The relation of race to outcomes and the use of health care services for acute low back pain.

摘要: Study Design. Four strata of randomly selected health care providers in North Carolina (primary MDs, Doctors Chiropractic, orthopedic surgeons, and group model HMO primary providers) enrolled 1633 consecutive patients with low back pain into a cohort study. Objective. To determine whether race had an independent effect on rate recovery from pain, there was any racial disparity the treatments provided to pain. Background Data. Little research date has examined relation between patient episode acute Methods. Consecutive were provider's office contacted by telephone at baseline, 2, 4, 8, 12, 24 weeks, 22 months. Results. Blacks (n = 238) baseline higher scores 10-point scale (5.92 vs 5.25; P < 0.01) worse functional disability (12.1 11; 0.04), as assessed 23-point Roland-Morris scale, yet considered their provider having less severe likely have disc disease than white (P 0.05 for all comparisons). most follow-up interviews. shown be receive radiographs (49% 40%) or advanced imaging studies (10% 6%), even after controlling income, education, severity insurance status 0.05). Chiropractic different practice approaches interaction race. Conclusions. The outcomes is complex. slightly whites presentation assessment. intense diagnostic treatment although. impairment least great.