological terms they had clear therapeutic and specialist referral preferences. Poorly understood terms and those with which they were familiar but unclear about the implications for management were also identified.
摘要
90名全科医生回复了一份关于放射学在腰痛患者中作用的调查问卷。他们要求进行X光检查的临床指征大多与放射科医生的意见一致，但近80%的人要求进行检查是为了让自己或患者放心。对放射科医生使用的术语理解良好，尽管25%的人认为急性椎间盘突出可以在平片上显示出来。以前接受的放射学培训似乎并未影响知识水平。当全科医生理解了放射学术语后，他们有明确的治疗和专科转诊偏好。还确定了一些理解不佳的术语以及他们熟悉但对管理影响不明确的术语。
相似文献
1
Survey of general practitioners' opinions on the role of radiology in patients with low back pain.全科医生对放射学在腰痛患者中作用的意见调查。
Br J Gen Pract. 1990 Mar;40(332):98-101.
2
General practitioners' views on radiology reports of plain radiography for back pain.全科医生对背痛X线平片放射学报告的看法。
Scand J Prim Health Care. 2007 Mar;25(1):15-9. doi: 10.1080/02813430600973459.
3
General practitioners' management of acute back pain: a survey of reported practice compared with clinical guidelines.全科医生对急性背痛的管理：已报告的实践与临床指南的比较调查。
BMJ. 1996 Feb 24;312(7029):485-8. doi: 10.1136/bmj.312.7029.485.
4
General practitioners' willingness to request plain lumbar spine radiographic examinations.全科医生要求进行腰椎平片X线检查的意愿。
Eur J Radiol. 2001 Jan;37(1):47-53. doi: 10.1016/s0720-048x(00)00234-5.
5
Factors affecting general practitioners' decisions about plain radiography for back pain: implications for classification of guideline barriers--a qualitative study.影响全科医生对背痛进行X线平片检查决策的因素：对指南障碍分类的启示——一项定性研究
BMC Health Serv Res. 2003 Mar 24;3(1):8. doi: 10.1186/1472-6963-3-8.
6
Orthopaedists' and family practitioners' knowledge of simple low back pain management.骨科医生和家庭医生对简单下腰痛管理的认识。
Spine (Phila Pa 1976). 2009 Jul 1;34(15):1600-3. doi: 10.1097/BRS.0b013e3181a96622.
7
Radiographic examination of the lumbar spine in a community hospital: an audit of current practice.一家社区医院腰椎的影像学检查：当前实践的审计
BMJ. 1991 Oct 5;303(6806):813-5. doi: 10.1136/bmj.303.6806.813.
8
Referring patients to geriatric day hospitals: a survey of general practitioners' opinions.将患者转诊至老年日间医院：全科医生意见调查
J R Coll Gen Pract. 1988 Nov;38(316):498-9.
9
Outcome of general practitioner referrals to specialist outpatient clinics for back pain.全科医生转诊至专科门诊治疗背痛的结果。
Br J Gen Pract. 1991 Nov;41(352):450-3.
10
Doctors with a special interest in back pain have poorer knowledge about how to treat back pain.对背痛有特别兴趣的医生对如何治疗背痛的了解较少。
Spine (Phila Pa 1976). 2009 May 15;34(11):1218-26; discussion 1227. doi: 10.1097/BRS.0b013e318195d688.
引用本文的文献
1
Met or matched expectations: what accounts for a successful back pain consultation in primary care?达到或超出预期：初级保健中，是什么让腰痛咨询取得成功？
Health Expect. 2013 Jun;16(2):143-54. doi: 10.1111/j.1369-7625.2011.00706.x. Epub 2011 Jun 17.
2
Diagnostic Imaging Guidelines Implementation Study for Spinal Disorders: A Randomized Trial with Postal Follow-ups.脊柱疾病诊断成像指南实施研究：一项带有邮寄随访的随机试验
J Chiropr Educ. 2010 Spring;24(1):2-18. doi: 10.7899/1042-5055-24.1.2.
