{"id":"https://openalex.org/W7224480477","doi":"https://doi.org/10.1007/s00431-026-07540-y","title":"Primary healthcare use prior to hospital consultations for spinal disorders among Danish children and adolescents: A descriptive nationwide registry-based study","display_name":"Primary healthcare use prior to hospital consultations for spinal disorders among Danish children and adolescents: A descriptive nationwide registry-based study","publication_year":2026,"publication_date":"2026-10-29","ids":{"openalex":"https://openalex.org/W7224480477","doi":"https://doi.org/10.1007/s00431-026-07540-y","pmid":"https://pubmed.ncbi.nlm.nih.gov/42955406","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13719717"},"language":"en","primary_location":{"id":"doi:10.1007/s00431-026-07540-y","doi":"https://doi.org/10.1007/s00431-026-07540-y","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00431-026-07540-y","pdf_url":"https://link.springer.com/content/pdf/10.1007/s00431-026-07540-y.pdf","source":{"id":"https://openalex.org/S48201647","display_name":"European Journal of Pediatrics","issn_l":"0340-6199","issn":["0340-6199","1432-1076"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Pediatrics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://link.springer.com/content/pdf/10.1007/s00431-026-07540-y.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5092253500","display_name":"Freja Gomez Overgaard","orcid":"https://orcid.org/0009-0008-0367-0823","observed_orcids":["https://orcid.org/0009-0008-0367-0823"]},"institutions":[{"id":"https://openalex.org/I177969490","display_name":"University of Southern Denmark","ror":"https://ror.org/03yrrjy16","country_code":"DK","type":"education","lineage":["https://openalex.org/I177969490"]},{"id":"https://openalex.org/I99043593","display_name":"Macquarie University","ror":"https://ror.org/01sf06y89","country_code":"AU","type":"education","lineage":["https://openalex.org/I99043593"]}],"countries":["AU","DK"],"is_corresponding":true,"raw_author_name":"Freja Gomez Overgaard","raw_affiliation_strings":["Department of Chiropractic, Faculty of Medicine, Health and Human Science, Macquarie University, Sydney, Australia. Freja.gomez.overgaard@rsyd.dk","Department of Regional Health Research, University of Southern Denmark, Odense, Denmark. Freja.gomez.overgaard@rsyd.dk","Medical Spinal Research Unit, Spine Centre of Southern Denmark, University Hospital of Southern Denmark, Sygehusvej 24, 6000, Kolding, Denmark. Freja.gomez.overgaard@rsyd.dk"],"raw_orcid":"https://orcid.org/0009-0008-0367-0823","affiliations":[{"raw_affiliation_string":"Department of Chiropractic, Faculty of Medicine, Health and Human Science, Macquarie University, Sydney, Australia. Freja.gomez.overgaard@rsyd.dk","institution_ids":["https://openalex.org/I99043593"]},{"raw_affiliation_string":"Department of Regional Health Research, University of Southern Denmark, Odense, Denmark. Freja.gomez.overgaard@rsyd.dk","institution_ids":["https://openalex.org/I177969490"]},{"raw_affiliation_string":"Medical Spinal Research Unit, Spine Centre of Southern Denmark, University Hospital of Southern Denmark, Sygehusvej 24, 6000, Kolding, Denmark. Freja.gomez.overgaard@rsyd.dk","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030668536","display_name":"Michael Steven Swain","orcid":"https://orcid.org/0000-0003-2184-8409","observed_orcids":["https://orcid.org/0000-0003-2184-8409","https://orcid.org/0000-0002-3976-4257"]},"institutions":[{"id":"https://openalex.org/I99043593","display_name":"Macquarie University","ror":"https://ror.org/01sf06y89","country_code":"AU","type":"education","lineage":["https://openalex.org/I99043593"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Michael Swain","raw_affiliation_strings":["Department of Chiropractic, Faculty of Medicine, Health and Human Science, Macquarie University, Sydney, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Chiropractic, Faculty of Medicine, Health and Human Science, Macquarie University, Sydney, Australia","institution_ids":["https://openalex.org/I99043593"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054412396","display_name":"Mette Wod","orcid":"https://orcid.org/0000-0001-9765-7321","observed_orcids":["https://orcid.org/0000-0001-9765-7321"]},"institutions":[{"id":"https://openalex.org/I177969490","display_name":"University of Southern Denmark","ror":"https://ror.org/03yrrjy16","country_code":"DK","type":"education","lineage":["https://openalex.org/I177969490"]},{"id":"https://openalex.org/I2801498763","display_name":"Odense University Hospital","ror":"https://ror.org/00ey0ed83","country_code":"DK","type":"funder","lineage":["https://openalex.org/I2801498763"]}],"countries":["DK"],"is_corresponding":false,"raw_author_name":"Mette Wod","raw_affiliation_strings":["Center for Clinical Epidemiology, Odense University Hospital, Odense, Denmark","Research Unit of Clinical Epidemiology, Department of Clinical Research, University of Southern Denmark, Odense, Denmark"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Clinical Epidemiology, Odense University