{"id":"https://openalex.org/W40793378","doi":null,"title":"Back pain-- reducing long-term problems.","display_name":"Back pain-- reducing long-term problems.","publication_year":2006,"publication_date":"2006-05-01","ids":{"openalex":"https://openalex.org/W40793378","mag":"40793378","pmid":"https://pubmed.ncbi.nlm.nih.gov/16638246","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1837839"},"language":"en","primary_location":{"id":"pmh:oai:europepmc.org:450325","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1837839","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://europepmc.org/pmc/articles/PMC1837839","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5008545927","display_name":"Paul Hepple","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Paul Hepple","raw_affiliation_strings":["Muirhouse Medical Group, Edinburgh"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Muirhouse Medical Group, Edinburgh","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5044102429","display_name":"Ann R. R. Robertson","orcid":"https://orcid.org/0000-0003-1077-0343","observed_orcids":["https://orcid.org/0000-0003-1077-0343"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ann R R Robertson","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.4477,"has_fulltext":false,"cited_by_count":7,"citation_normalized_percentile":{"value":0.75074895,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"56","issue":"526","first_page":"324","last_page":"6"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12715","display_name":"Pregnancy-related medical research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/low-back-pain","display_name":"low back pain","score":0.7459999918937683},{"id":"https://openalex.org/keywords/chronic-back-pain","display_name":"chronic back pain","score":0.8429999947547913},{"id":"https://openalex.org/keywords/non-specific-low-back-pain","display_name":"non-specific low back pain","score":0.8740000128746033},{"id":"https://openalex.org/keywords/red-flags","display_name":"red flags","score":0.722000002861023},{"id":"https://openalex.org/keywords/chronic-disability","display_name":"chronic disability","score":0.6349999904632568},{"id":"https://openalex.org/keywords/work-loss","display_name":"work loss","score":0.6470000147819519},{"id":"https://openalex.org/keywords/risk-factors-for-chronic-pain","display_name":"risk factors for chronic pain","score":0.8360000252723694},{"id":"https://openalex.org/keywords/general-practitioner-care","display_name":"general practitioner care","score":0.7730000019073486},{"id":"https://openalex.org/keywords/acute-back-pain","display_name":"acute back pain","score":0.5239999890327454},{"id":"https://openalex.org/keywords/spine-pathology","display_name":"spinal pathology","score":0.36399999260902405}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.866824209690094},{"id":"https://openalex.org/C2776501849","wikidata":"https://www.wikidata.org/wiki/Q5781808","display_name":"Back pain","level":3,"score":0.7543318867683411},{"id":"https://openalex.org/C2780907711","wikidata":"https://www.wikidata.org/wiki/Q852163","display_name":"Low back pain","level":3,"score":0.5980960130691528},{"id":"https://openalex.org/C2781118164","wikidata":"https://www.wikidata.org/wiki/Q1088113","display_name":"Chronic pain","level":2,"score":0.5680660009384155},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4966736435890198},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.46501094102859497},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.43498530983924866},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.2656009793281555},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.12952104210853577},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0762341320514679}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005194","descriptor_name":"Family Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010818","descriptor_name":"Practice Patterns, Physicians'","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012017","descriptor_name":"Referral and Consultation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017116","descriptor_name":"Low Back Pain","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D017116","descriptor_name":"Low Back