{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T20:46:49Z","timestamp":1781729209886,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T00:00:00Z","timestamp":1719273600000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe the current content of low back pain (LBP) care in Danish general practice, the patients' self\u2010management activities, and the clinicians' experienced barriers to providing best practice care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional observational study included adults with LBP seeking care in Danish general practice from August 2022 to June 2023. Patient\u2010reported information included demographics, pain intensity, medical history, treatments, and self\u2010management strategies. Clinicians provided data specific to each consultation, detailing the content of these consultations, and barriers to best practice in the specific cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study involved 71 clinicians from 42 general practice clinics, with patient\u2010reported data from 294 patients, and clinician\u2010reported data from 283 (95%) consultations. The mean age for the included patients was 53\u00a0years, 56% were female, and 31% had been on sick leave for LBP during the previous 3\u00a0months. Moreover, 44% had seen two or more healthcare professionals in the previous month, 55% had previously undergone diagnostic imaging for LBP, 81% reported using any type of analgesics, and 14% reported using opioids. The majority (91%) reported engaging in self\u2010management activities to alleviate pain. Consultations typically included a physical examination (84%), information about the cause of the pain (74%), and management advice (68%), as reported by clinicians or patients. In general, clinicians reported consultation elements more frequently than patients. Clinicians reported providing best practice care in 84% of cases, with time constraints (23%) and patient expectations (10%) being the most common barriers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study provides detailed insights into the management of LBP in Danish general practice. It reveals a complex landscape of patient engagement, varying management strategies, and differing perceptions of care content between patients and clinicians. Patients were often engaged in self\u2010management activities and clinicians reported few barriers to providing best practice care.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1911","type":"journal-article","created":{"date-parts":[[2024,6,26]],"date-time":"2024-06-26T03:58:45Z","timestamp":1719374325000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Usual care for low back pain and barriers to best practice: A cross\u2010sectional study in Danish general practice"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9135-0780","authenticated-orcid":false,"given":"Bodil Al\u2010Mashhadi","family":"Arnbak","sequence":"first","affiliation":[{"name":"Department of Sports Science and Clinical Biomechanics Center for Muscle and Joint Health University of Southern Denmark  Odense Denmark"},{"name":"Department of Radiology Hospital Lillebaelt  Vejle Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tue Secher","family":"Jensen","sequence":"additional","affiliation":[{"name":"Department of Sports Science and Clinical Biomechanics Center for Muscle and Joint Health University of Southern Denmark  Odense Denmark"},{"name":"Chiropractic Knowledge Hub  Odense Denmark"},{"name":"Department of Diagnostic Imaging &amp; University Clinic for Innovative Patient Pathways Silkeborg Regional Hospital  Silkeborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rikke Arnborg","family":"Lund","sequence":"additional","affiliation":[{"name":"Department of Sports Science and Clinical Biomechanics Center for Muscle and Joint Health University of Southern Denmark  Odense Denmark"},{"name":"Chiropractic Knowledge Hub  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Hartvigsen","sequence":"additional","affiliation":[{"name":"Department of Sports Science and Clinical Biomechanics Center for Muscle and Joint Health University of Southern Denmark  Odense Denmark"},{"name":"Chiropractic Knowledge Hub  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens","family":"S\u00f8ndergaard","sequence":"additional","affiliation":[{"name":"Department of Public Health The Research Unit of General Practice University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janus Laust","family":"Thomsen","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Center for General Practice Aalborg University  Aalborg Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Sahl","family":"Andersen","sequence":"additional","affiliation":[{"name":"The Section of General Practice Department of Public Health University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"M\u00f8ller","sequence":"additional","affiliation":[{"name":"The Section of General Practice Department of Public Health University of Copenhagen  Copenhagen Denmark"},{"name":"The Research Unit of General Practice in Region Zealand and Copenhagen Department of Public Health, University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgitte","family":"N\u00f8rgaard","sequence":"additional","affiliation":[{"name":"Department of Public Health The Research Unit of User Perspectives and Community\u2010based Interventions University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla Blach","family":"Rossen","sequence":"additional","affiliation":[{"name":"University Clinic for Interdisciplinary Orthopaedic Pathways Elective Surgery Center Silkeborg Regional Hospital Regional Hospital Central Jutland  Silkeborg Denmark"},{"name":"Department of Clinical Medicine Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Kongsted","sequence":"additional","affiliation":[{"name":"Department of Sports Science and Clinical Biomechanics Center for Muscle and Joint Health University of Southern Denmark  Odense Denmark"},{"name":"Chiropractic Knowledge Hub  Odense 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(978\u201092\u20104\u2010008178\u20109 978\u201092\u20104\u2010008179\u20106).https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/38198579"}],"container-title":["Musculoskeletal Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.1911","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T18:27:15Z","timestamp":1720549635000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/msc.1911"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":29,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1002\/msc.1911"],"URL":"https:\/\/doi.org\/10.1002\/msc.1911","archive":["Portico"],"relation":{},"ISSN":["1478-2189","1557-0681"],"issn-type":[{"value":"1478-2189","type":"print"},{"value":"1557-0681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6]]},"assertion":[{"value":"2024-06-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e1911"}}