Hospital, Odense, Denmark","institution_ids":["https://openalex.org/I2801498763"]},{"raw_affiliation_string":"Research Unit of Clinical Epidemiology, Department of Clinical Research, University of Southern Denmark, Odense, Denmark","institution_ids":["https://openalex.org/I177969490"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036979263","display_name":"Lise Hestb\u00e6k","orcid":"https://orcid.org/0000-0002-1620-4556","observed_orcids":["https://orcid.org/0000-0002-1620-4556"]},"institutions":[{"id":"https://openalex.org/I177969490","display_name":"University of Southern Denmark","ror":"https://ror.org/03yrrjy16","country_code":"DK","type":"education","lineage":["https://openalex.org/I177969490"]}],"countries":["DK"],"is_corresponding":false,"raw_author_name":"Lise Hestb\u00e6k","raw_affiliation_strings":["Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark","The Chiropractic Knowledge Hub, Odense, Denmark"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark","institution_ids":["https://openalex.org/I177969490"]},{"raw_affiliation_string":"The Chiropractic Knowledge Hub, Odense, Denmark","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013649697","display_name":"Henrik Hein Lauridsen","orcid":"https://orcid.org/0000-0001-5198-5215","observed_orcids":["https://orcid.org/0000-0001-5198-5215"]},"institutions":[{"id":"https://openalex.org/I177969490","display_name":"University of Southern Denmark","ror":"https://ror.org/03yrrjy16","country_code":"DK","type":"education","lineage":["https://openalex.org/I177969490"]}],"countries":["DK"],"is_corresponding":false,"raw_author_name":"Henrik Hein Lauridsen","raw_affiliation_strings":["Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark","institution_ids":["https://openalex.org/I177969490"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160138018","display_name":"S\u00f8ren Francis Dyhrberg O\u2019Neill","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I177969490","display_name":"University of Southern Denmark","ror":"https://ror.org/03yrrjy16","country_code":"DK","type":"education","lineage":["https://openalex.org/I177969490"]}],"countries":["DK"],"is_corresponding":false,"raw_author_name":"S\u00f8ren Francis Dyhrberg O\u2019Neill","raw_affiliation_strings":["Department of Regional Health Research, University of Southern Denmark, Odense, Denmark","Medical Spinal Research Unit, Spine Centre of Southern Denmark, University Hospital of Southern Denmark, Sygehusvej 24, 6000, Kolding, Denmark"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Regional Health Research, University of Southern Denmark, Odense, Denmark","institution_ids":["https://openalex.org/I177969490"]},{"raw_affiliation_string":"Medical Spinal Research Unit, Spine Centre of Southern Denmark, University Hospital of Southern Denmark, Sygehusvej 24, 6000, Kolding, Denmark","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5006883309","display_name":"Casper Glissmann Nim","orcid":"https://orcid.org/0000-0001-5845-2622","observed_orcids":["https://orcid.org/0000-0001-5845-2622"]},"institutions":[{"id":"https://openalex.org/I177969490","display_name":"University of Southern Denmark","ror":"https://ror.org/03yrrjy16","country_code":"DK","type":"education","lineage":["https://openalex.org/I177969490"]}],"countries":["DK"],"is_corresponding":false,"raw_author_name":"Casper Nim","raw_affiliation_strings":["Department of Regional Health Research, University of Southern Denmark, Odense, Denmark","Medical Spinal Research Unit, Spine Centre of Southern Denmark, University Hospital of Southern Denmark, Sygehusvej 24, 6000, Kolding, Denmark"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Regional Health Research, University of Southern Denmark, Odense, Denmark","institution_ids":["https://openalex.org/I177969490"]},{"raw_affiliation_string":"Medical Spinal Research Unit, Spine Centre of Southern Denmark, University Hospital of Southern Denmark, Sygehusvej 24, 6000, Kolding, Denmark","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5092253500"],"corresponding_institution_ids":["https://openalex.org/I177969490","https://openalex.org/I99043593"],"apc_list":{"value":2990,"currency":"USD","value_usd":2990},"apc_paid":{"value":2990,"currency":"USD","value_usd":2990},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.83464596,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"185","issue":"11","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.7782999873161316,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.7782999873161316,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology (medical)"},"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/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.08649999648332596,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic 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/T11030","display_name":"Scoliosis diagnosis and treatment","score":0.02019999921321869,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"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/spinal-disorders","display_name":"spinal disorders","score":0.7039999961853027},{"id":"https://openalex.org/keywords/children-and-adolescents","display_name":"children