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

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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
Number of pages9
ISBN (Print)978-1-5090-6117-4
Publication statusPublished - Dec 2016
Event2016 IEEE International Conference on Healthcare Informatics - Chicago, United States
Duration: 4 Oct 20167 Oct 2016

Publication series

PublisherIEEE Computer Society


Conference2016 IEEE International Conference on Healthcare Informatics
Abbreviated titleICHI 2016
Country/TerritoryUnited States


  • 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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