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

Research output: Chapter in Book/Report/Conference proceedingConference contributionAcademicpeer-review

2 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 languageUndefined
Title of host publicationProceedings 2016 IEEE International Conference on Healthcare Informatics
Place of PublicationChicago
PublisherIEEE Computer Society
Pages495-503
Number of pages9
ISBN (Print)978-1-5090-6117-4
DOIs
Publication statusPublished - Dec 2016
Event2016 IEEE International Conference on Healthcare Informatics - Chicago, United States
Duration: 4 Oct 20167 Oct 2016

Publication series

Name
PublisherIEEE Computer Society

Conference

Conference2016 IEEE International Conference on Healthcare Informatics
Abbreviated titleICHI 2016
CountryUnited States
CityChicago
Period4/10/167/10/16

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)

Cite this

@inproceedings{16bedf8f73914defa1b766992d5a35bc,
title = "Should I see a healthcare professional or can I perform self-care: self-referral decision support for patients with low back pain",
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)",
author = "{Oude Nijeweme-d'Hollosy}, Wendeline and {van Velsen}, {Lex Stefan} and Groothuis-Oudshoorn, {Catharina Gerarda Maria} and Remko Soer and Hermens, {Hermanus J.}",
note = "eemcs-eprint-27497",
year = "2016",
month = "12",
doi = "10.1109/ICHI.2016.90",
language = "Undefined",
isbn = "978-1-5090-6117-4",
publisher = "IEEE Computer Society",
pages = "495--503",
booktitle = "Proceedings 2016 IEEE International Conference on Healthcare Informatics",
address = "United States",

}

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, 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; Soer, Remko; Hermens, Hermanus J.

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

Research output: Chapter in Book/Report/Conference proceedingConference contributionAcademicpeer-review

TY - GEN

T1 - Should I see a healthcare professional or can I perform self-care: self-referral decision support for patients with low back pain

AU - Oude Nijeweme-d'Hollosy, Wendeline

AU - van Velsen, Lex Stefan

AU - Groothuis-Oudshoorn, Catharina Gerarda Maria

AU - Soer, Remko

AU - Hermens, Hermanus J.

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N2 - 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.

AB - 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.

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KW - Clinical Decision Support System (CDSS)

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