and adolescents","score":0.6690000295639038},{"id":"https://openalex.org/keywords/prehospital-care","display_name":"prehospital care","score":0.7170000076293945},{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.7110000252723694},{"id":"https://openalex.org/keywords/chiropractors","display_name":"chiropractors","score":0.9739999771118164},{"id":"https://openalex.org/keywords/physical-therapy","display_name":"physiotherapy","score":0.8849999904632568},{"id":"https://openalex.org/keywords/household-income","display_name":"household income","score":0.7910000085830688},{"id":"https://openalex.org/keywords/comorbidity-burden","display_name":"comorbidity burden","score":0.8560000061988831},{"id":"https://openalex.org/keywords/spinal-pain","display_name":"spinal pain","score":0.7110000252723694},{"id":"https://openalex.org/keywords/health-care-utilization-patterns","display_name":"health care utilization patterns","score":0.6179999709129333}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8697999715805054},{"id":"https://openalex.org/C164622146","wikidata":"https://www.wikidata.org/wiki/Q9035","display_name":"Danish","level":2,"score":0.8574000000953674},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.7768999934196472},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6189000010490417},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5821999907493591},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.5511000156402588},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.5041999816894531},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.42410001158714294},{"id":"https://openalex.org/C142546437","wikidata":"https://www.wikidata.org/wiki/Q2661195","display_name":"Descriptive research","level":2,"score":0.4077000021934509},{"id":"https://openalex.org/C3019806175","wikidata":"https://www.wikidata.org/wiki/Q11974939","display_name":"Health professionals","level":3,"score":0.37959998846054077},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.36000001430511475},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3596000075340271},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.3537999987602234},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.3528999984264374},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.3409999907016754},{"id":"https://openalex.org/C164866538","wikidata":"https://www.wikidata.org/wiki/Q367351","display_name":"Cluster (spacecraft)","level":2,"score":0.314300000667572},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.29330000281333923},{"id":"https://openalex.org/C2780892066","wikidata":"https://www.wikidata.org/wiki/Q1591167","display_name":"Household income","level":2,"score":0.29280000925064087},{"id":"https://openalex.org/C163432668","wikidata":"https://www.wikidata.org/wiki/Q623543","display_name":"Primary health care","level":3,"score":0.2888000011444092},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.2831999957561493},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.2513999938964844}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003718","descriptor_name":"Denmark","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D012017","descriptor_name":"Referral and Consultation","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D012042","descriptor_name":"Registries","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013122","descriptor_name":"Spinal Diseases","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D013122","descriptor_name":"Spinal Diseases","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D013122","descriptor_name":"Spinal Diseases","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D015897","descriptor_name":"Comorbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1007/s00431-026-07540-y","doi":"https://doi.org/10.1007/s00431-026-07540-y","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00431-026-07540-y","pdf_url":"https://link.springer.com/content/pdf/10.1007/s00431-026-07540-y.pdf","source":{"id":"https://openalex.org/S48201647","display_name":"European Journal of Pediatrics","issn_l":"0340-6199","issn":["0340-6199","1432-1076"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Pediatrics","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13719717","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13719717/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13719717/pdf/431_2026_Article_7540.pdf","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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Eur J Pediatr","raw_type":"Text"},{"id":"pmid:42955406","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42955406","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":"European journal of pediatrics","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1007/s00431-026-07540-y","doi":"https://doi.org/10.1007/s00431-026-07540-y","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s00431-026-07540-y","pdf_url":"https://link.springer.com/content/pdf/10.1007/s00431-026-07540-y.pdf","source":{"id":"https://openalex.org/S48201647","display_name":"European Journal