Imperial College London
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ProfessorAlisonMcGregor

Faculty of Medicine, Department of Surgery & Cancer

Professor of Musculoskeletal Biodynamics
 
 
 
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Contact

 

+44 (0)20 7594 2972a.mcgregor

 
 
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Location

 

Room 202ASir Michael Uren HubWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Braeuninger-Weimer:2021:10.1136/bmjopen-2021-052938,
author = {Braeuninger-Weimer, KL and Anjarwalla, N and McGregor, AH and Roberts, L and Sell, P and Pincus, T},
doi = {10.1136/bmjopen-2021-052938},
journal = {BMJ Open},
pages = {1--9},
title = {Taking patients to the ice cream shop but telling them that they cannot have ice cream: a qualitative study of orthopaedic spine clinicians' perceptions of persistent low back pain consultations.},
url = {http://dx.doi.org/10.1136/bmjopen-2021-052938},
volume = {11},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - OBJECTIVE: This study aimed to explore the perceptions of orthopaedic clinicians about consultations for people with persistent musculoskeletal low back pain (PMLBP) in which surgery is not recommended. Surgery is not recommended for the majority of PMLBP consulting in secondary care settings. SETTING: Secondary care sector in the UK. PARTICIPANTS: Semi-structured qualitative interviews were conducted with 24 orthopaedic team clinicians from 17 different hospitals in the UK and Ireland. Interviews explored clinicians' perceptions of the challenges in consultations where surgery is not indicated. Interviews were transcribed verbatim and analysed using thematic analysis. RESULTS: Two meta-themes, Difficulties and Enablers, each consisting of several subthemes were identified. Difficulties included challenges around the choice of appropriate terminology and labels for PMLBP, managing patients' expectations, working with mentally vulnerable patients and explaining imaging findings. Enablers included early management of expectations, use of routine imaging, triaging, access to direct referral elsewhere, including other non-surgical practitioners in the team, training to improve communication skills and understanding of psychological issues. CONCLUSION: The findings highlight clinicians' perceived need for concordance in messages delivered across the care pathway and training of orthopaedic clinicians to deliver effective reassurance and address patients' needs in circumstances where surgery is not indicated.
AU  - Braeuninger-Weimer,KL
AU  - Anjarwalla,N
AU  - McGregor,AH
AU  - Roberts,L
AU  - Sell,P
AU  - Pincus,T
DO  - 10.1136/bmjopen-2021-052938
EP  - 9
PY  - 2021///
SN  - 2044-6055
SP  - 1
TI  - Taking patients to the ice cream shop but telling them that they cannot have ice cream: a qualitative study of orthopaedic spine clinicians' perceptions of persistent low back pain consultations.
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2021-052938
UR  - https://www.ncbi.nlm.nih.gov/pubmed/34531223
UR  - https://bmjopen.bmj.com/content/11/9/e052938
UR  - http://hdl.handle.net/10044/1/91855
VL  - 11
ER  -
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