3
Content and outcome of usual primary care for back pain: a systematic review.背痛常规初级护理的内容与结果：一项系统综述
Br J Gen Pract. 2008 Nov;58(556):790-7, i-vi. doi: 10.3399/bjgp08X319909.
4
5
General practitioners' views on radiology reports of plain radiography for back pain.全科医生对背痛X线平片放射学报告的看法。
Scand J Prim Health Care. 2007 Mar;25(1):15-9. doi: 10.1080/02813430600973459.
6
The appropriate use of radiography in clinical practice: a report of two cases of biomechanical versus malignant spine pain.放射成像在临床实践中的合理应用：两例生物力学性与恶性脊柱疼痛病例报告
Chiropr Osteopat. 2006 May 30;14:8. doi: 10.1186/1746-1340-14-8.
7
Are investigations anxiolytic or anxiogenic? A randomised controlled trial of neuroimaging to provide reassurance in chronic daily headache.检查是抗焦虑的还是致焦虑的？一项关于神经影像学的随机对照试验，旨在为慢性每日头痛患者提供安心感。
J Neurol Neurosurg Psychiatry. 2005 Nov;76(11):1558-64. doi: 10.1136/jnnp.2004.057851.
8
Implementation of RCGP guidelines for acute low back pain: a cluster randomised controlled trial.英国皇家全科医师学院急性腰痛指南的实施：一项整群随机对照试验
Br J Gen Pract. 2004 Jan;54(498):33-7.
9
Factors affecting general practitioners' decisions about plain radiography for back pain: implications for classification of guideline barriers--a qualitative study.影响全科医生对背痛进行X线平片检查决策的因素：对指南障碍分类的启示——一项定性研究
BMC Health Serv Res. 2003 Mar 24;3(1):8. doi: 10.1186/1472-6963-3-8.
10
Radiography for low back pain: a randomised controlled trial and observational study in primary care.腰痛的X线摄影：一项初级保健中的随机对照试验和观察性研究。
Br J Gen Pract. 2002 Jun;52(479):469-74.
本文引用的文献
1
Comparative roentgen findings in symptomatic and asymptomatic backs.有症状和无症状背部的X线对比研究结果。
Radiology. 1957 Apr;68(4):572-4. doi: 10.1148/68.4.572.
2
A reappraisal of the genetic consequences of diagnostic radiology in Great Britain.
Br J Radiol. 1981 Sep;54(645):719-30. doi: 10.1259/0007-1285-54-645-719.
3
Use of lumbar spine films. Statistical evaluation at a university teaching hospital.腰椎X光片的使用。在一家大学教学医院进行的统计评估。
JAMA. 1981 Sep 4;246(10):1105-8.
4
X-ray utilization as a result of a patient care evaluation study.一项患者护理评估研究的X射线使用情况
QRB Qual Rev Bull. 1980 Jul;6(7):3-8.
5
Spine radiographs in patients with low-back pain. An epidemiological study in men.下背痛患者的脊柱X光片。一项针对男性的流行病学研究。
J Bone Joint Surg Am. 1984 Sep;66(7):1048-55.
6
A comparative analysis of x-ray findings of the lumbar spine in patients with and without lumbar pain.有和没有腰痛的患者腰椎X线检查结果的对比分析。
Spine (Phila Pa 1976). 1984 Apr;9(3):298-300. doi: 10.1097/00007632-198404000-00014.
7
A prospective study of low back pain in a general population. III. Medical service--work consequence.一般人群中腰痛的前瞻性研究。III. 医疗服务——工作后果。
Scand J Rehabil Med. 1983;15(2):89-96.
8
9
A prospective study of low back pain in a general population. I. Occurrence, recurrence and aetiology.普通人群下背痛的前瞻性研究。I. 发病率、复发率及病因
Scand J Rehabil Med. 1983;15(2):71-9.
10
The usefulness of x-ray examinations in the evaluation of patients with back pain.X线检查在评估背痛患者中的作用。
J Fam Pract. 1978 Sep;7(3):455-65.
Zotero 插件