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

5 Citations (Scopus)

11 Downloads (Pure)

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
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. https://doi.org/10.1109/ICHI.2016.90

@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 ; 2016 IEEE International Conference on Healthcare Informatics ; Conference date: 04-10-2016 Through 07-10-2016",

year = "2016",

month = dec,

doi = "10.1109/ICHI.2016.90",

language = "Undefined",

isbn = "978-1-5090-6117-4",

publisher = "IEEE",

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, 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, 2016. p. 495-503.

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

N1 - eemcs-eprint-27497

PY - 2016/12

Y1 - 2016/12

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.

KW - EWI-27497

KW - BSS-Technology supported cognitive training

KW - Vignette study

KW - Primary healthcare

KW - IR-102636

KW - Decision Tree

KW - Multinomial regression analysis

KW - Low Back Pain

KW - METIS-319504

KW - Clinical Decision Support System (CDSS)

U2 - 10.1109/ICHI.2016.90

DO - 10.1109/ICHI.2016.90

M3 - Conference contribution

SN - 978-1-5090-6117-4

SP - 495

EP - 503

BT - Proceedings 2016 IEEE International Conference on Healthcare Informatics

PB - IEEE

CY - Chicago

T2 - 2016 IEEE International Conference on Healthcare Informatics

Y2 - 4 October 2016 through 7 October 2016

ER -