Table 2 Adjusted effects on performance indicators based on EMR of 5130 LBP patient contacts in all participating general practices
Implementation group (n = 2677 LBP patient-GP contacts) [n = 1354 individual patients] | Usual care group (n = 2453 LBP patient-GP contacts) [n = 1195 individual patients) | |||
|---|---|---|---|---|
Indicator | Baseline (n = 1426 contacts) [n = 683 patients] Number (%) | Follow-up (n = 1251 contacts) [n = 671 patients] Number (%) | Baseline (n = 1211 contacts) [n = 580 patients] Number (%) | Follow-up (n = 1242 contacts) [n = 615 patients] Number (%) |
Total referrals to specialists 1 | 171 (12) | 100 (8) | 109 (9) | 99 (8) |
Referrals to neurology 1 ± | 100 (7) | 50 (4) | 48 (4) | 50 (4) |
Referrals to orthopaedics 2 | 0 | 0 | 12 (1) | 0 |
Referrals to other specialities (e.g. Pain management, Rehabilitation medicine, Rheumatology) | 29 (2) | 38 (3) | 36 (3) | 37 (3) |
Total imaging requests 1 | 200 (14) | 138 (11) | 145 (12) | 137 (11) |
MRI requests | 43 (3) | 25 (2) | 24 (2) | 25 (2) |
X-ray requests 3 | 114 (8) | 75 (6) | 73 (6) | 75 (6) |
Other imaging requests (CT, Dexa, Ultrasound) * | 4 (0.3) | 9 (0.7) | 6 (0.5) | 4 (0.3) |
Consideration of psychosocial risk factors | 57 (4) | 50 (4) | 48 (4) | 50 (4) |
Referral for psychosocial care | 5 (0.4) | 5 (0.4) | 4 (0.3) | 4 (0.3) |
Consideration of occupational risk factors | 71 (5) | 63 (5) | 73 (6) | 62 (5) |
Referral to and/or contact with occupational physician | 5 (0.4) | 5 (0.4) | 9 (0.7) | 9 (0.7) |