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Red flags to screen for malignancy and fracture in patients with low back pain

✍ Scribed by Downie, A.; Williams, C. M.; Henschke, N.; Hancock, M. J.; Ostelo, R. W. J. G.; de Vet, H. C. W.; Macaskill, P.; Irwig, L.; van Tulder, M. W.; Koes, B. W.; Maher, C. G.

Book ID
126660887
Publisher
BMJ Publishing Group
Year
2014
Tongue
English
Weight
390 KB
Volume
48
Category
Article
ISSN
0306-3674

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✦ Synopsis

Study question:

What are the best red flags to indicate the possibility of fracture or malignancy in patients presenting with low back pain in primary, secondary, or tertiary care?

Summary answer:

Older age, prolonged corticosteroid use, severe trauma, and presence of a contusion or abrasion increase the likelihood of spinal fracture (likelihood was higher with multiple red flags); a history of malignancy increases the likelihood of spinal malignancy.

πŸ“œ SIMILAR VOLUMES

Prevalence of and screening for serious
Prevalence of and screening for serious spinal pathology in patients presenting to primary care settings with acute low back pain
✍ Nicholas Henschke; Christopher G. Maher; Kathryn M. Refshauge; Robert D. Herbert πŸ“‚ Article πŸ“… 2009 πŸ› John Wiley and Sons 🌐 English βš– 230 KB πŸ‘ 2 views

## Abstract ## Objective To determine the prevalence of serious pathology in patients presenting to primary care settings with acute low back pain, and to evaluate the diagnostic accuracy of recommended β€œred flag” screening questions. ## Methods An inception cohort of 1,172 consecutive patients