Editorial
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Mar 18, 2016; 7(3): 156-161
Published online Mar 18, 2016. doi: 10.5312/wjo.v7.i3.156
Evidence base and future research directions in the management of low back pain
Allan Abbott
Allan Abbott, Department of Medical and Health Sciences, Division of Physiotherapy, Faculty of Health Sciences, Linköping University, SE 58183 Linköping, Sweden
Allan Abbott, Faculty of Health Science and Medicine, Bond University, Gold Coast, Queensland 4229, Australia
Author contributions: Abbott A contributed solely to this editorial.
Conflict-of-interest statement: The author has no conflict of interests.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Allan Abbott, PhD, Med Dr, MSc Physio, Grad Cert Clin Ed, BExSci, Department of Medical and Health Sciences, Division of Physiotherapy, Faculty of Health Sciences, Linköping University, Lasarettsgatan, SE 58183 Linköping, Sweden. allan.abbott@liu.se
Telephone: +46-13-282495 Fax: +46-13-145004
Received: September 18, 2015
Peer-review started: September 22, 2015
First decision: October 30, 2015
Revised: November 17, 2015
Accepted: December 18, 2015
Article in press: December 21, 2015
Published online: March 18, 2016
Abstract

Low back pain (LBP) is a prevalent and costly condition. Awareness of valid and reliable patient history taking, physical examination and clinical testing is important for diagnostic accuracy. Stratified care which targets treatment to patient subgroups based on key characteristics is reliant upon accurate diagnostics. Models of stratified care that can potentially improve treatment effects include prognostic risk profiling for persistent LBP, likely response to specific treatment based on clinical prediction models or suspected underlying causal mechanisms. The focus of this editorial is to highlight current research status and future directions for LBP diagnostics and stratified care.

Keywords: Low back pain, Diagnostics, Prognostics, Stratification, Treatment

Core tip: Knowledge of the current research status and future directions for low back pain diagnostics and stratified care is essential to help engage clinicians in evidence based practice and to potentially improve patient management.