{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:52:02Z","timestamp":1787014322749,"version":"build-2736575974"},"reference-count":47,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:00:00Z","timestamp":1745366400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is a need to better understand patient factors contributing to low back pain (LBP)\u2010related hospitalisations to improve health service delivery and reduce avoidable admissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study explored the experiences of people with LBP leading up to and resulting in hospital admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative descriptive methodology using semi\u2010structured interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and Participants<\/jats:title>\n                    <jats:p>Patients admitted with non\u2010specific LBP at a large Australian tertiary public hospital meeting specific inclusion and exclusion criteria were pragmatically identified and recruited, and they consented to participate. Interviews were audio\u2010recorded, and thematic analysis generated codes and themes from the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixteen patients consented to participate. The cohort had an average age of 52\u2009years (SD\u2009=\u200917) and had an average hospital length of stay of 13\u2009days (SD\u2009=\u200910.8, range\u2009=\u20092\u201331). Two themes were identified. The first related to the impact of LBP on patients' lives, with sub\u2010themes including difficulty coping with pain, difficulty managing daily activities and escalating distress. The second theme related to unmet treatment needs, with sub\u2010themes including ineffectiveness of past treatments, inability to access timely and affordable community healthcare, and expectations for emergency care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients impacted by severe LBP regarded hospitals as a last resort for management of pain when community healthcare was perceived to be ineffective or inaccessible. This study highlights the practice gaps before hospitalisation for LBP from the perspectives of patients and the need to improve the delivery and access of healthcare for this condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>This study sought insights from patients with low back pain (LBP) who were admitted to hospital with LBP. The findings will inform stakeholders, including consumers, on the co\u2010design of an optimal system of care to improve the delivery and access of health services for LBP. All patients were offered the opportunity to review a summary of the study's results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70269","type":"journal-article","created":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T01:59:04Z","timestamp":1745459944000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["\u2018I Have Never Been in That Kind of All\u2010Consuming Pain \u2026 I Did Not Know What Else to Do\u2019: The Journey to Hospital Admission With Low Back Pain From the Perspectives of Patients"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9908-2135","authenticated-orcid":false,"given":"Joseph F.","family":"Orlando","sequence":"first","affiliation":[{"name":"IIMPACT in Health, Allied Health and Human Performance University of South Australia Adelaide Australia"},{"name":"Central Adelaide Local Health Network SA Health Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Beard","sequence":"additional","affiliation":[{"name":"Central Adelaide Local Health Network SA Health Adelaide Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne L. 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Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,23]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/hpm.3626"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00252-X"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-017-1511-7"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.13792"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2019.06.005"},{"key":"e_1_2_12_7_1","unstructured":"Australian Commission on Safety and Quality in Health Care.2022.Low Back Pain Clinical Care 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