of Pediatrics","issn_l":"0340-6199","issn":["0340-6199","1432-1076"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Pediatrics","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/10","score":0.4074000120162964,"display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320320591","display_name":"Macquarie University","ror":"https://ror.org/01sf06y89"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224480477.pdf","grobid_xml":"https://content.openalex.org/works/W7224480477.grobid-xml"},"referenced_works_count":27,"referenced_works":["https://openalex.org/W1489476071","https://openalex.org/W1513618424","https://openalex.org/W1806803271","https://openalex.org/W2066694113","https://openalex.org/W2068155640","https://openalex.org/W2075857511","https://openalex.org/W2102420102","https://openalex.org/W2116771946","https://openalex.org/W2171232198","https://openalex.org/W2219591537","https://openalex.org/W2623384351","https://openalex.org/W2796352783","https://openalex.org/W2811473826","https://openalex.org/W2952649777","https://openalex.org/W2969570589","https://openalex.org/W2990427812","https://openalex.org/W3037840142","https://openalex.org/W3094662427","https://openalex.org/W3112798880","https://openalex.org/W3138712723","https://openalex.org/W4206239868","https://openalex.org/W4294116629","https://openalex.org/W4387077795","https://openalex.org/W4411509599","https://openalex.org/W4416786067","https://openalex.org/W7129685729","https://openalex.org/W7131299382"],"related_works":["https://openalex.org/W2885709933","https://openalex.org/W7167092029","https://openalex.org/W2042264257","https://openalex.org/W4381887370","https://openalex.org/W2129697895","https://openalex.org/W2095155086","https://openalex.org/W1969913671","https://openalex.org/W2057665951","https://openalex.org/W2093275450","https://openalex.org/W4411509599"],"abstract_inverted_index":{"Hospital-based":[0,260],"spine-related":[1,31,59,98,177,204,300],"diagnoses":[2,179,206,262],"in":[3,80,231,242,263,276,305],"children":[4,51,114,153,243,264,290],"are":[5,265],"often":[6,269],"preceded":[7],"by":[8,220],"substantial":[9,248],"healthcare":[10,26,90,171,198,229,285,308],"use,":[11],"but":[12],"patterns":[13,169,218],"and":[14,38,63,76,105,133,160,180,207,244,253,268,295],"determinants":[15],"remain":[16],"poorly":[17],"understood.":[18],"This":[19],"study":[20,47],"aimed":[21],"to":[22,29,85,175,202],"describe":[23,225],"pre-hospital":[24,227],"primary":[25,197,228,277,284,307],"use":[27,91,140,144,172,184,199,230,286,309],"according":[28,174,201],"parental":[30,97,176,203,299],"hospital":[32,99,178,205,301],"diagnoses,":[33,100],"the":[34,81,101,109],"child's":[35,102],"comorbidity":[36,103,181,208,293],"burden,":[37,104,249],"household":[39,191,311],"income.":[40],"We":[41],"conducted":[42],"a":[43,56,116,161],"nationwide,":[44],"registry-based":[45],"cohort":[46],"including":[48,250],"all":[49],"Danish":[50],"aged":[52],"2-17":[53],"years":[54,83,111],"with":[55,70,151,247,291,298,316],"first":[57],"hospital-based":[58],"diagnosis":[60,86],"between":[61],"2009":[62],"2022":[64],"(n":[65],"=":[66],"46,497).":[67],"Healthcare":[68,183],"services":[69,122,127,131,137,159],"general":[71],"practitioners":[72],"(GP),":[73],"chiropractors,":[74],"physiotherapists,":[75],"office-based":[77,135],"specialist":[78,136],"providers":[79,147],"two":[82,110],"prior":[84],"were":[87,314],"quantified.":[88],"Primary":[89],"was":[92,141,148,215,287],"described":[93],"across":[94,190,310],"age":[95],"groups,":[96],"income":[106,192,213,312,319],"tertiles.":[107],"In":[108],"before":[112],"diagnosis,":[113],"had":[115],"median":[117],"of":[118,145,170,196,256],"9":[119],"reimbursed":[120,158],"GP":[121,139],"(IQR":[123],"[5-17]),":[124],"0":[125,129,134],"chiropractor":[126],"[0-0],":[128,132],"physiotherapy":[130],"[0-1].":[138],"common,":[142],"whereas":[143],"non-GP":[146],"highly":[149],"skewed,":[150],"most":[152],"having":[154,164],"no":[155,186,317],"or":[156],"few":[157],"smaller":[162],"subgroup":[163],"repeated":[165],"service":[166],"use.":[167],"Descriptive":[168],"varied":[173,200,219],"burden.":[182,209],"showed":[185],"clear":[187,211,318],"descriptive":[188],"gradient":[189,214],"groups.":[193],"CONCLUSION:":[194],"Patterns":[195],"No":[210],"overall":[212],"observed,":[216],"although":[217],"provider":[221],"type.":[222],"These":[223],"findings":[224],"heterogeneous":[226],"this":[232],"population.":[233],"WHAT":[234,279],"IS":[235,280],"KNOWN:":[236],"\u2022":[237,259,282,303],"Spinal":[238],"pain":[239],"is":[240,245],"common":[241],"associated":[246],"school":[251],"absence":[252],"later":[254],"risk":[255],"chronic":[257],"pain.":[258],"spinal":[261],"increasingly":[266],"non-specific":[267],"represent":[270],"conditions":[271],"that":[272],"could":[273],"be":[274],"managed":[275],"care.":[278],"NEW:":[281],"Higher":[283],"observed":[288],"among":[289,296],"greater":[292],"burden":[294],"those":[297],"diagnoses.":[302],"Differences":[304],"total":[306],"groups":[313],"small,":[315],"gradient.":[320]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-10-30T00:00:00"}