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.
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- Benn R. T., Wood P. H. Pain in the back: An attempt to estimate the size of the problem. Rheumatol Rehabil. 1975 Aug;14(3):121–128. doi: 10.1093/rheumatology/14.3.121. [DOI] [PubMed] [Google Scholar]
- Biering-Sørensen F. A prospective study of low back pain in a general population. I. Occurrence, recurrence and aetiology. Scand J Rehabil Med. 1983;15(2):71–79. [PubMed] [Google Scholar]
- Biering-Sørensen F. A prospective study of low back pain in a general population. II. Location, character, aggravating and relieving factors. Scand J Rehabil Med. 1983;15(2):81–88. [PubMed] [Google Scholar]
- Biering-Sørensen F. A prospective study of low back pain in a general population. III. Medical service--work consequence. Scand J Rehabil Med. 1983;15(2):89–96. [PubMed] [Google Scholar]
- FULLENLOVE T. M., WILLIAMS A. J. Comparative roentgen findings in symptomatic and asymptomatic backs. Radiology. 1957 Apr;68(4):572–574. doi: 10.1148/68.4.572. [DOI] [PubMed] [Google Scholar]
- Frymoyer J. W., Newberg A., Pope M. H., Wilder D. G., Clements J., MacPherson B. Spine radiographs in patients with low-back pain. An epidemiological study in men. J Bone Joint Surg Am. 1984 Sep;66(7):1048–1055. [PubMed] [Google Scholar]
- Rockey P. H., Tompkins R. K., Wood R. W., Wolcott B. W. The usefulness of x-ray examinations in the evaluation of patients with back pain. J Fam Pract. 1978 Sep;7(3):455–465. [PubMed] [Google Scholar]
- Scavone J. G., Latshaw R. F., Rohrer G. V. Use of lumbar spine films. Statistical evaluation at a university teaching hospital. JAMA. 1981 Sep 4;246(10):1105–1108. [PubMed] [Google Scholar]
- Torgerson W. R., Dotter W. E. Comparative roentgenographic study of the asymptomatic and symptomatic lumbar spine. J Bone Joint Surg Am. 1976 Sep;58(6):850–853. [PubMed] [Google Scholar]
- Wall B. F., Rae S., Darby S. C., Kendall G. M. A reappraisal of the genetic consequences of diagnostic radiology in Great Britain. Br J Radiol. 1981 Sep;54(645):719–730. doi: 10.1259/0007-1285-54-645-719. [DOI] [PubMed] [Google Scholar]
- Witt I., Vestergaard A., Rosenklint A. A comparative analysis of x-ray findings of the lumbar spine in patients with and without lumbar pain. Spine (Phila Pa 1976) 1984 Apr;9(3):298–300. doi: 10.1097/00007632-198404000-00014. [DOI] [PubMed] [Google Scholar]
- Wolcott B., Tabatabai C. X-ray utilization as a result of a patient care evaluation study. QRB Qual Rev Bull. 1980 Jul;6(7):3–8. [PubMed] [Google Scholar]