Total Chiropractors Physioterapists General practitioners p Valuea Patient numbers, overall and across professions N = 1140 N = 683 N = 308 N = 149 Gender, female 600 (52.6%) 336 (49.2%) 180 (58.4%) 84 (56.4%) 0.016 Age (years) 52 (40–64) 49 (38–61) 56 (45–70) 52 (41–63) <0.001 No. of weeks with symptoms in current course 2 (0–8) 1 (0–3) 5 (2–46) 2 (0–8) <0.001 Previous back pain episodes, several disabling episodes 700 (62.2%) 451 (66.5%) 181 (59.5%) 68 (47.2%) <0.001 Previous treatment in the current episode Chiropractor 59 (13.5%) 0 (0.0%) 40 (13.1%) 19 (14.6%) 0.67 GP 394 (40.5%) 163 (24.4%) 231 (75.5%) 0 (0.0%) <0.001 Secondary care Spine centre/Hospital/operation 96 (8.7%) 42 (6.3%) 45 (14.7%) 9 (6.9%) <0.001 MRI 85 (7.7%) 33 (4.9%) 43 (14.1%) 9 (6.9%) <0.001 Physiotherapist 135 (16.9%) 96 (14.4%) 0 (0.0%) 39 (30.0%) <0.001 Other 598 (54.2%) 457 (68.4%) 64 (20.9%) 77 (59.2%) <0.001 Findings Radiating pain below knee 174 (15.7%) 82 (12.3%) 64 (21.1%) 28 (20.0%) <0.001 Widespread pain (2 or more pain sites beside LBP) 260 (23.0%) 128 (18.9%) 99 (32.1%) 33 (22.3%) <0.001 Poor sleep 473 (41.8%) 281 (41.6%) 139 (45.1%) 53 (35.8%) 0.17 Physical disabled 928 (82.0%) 578 (85.5%) 248 (80.5%) 102 (68.9%) <0.001 Emotional disabled 256 (22.6%) 147 (21.7%) 90 (29.2%) 19 (12.8%) <0.001 Sick leave 148 (13.1%) 93 (13.8%) 42 (13.6%) 13 (8.8%) 0.25 Abnorm neurology 99 (8.7%) 50 (7.4%) 28 (9.1%) 21 (14.2%) 0.028 Neurological examination conducted 284 (25.1%) 147 (21.7%) 119 (38.8%) 18 (12.2%) <0.001 Clinical nerve root pressure 88 (7.8%) 47 (6.9%) 26 (8.5%) 15 (10.1%) 0.36 Suspected serious pathology 10 (0.9%) 3 (0.4%) 5 (1.6%) 2 (1.4%) 0.15 Initiated treatment Counselling and advice in self-management 888 (78.2%) 538 (79.1%) 259 (84.1%) 91 (61.9%) <0.001 Acupuncture/ Dry needling (including blockade for GPs) 64 (5.6%) 53 (7.8%) 8 (2.6%) 3(2.0%) 0.002 Instruction in direction-specific exercises 121 (39.3%) N/A 121 (39.3%) N/A Instruction in exercises/active exercises 524 (46.0%) 298 (43.6%) 199 (64.6%) 27 (18.4%) <0.001 Information; symptoms and prognosis 811 (71.5%) 519 (76.3%) 227 (73.7%) 65 (44.2%) <0.001 Dialog; lifestyle factors 78 (25.3%) N/A 78 (25.3%) N/A Manuel Therapy 823 (72.5%) 651 (95.7%) 166 (53.9%) 6 (4.1%) <0.001 NSAID 35 (23.8%) N/A N/A 35 (23.8%) Opioids 13 (8.8%) N/A N/A 13 (8.8%) Gabapentin/Lyrica/Tricyclic Antidepressives (TCA) 9 (6.1%) N/A N/A 9 (6.1%) ULRUS (Extended Back examination) 18 (1.8%) 2 (0.3%) 16 (5.2%) N/A Other 17 (1.5%) 1 (0.1%) 1 (0.3%) 15 (10.2%) <0.001 Purpose of the consultation The cause to LBP 835 (73.7%) 545 (80.1%) 226 (73.9%) 64 (43.5%) <0.001 Reassurance 578 (51.0%) 344 (50.6%) 167 (54.6%) 67 (45.6%) 0.19 Fulfil patient demands 454 (40.1%) 346 (50.9%) 85 (27.8%) 23 (15.6%) <0.001 Ease pain 930 (82.1%) 654 (96.2%) 210 (68.6%) 66 (44.9%) <0.001 Improve self-management 773 (68.2%) 456 (67.1%) 259 (84.6%) 58 (39.5%) <0.001 Other 10 (0.9%) 4 (0.6%) 0 (0.0%) 6 (4.1%) <0.001 Data are presented as median (IQR) for continuous measures, and n (%) for categorical measures.
aBetween group differences tested using Kruskal–Wallis for non-parametric testing.