{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T13:02:03Z","timestamp":1790254923250,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In 2022, the Australian Commission on Safety and Quality in Healthcare released clinical care standards for managing low back pain (LBP), including in emergency departments (EDs), where guideline non\u2010adherent care has been reported. This study aimed to describe LBP care in a tertiary hospital ED against these new clinical standards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 12\u2010month retrospective review of medical records from a random sample of adults with LBP presenting to a tertiary hospital ED. Outcomes focused on key aspects of LBP care aligned with the eight quality statements in the Low Back Pain Clinical Care Standards (LBPCCS). Descriptive statistics were used to describe care against the quality indicators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 1974 ED presentations with a LBP\u2010related discharge diagnosis in 2023, 550 were randomly selected for review. After exclusions, 374 were assessed against the LBPCCS. All presentations were assessed against the clinical assessment outcomes (quality statements 1\u20133), and 335 presentations were assessed against the ED management outcomes (quality statements 4\u20138). Clinical assessment and screening for serious\/specific pathology was documented in 278 cases (74%); appropriate imaging in 66 (56%); self\u2010management advice in 56 (17%); and psychosocial risk screening with referral in 56 cases (17%). Opioids were administered in 208 cases (62%) and anti\u2010convulsants in 52 (16%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In a tertiary hospital ED, adherence to the LBPCCS is varied. The ED performed well against the clinical assessment\/screening outcomes. However, findings suggest strategies are needed to improve performance against the management outcomes, including management advice, identification of psychosocial risk factors, and opioid use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70214","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T06:21:43Z","timestamp":1769149303000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Is Emergency Department Care for Low Back Pain Meeting Contemporary Standards? A Medical Record Review"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9168-0309","authenticated-orcid":false,"given":"Pippa","family":"Flanagan","sequence":"first","affiliation":[{"name":"Curtin School of Allied Health, Faculty of Health Sciences Curtin University  Bentley Western Australia Australia"},{"name":"Department of Physiotherapy Fiona Stanley Hospital  Murdoch Western Australia Australia"},{"name":"Emergency Department Fiona Stanley Hospital  Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2322-7692","authenticated-orcid":false,"given":"Piers","family":"Truter","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Fiona Stanley Hospital  Murdoch Western Australia Australia"},{"name":"Emergency Department Fiona Stanley Hospital  Murdoch Western Australia Australia"},{"name":"School of Health Sciences and Physiotherapy The University of Notre Dame  Fremantle Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo C.","family":"Machado","sequence":"additional","affiliation":[{"name":"Institute for Musculoskeletal Health The University of Sydney and Sydney Local Health District  Sydney UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kym","family":"Moiler","sequence":"additional","affiliation":[{"name":"Emergency Department Fiona Stanley Hospital  Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosalind","family":"Taylor","sequence":"additional","affiliation":[{"name":"Emergency Department Fiona Stanley Hospital  Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Atkinson","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Fiona Stanley Hospital  Murdoch Western Australia Australia"},{"name":"Emergency Department Fiona Stanley Hospital  Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Bayliss","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Fiona Stanley Hospital  Murdoch Western Australia Australia"},{"name":"Emergency Department Fiona Stanley Hospital  Murdoch Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6901-2569","authenticated-orcid":false,"given":"Ivan","family":"Lin","sequence":"additional","affiliation":[{"name":"Western Australian Centre for Rural Health The University of Western Australia  Geraldton Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Richards","sequence":"additional","affiliation":[{"name":"Curtin School of Allied Health, Faculty of Health Sciences Curtin University  Bentley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8620-7499","authenticated-orcid":false,"given":"Vinicius","family":"Cavalheri","sequence":"additional","affiliation":[{"name":"Curtin School of Allied Health, Faculty of Health Sciences Curtin University  Bentley Western Australia Australia"},{"name":"Allied Health South Metropolitan Health Service  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3183-7818","authenticated-orcid":false,"given":"Robert","family":"Waller","sequence":"additional","affiliation":[{"name":"Curtin School of Allied Health, Faculty of Health Sciences Curtin University  Bentley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891\u2010017\u20101511\u20107"},{"key":"e_1_2_12_3_1","unstructured":"Emergency Department Care \u201cAustralian Institute of Health and Welfare \u201d2024accessed 18 December 2024 https:\/\/www.aihw.gov.au\/reports\u2010data\/myhospitals\/sectors\/emergency\u2010department\u2010care."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2019.06.005"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs\u20102019\u2010009383"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2024.07.035"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742\u20106723.14354"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.auec.2024.07.001"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.auec.2023.04.003"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzab103"},{"key":"e_1_2_12_11_1","doi-asserted-by":"crossref","unstructured":"T.Zhou D.Salman andA. 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