Clinical Pathways and Patients’ Attitudes in Acute Low Back Pain


In France the prevalence of low back pain is 70 to 80 %. It's the leading cause of health expenditure in Europe and costs 900 million euros per year to health insurance in France. This is the second reason to consult a general practitioner. Acute low back pain is defined as low back pain lasts less than 6 weeks. It represents 60 to 70 % of low back pain but only 20% of the costs induced by low back pain in general. In fact, acute low back pain often heals spontaneously. Risk factors for acute low back pain and risk factors for chronic low back pain have been the subject of many publications. They remain very difficult to prevent in practice because of their multiplicity. Preventing acute low back pain is part of the prevention of chronic low back pain. Patient care management of low back pain is well codified and consensual in the various international recommendations. However, their application is sometimes very disparate and bad habits on both patients and professionals persist. Advices recommended in the case of low back pain are widely disseminated but their applications are little studied. In 2017, in France, health insurance started a "back pain" prevention campaign with the objective of raising awareness of good attitudes in the event of back pain. It made an initial assessment of the different knowledges concerning spinal pain in the general population but also in the medical population with the aim of improving them. It appears that number of patients would not consult physician in this case. The many proposals of care and the diversity of medical professionals, paramedics and other stakeholders, proposing to cure low back pain form as many different clinical pathways. Use of alternative or unconventional medicines is poorly assessed. In this context, it seems relevant to evaluate patient clinical pathways and patients' attitudes.

Full Title of Study: “Clinical Pathways and Patients’ Attitudes in Acute Low Back Pain”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Cross-Sectional
  • Study Primary Completion Date: November 19, 2019

Detailed Description

The aim of the study is to explore patient clinical pathways and patients' attitudes in acute low back pain


  • Other: Data record
    • Data record

Arms, Groups and Cohorts

  • Acute low back pain
    • Adult patients with acute low back pain

Clinical Trial Outcome Measures

Primary Measures

  • clinical pathways
    • Time Frame: Day 0
    • First professional consulted by patients : general practitioner or specialist

Secondary Measures

  • patients’ attitude
    • Time Frame: Day 0
    • patient’s first attitude: stop or continue physical activity

Participating in This Clinical Trial

inclusion criteria :

  • men and women – aged between 18 and 65 years old – living in France – to have ever had an acute low back pain – accepting to participate in the study exclusion criteria : – over 65 or under 18 years old

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: 65 Years

Investigator Details

  • Lead Sponsor
    • CHU de Reims
  • Provider of Information About this Clinical Study
    • Sponsor

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