{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T10:16:59Z","timestamp":1772101019517,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T00:00:00Z","timestamp":1720137600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To describe the frequency of primary care seeking for neck or back\u2010related conditions among people with chronic neck and low back pain and to develop prediction models of primary care seeking and frequent visits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We included participants of the Tr\u00f8ndelag Health Study (HUNT4, 2017\u201319) in Norway who self\u2010reported chronic neck and\/or low back pain in the preceding year, and extracted data of primary care visits from the Norwegian primary healthcare registry. We investigated a total of 23 potential predictors and used multivariable logistic regression models to predict primary care seeking for neck or back\u2010related conditions and frequent visits by healthcare provider (i.e., the highest quartile of number of visits).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 15,352 HUNT4 participants with chronic neck and\/or low back pain, 6231 participants (40.6%) sought primary care for neck or back\u2010related conditions (median\u2009=\u20095 visits, IQR 2\u201315) within 2\u2009years after the study. Participants who consulted physical therapists sought care the most frequently (median\u2009=\u200910 visits, IQR 3\u201326). Discrimination of the best\u2010fit prediction model of primary care seeking and frequent visits by healthcare provider, assessed by C\u2010statistic, ranged from 0.66\u20130.76. Participants who made frequent primary care visits in the preceding year were highly likely to continue frequent care seeking in the following 2\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Around 40% of people seek primary care for chronic neck and low back pain, and frequent care seeking may continue for years. Future studies should investigate strategies to reduce recurrent primary care visits, especially seeking physical therapist care, and promote self\u2010management of chronic pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>People with chronic neck and low back pain who seek physical therapist care had the highest frequency of care seeking, underscoring the significant burden on healthcare systems. The high frequency of visits and associated healthcare expenditures highlight the critical need for effective and valuable primary care for chronic pain management. To mitigate recurrent visits and reduce costs, it is essential to provide patients with evidence\u2010based treatments and self\u2010management interventions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.2310","type":"journal-article","created":{"date-parts":[[2024,7,6]],"date-time":"2024-07-06T03:54:27Z","timestamp":1720238067000},"page":"1799-1810","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Primary care seeking among adults with chronic neck and low back pain in Norway: A prospective study from the <scp>HUNT<\/scp> study linked to Norwegian primary healthcare registry"],"prefix":"10.1002","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5651-6717","authenticated-orcid":false,"given":"Qiuzhe","family":"Chen","sequence":"first","affiliation":[{"name":"Sydney Musculoskeletal Health, Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bj\u00f8rnar","family":"Berg","sequence":"additional","affiliation":[{"name":"Centre for Intelligent Musculoskeletal Health, Department of Rehabilitation Science and Health Technology Oslo Metropolitan University  Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margreth","family":"Grotle","sequence":"additional","affiliation":[{"name":"Centre for Intelligent Musculoskeletal Health, Department of Rehabilitation Science and Health Technology Oslo Metropolitan University  Oslo Norway"},{"name":"Department of Research and Innovation, Division of Clinical Neuroscience Oslo University Hospital  Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris G.","family":"Maher","sequence":"additional","affiliation":[{"name":"Sydney Musculoskeletal Health, Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kjersti","family":"Storheim","sequence":"additional","affiliation":[{"name":"Department of Research and Innovation, Division of Clinical Neuroscience Oslo University Hospital  Oslo Norway"},{"name":"Department of Rehabilitation Science and Health Technology, Faculty of Health Sciences Oslo Metropolitan University  Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo C.","family":"Machado","sequence":"additional","affiliation":[{"name":"Sydney Musculoskeletal Health, Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,5]]},"reference":[{"issue":"235","key":"e_1_2_9_2_1","article-title":"Primary care management of non\u2010specific low back pain: Key messages from recent clinical guidelines","volume":"209","author":"Almeida M.","year":"2018","journal-title":"The Medical Journal of Australia"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyac095"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2021.08.007"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2003.06.002"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2008.tb02207.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2009.08.003"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2016.07.029"},{"key":"e_1_2_9_9_1","first-page":"CD009169","article-title":"Therapeutic ultrasound for chronic low back pain","volume":"7","author":"Ebadi S.","year":"2020","journal-title":"Cochrane Database of Systematic Reviews"},{"issue":"747","key":"e_1_2_9_10_1","first-page":"e741","article-title":"Factors defining care\u2010seeking in low back pain \u2013 A meta\u2010analysis of population based surveys","volume":"14","author":"Ferreira M. L.","year":"2010","journal-title":"European Journal of Pain"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43058-022-00305-2"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30489-6"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnab154"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-057778"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-023-02896-6"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-015-0536-z"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898264310374111"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494807085373"},{"key":"e_1_2_9_19_1","unstructured":"Meyer H. E. B\u00f8hler L. &Vollrath M.(2023)Norwegian Institute of Public Health (NIPH). 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