effect of a simple information booklet on pain persistence after an acute episode of low back pain a non-randomized trial in a primary care setting一个简单的信息小册子对疼痛的影响持久性急性发作后下腰痛非随机试验的初级保健设置.pdfVIP

Effect of a Simple Information Booklet on Pain Persistence after an Acute Episode of Low Back Pain: A Non-Randomized Trial in a Primary Care Setting 1,2 3. 2. 3 4 4 2 2 Emmanuel Coudeyre , Florence Tubach , Franc¸ois Rannou , Gabriel Baron , Fernand Coriat , Sylvie Brin , Michel Revel , Serge Poiraudeau * ´ ´ ` ´ ´ ˆ 1 Centre de Medecine Physique et Readaptation Notre Dame, Chamalieres, France, 2 Service de Medecine Physique et Readaptation, Hopital Cochin ´ ´ ´ ´ ´ ´ AP-HP, Universite Paris 5, Institut Federatif de Recherche Handicap (IFR 25) INSERM, Paris, France, 3 INSERM U738, Departement d’epidemiologie, ˆ biostatistique et recherche clinique, Hopital Bichat, Paris, France, 4 Laboratoire Aventis, Groupe sanofi-aventis, Paris, France Objective. Mass-media campaigns have been known to modify the outcome of low back pain (LBP). We assessed the impact on outcome of standardized written information on LBP given to patients with acute LBP. Methods. Design: A 3-month pragmatic, multicenter controlled trial with geographic stratification. Setting: Primary care practice in France. Participants: 2752 patients with acute LBP. Intervention: An advice book on LBP (the ‘‘back book’’). Main outcome measures: The main outcome measure was persistence of LBP three months after baseline evaluation. Results. 2337 (85%) patients were assessed at follow-up and 12.4% of participants reported persistent LBP. The absolute r