Should I see a healthcare professional or can I perform self-care: self-referral decision support for patients with low back pain

Wendeline Oude Nijeweme-d'Hollosy; Lex Stefan van Velsen; Catharina Gerarda Maria Groothuis-Oudshoorn; Remko Soer; Hermanus J. Hermens

doi:10.1109/ICHI.2016.90

Should I see a healthcare professional or can I perform self-care: self-referral decision support for patients with low back pain

Wendeline Oude Nijeweme-d'Hollosy, Lex Stefan van Velsen, Catharina Gerarda Maria Groothuis-Oudshoorn, Remko Soer, Hermanus J. Hermens

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › Academic › peer-review

4 Citations (Scopus)

Abstract

When people get low back pain (LBP), it is not always evident when to see a general practitioner (GP) or physiotherapist, or to perform self-care. A direct correct referral is essential for effective treatment to prevent the development of chronic LBP the utmost. In the context of designing a tool that is able to provide a referral advice to a patient, 63 healthcare professionals (GPs and physiotherapists) participated in a vignette study. They had to judge 32 LBP cases on 1. see a general practitioner, 2. see a physiotherapist, and 3. perform self-care. In total, 1288 vignettes were judged. Multinomial regression analysis showed that Weight Loss, Trauma, and Nocturnal Pain are the three most significant predictive variables. A decision tree was generated that showed the same conclusion. This decision tree is the basis to build a tool that provides personalized referral advice to patients with LBP from the very beginning.

Original language	Undefined
Title of host publication	Proceedings 2016 IEEE International Conference on Healthcare Informatics
Place of Publication	Chicago
Publisher	IEEE Computer Society
Pages	495-503
Number of pages	9
ISBN (Print)	978-1-5090-6117-4
DOIs	https://doi.org/10.1109/ICHI.2016.90
Publication status	Published - Dec 2016
Event	2016 IEEE International Conference on Healthcare Informatics - Chicago, United States Duration: 4 Oct 2016 → 7 Oct 2016

Publication series

Name
Publisher	IEEE Computer Society

Conference

Conference	2016 IEEE International Conference on Healthcare Informatics
Abbreviated title	ICHI 2016
Country/Territory	United States
City	Chicago
Period	4/10/16 → 7/10/16

Keywords

EWI-27497
BSS-Technology supported cognitive training
Vignette study
Primary healthcare
IR-102636
Decision Tree
Multinomial regression analysis
Low Back Pain
METIS-319504
Clinical Decision Support System (CDSS)

Access to Document

10.1109/ICHI.2016.90

Cite this

Oude Nijeweme-d'Hollosy, W., van Velsen, L. S., Groothuis-Oudshoorn, C. G. M., Soer, R., & Hermens, H. J. (2016). Should I see a healthcare professional or can I perform self-care: self-referral decision support for patients with low back pain. In Proceedings 2016 IEEE International Conference on Healthcare Informatics (pp. 495-503). IEEE Computer Society. https://doi.org/10.1109/ICHI.2016.90

Oude Nijeweme-d'Hollosy, Wendeline ; van Velsen, Lex Stefan ; Groothuis-Oudshoorn, Catharina Gerarda Maria et al. / Should I see a healthcare professional or can I perform self-care: self-referral decision support for patients with low back pain. Proceedings 2016 IEEE International Conference on Healthcare Informatics. Chicago : IEEE Computer Society, 2016. pp. 495-503

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abstract = "When people get low back pain (LBP), it is not always evident when to see a general practitioner (GP) or physiotherapist, or to perform self-care. A direct correct referral is essential for effective treatment to prevent the development of chronic LBP the utmost. In the context of designing a tool that is able to provide a referral advice to a patient, 63 healthcare professionals (GPs and physiotherapists) participated in a vignette study. They had to judge 32 LBP cases on 1. see a general practitioner, 2. see a physiotherapist, and 3. perform self-care. In total, 1288 vignettes were judged. Multinomial regression analysis showed that Weight Loss, Trauma, and Nocturnal Pain are the three most significant predictive variables. A decision tree was generated that showed the same conclusion. This decision tree is the basis to build a tool that provides personalized referral advice to patients with LBP from the very beginning.",

keywords = "EWI-27497, BSS-Technology supported cognitive training, Vignette study, Primary healthcare, IR-102636, Decision Tree, Multinomial regression analysis, Low Back Pain, METIS-319504, Clinical Decision Support System (CDSS)",

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Oude Nijeweme-d'Hollosy, W , van Velsen, LS , Groothuis-Oudshoorn, CGM, Soer, R & Hermens, HJ 2016, Should I see a healthcare professional or can I perform self-care: self-referral decision support for patients with low back pain. in Proceedings 2016 IEEE International Conference on Healthcare Informatics. IEEE Computer Society, Chicago, pp. 495-503, 2016 IEEE International Conference on Healthcare Informatics, Chicago, Illinois, United States, 4/10/16. https://doi.org/10.1109/ICHI.2016.90

Should I see a healthcare professional or can I perform self-care: self-referral decision support for patients with low back pain. / Oude Nijeweme-d'Hollosy, Wendeline ; van Velsen, Lex Stefan ; Groothuis-Oudshoorn, Catharina Gerarda Maria et al.

Proceedings 2016 IEEE International Conference on Healthcare Informatics. Chicago : IEEE Computer Society, 2016. p. 495-503.

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution › Academic › peer-review

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