Pain","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false}],"locations_count":4,"locations":[{"id":"pmh:oai:europepmc.org:450325","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1837839","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmid:16638246","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16638246","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The British journal of general practice : the journal of the Royal College of General Practitioners","raw_type":"Comment"},{"id":"pmh:oai:pubmedcentral.nih.gov:1837839","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC1837839/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Br J Gen Pract","raw_type":"Text"},{"id":"mag:40793378","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16638246","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:europepmc.org:450325","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC1837839","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":12,"referenced_works":["https://openalex.org/W181600176","https://openalex.org/W1536957439","https://openalex.org/W1826741928","https://openalex.org/W1970664734","https://openalex.org/W1974257525","https://openalex.org/W1991337052","https://openalex.org/W2012413208","https://openalex.org/W2101896531","https://openalex.org/W2114010383","https://openalex.org/W2120382785","https://openalex.org/W2738548524","https://openalex.org/W3147373366"],"related_works":["https://openalex.org/W2404296597","https://openalex.org/W2418074750","https://openalex.org/W2478964544","https://openalex.org/W4244536337","https://openalex.org/W1997048294","https://openalex.org/W7100736798","https://openalex.org/W2945653273","https://openalex.org/W2055882974","https://openalex.org/W198861499","https://openalex.org/W1914426453"],"abstract_inverted_index":{"In":[0],"a":[1,56,89,93,97,105,114,125],"1998":[2],"survey":[3],"in":[4,8,127],"Great":[5],"Britain,":[6],"one":[7,174],"12":[9],"adults":[10],"aged":[11],"25\u201344":[12],"years":[13],"reported":[14],"having":[15],"back":[16,28,71,86,121,162,167,180],"pain":[17,29,72,122,138,168,181,229],"lasting":[18],"over":[19,211],"1":[20,42],"year.1":[21],"Although":[22],"90%":[23],"of":[24,55,65,83,99,101,107,120,175,207,216,237],"patients":[25,66],"with":[26,68,165,186,194],"non-specific":[27,178],"stop":[30],"consulting":[31],"within":[32],"3":[33],"months,":[34],"only":[35],"25%":[36],"will":[37,46],"have":[38,141],"completely":[39],"recovered":[40],"after":[41],"year.":[43],"Approximately":[44],"6%":[45],"go":[47],"on":[48,75],"to":[49,60,76,110,131,144,159],"become":[50],"chronically":[51],"disabled.2\n\nA":[52],"key":[53],"role":[54],"GP":[57,146],"should":[58,169],"be":[59,157,171],"help":[61],"reduce":[62],"the":[63,142,235],"number":[64],"presenting":[67,164],"acute":[69,166],"lower":[70],"from":[73,96],"going":[74],"develop":[77],"chronic":[78,137,161],"pain,":[79,87],"disability":[80,140],"and":[81,104,124,139,148,191,230],"loss":[82],"work.":[84],"Unfortunately,":[85],"being":[88],"symptom":[90],"rather":[91],"than":[92],"disease,":[94],"suffers":[95],"lack":[98,106],"understanding":[100],"its":[102],"mechanism":[103],"evidence":[108],"as":[109],"which":[111],"intervention":[112],"helps":[113],"particular":[115],"patient.":[116],"However,":[117],"an":[118],"escalation":[119],"research":[123],"shift":[126],"emphasis":[128],"towards":[129],"trying":[130],"identify":[132],"early":[133],"risk":[134],"factors":[135],"for":[136,153,197],"potential":[143],"improve":[145],"care":[147],"patients'":[149],"outcomes,":[150],"particularly":[151],"outcomes":[152],"those":[154,185,193],"who":[155],"may":[156],"vulnerable":[158],"developing":[160],"pain.\n\nPatients":[163],"initially":[170],"assessed":[172],"into":[173],"three":[176],"groups:3":[177],"low":[179],"(the":[182],"vast":[183],"majority),":[184],"possible":[187,198],"nerve":[188],"root":[189],"problems":[190],"lastly":[192],"red":[195,203],"flags":[196,204],"serious":[199],"spinal":[200],"pathology.":[201],"These":[202],"include:":[205],"age":[206],"onset":[208],"<20":[209],"or":[210,220],"55":[212],"years,":[213],"past":[214],"history":[215],"carcinoma,":[217],"systemically":[218],"unwell":[219],"weight":[221],"loss,":[222],"structural":[223],"deformity,":[224],"constant":[225],"progressive":[226],"non-mechanical":[227],"type":[228],"widespread":[231],"neurological":[232],"symptoms.":[233],"For":[234],"rest":[236],"\u2026":[238]},"counts_by_year":[{"year":2017,"cited_by_count":2},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-06-24T00:00:00"}