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Back and neck pain: in support of routine delivery of non-pharmacologic treatments as a way to improve individual and population health.

Publication ,  Journal Article
George, SZ; Lentz, TA; Goertz, CM
Published in: Transl Res
August 2021

Chronic back and neck pain are highly prevalent conditions that are among the largest drivers of physical disability and cost in the world. Recent clinical practice guidelines recommend use of non-pharmacologic treatments to decrease pain and improve physical function for individuals with back and neck pain. However, delivery of these treatments remains a challenge because common care delivery models for back and neck pain incentivize treatments that are not in the best interests of patients, the overall health system, or society. This narrative review focuses on the need to increase use of non-pharmacologic treatment as part of routine care for back and neck pain. First, we present the evidence base and summarize recommendations from clinical practice guidelines regarding non-pharmacologic treatments. Second, we characterize current use patterns for non-pharmacologic treatments and identify potential barriers to their delivery. Addressing these barriers will require coordinated efforts from multiple stakeholders to prioritize evidence-based non-pharmacologic treatment approaches over low value care for back and neck pain. These stakeholders include patients, health care providers, health care organizations, administrators, payers, policymakers and researchers.

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Published In

Transl Res

DOI

EISSN

1878-1810

Publication Date

August 2021

Volume

234

Start / End Page

129 / 140

Location

United States

Related Subject Headings

  • Translational Research, Biomedical
  • Practice Guidelines as Topic
  • Pain Management
  • Neck Pain
  • Humans
  • General Clinical Medicine
  • Evidence-Based Medicine
  • Chronic Pain
  • Back Pain
  • 3202 Clinical sciences
 

Citation

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George, S. Z., Lentz, T. A., & Goertz, C. M. (2021). Back and neck pain: in support of routine delivery of non-pharmacologic treatments as a way to improve individual and population health. Transl Res, 234, 129–140. https://doi.org/10.1016/j.trsl.2021.04.006
George, Steven Z., Trevor A. Lentz, and Christine M. Goertz. “Back and neck pain: in support of routine delivery of non-pharmacologic treatments as a way to improve individual and population health.Transl Res 234 (August 2021): 129–40. https://doi.org/10.1016/j.trsl.2021.04.006.
George, Steven Z., et al. “Back and neck pain: in support of routine delivery of non-pharmacologic treatments as a way to improve individual and population health.Transl Res, vol. 234, Aug. 2021, pp. 129–40. Pubmed, doi:10.1016/j.trsl.2021.04.006.
Journal cover image

Published In

Transl Res

DOI

EISSN

1878-1810

Publication Date

August 2021

Volume

234

Start / End Page

129 / 140

Location

United States

Related Subject Headings

  • Translational Research, Biomedical
  • Practice Guidelines as Topic
  • Pain Management
  • Neck Pain
  • Humans
  • General Clinical Medicine
  • Evidence-Based Medicine
  • Chronic Pain
  • Back Pain
  • 3202 Clinical sciences