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

Affiliations

¹ George Institute for Global Health, University of Sydney, Sydney, NSW, 2050, Australia Faculty of Science, Macquarie University, Sydney, Australia.
² George Institute for Global Health, University of Sydney, Sydney, NSW, 2050, Australia.
³ George Institute for Global Health, University of Sydney, Sydney, NSW, 2050, Australia Institute of Public Health, University of Heidelberg, Germany.
⁴ Faculty of Human Sciences, Macquarie University, Sydney, Australia.
⁵ Department of Health Sciences, EMGO Institute for Health and Care Research, VU University, Amsterdam, Netherlands.
⁶ Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam.
⁷ Screening and Test Evaluation Program (STEP), School of Public Health, Sydney.
⁸ School of Public Health, University of Sydney, Sydney, Australia.
⁹ Department of Health Sciences, Faculty of Earth and Life Sciences, VU University, Amsterdam, Netherlands.
¹⁰ Department of General Practice, Erasmus Medical Centre, Rotterdam, Netherlands.

PMID: 25257627
DOI: 10.1136/bjsports-2014-f7095rep

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

Aron Downie et al. Br J Sports Med. 2014 Oct.

. 2014 Oct;48(20):1518.

doi: 10.1136/bjsports-2014-f7095rep.

Authors

Affiliations

¹ George Institute for Global Health, University of Sydney, Sydney, NSW, 2050, Australia Faculty of Science, Macquarie University, Sydney, Australia.
² George Institute for Global Health, University of Sydney, Sydney, NSW, 2050, Australia.
³ George Institute for Global Health, University of Sydney, Sydney, NSW, 2050, Australia Institute of Public Health, University of Heidelberg, Germany.
⁴ Faculty of Human Sciences, Macquarie University, Sydney, Australia.
⁵ Department of Health Sciences, EMGO Institute for Health and Care Research, VU University, Amsterdam, Netherlands.
⁶ Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam.
⁷ Screening and Test Evaluation Program (STEP), School of Public Health, Sydney.
⁸ School of Public Health, University of Sydney, Sydney, Australia.
⁹ Department of Health Sciences, Faculty of Earth and Life Sciences, VU University, Amsterdam, Netherlands.
¹⁰ Department of General Practice, Erasmus Medical Centre, Rotterdam, Netherlands.

PMID: 25257627
DOI: 10.1136/bjsports-2014-f7095rep

Abstract

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.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

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Republished from

Red flags to screen for malignancy and fracture in patients with low back pain: systematic review.
Downie A, Williams CM, Henschke N, Hancock MJ, Ostelo RW, de Vet HC, Macaskill P, Irwig L, van Tulder MW, Koes BW, Maher CG. Downie A, et al. BMJ. 2013 Dec 11;347:f7095. doi: 10.1136/bmj.f7095. BMJ. 2013. PMID: 24335669 Free PMC article.

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

Affiliations

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

Authors

Affiliations

Abstract

Republished from

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