AAFP POEMs: Managing Chronic Low Back Pain

Overview:

Chronic Lower Back Pain (CLBP) is one of the most frequent chief complaints bringing patients into the primary care provider’s office, and a source of frustration for both providers and patients alike. Treatment of CLBP is highly nuanced and the burden of cost both financially and indirectly can be prohibitive for many. In order to most efficiently deliver effective care, regular analysis of diagnostic and treatment modalities should be reviewed to keep practices updated with evidence.

POEMs (Patient Oriented Evidence that Matters) were developed in order to allow practitioners to review evidence that addresses clinical questions faced on a daily basis, and to provide potential ways to adjust and amend their care to best serve their patients. We will review two POEM articles investigating the effects of in-office review of MRI results with patients and compare how ‘traditional’ vs ‘clinical’ reporting influences the patient’s perception of pain, and a systematic review of RCTs examining management strategies for chronic lower back pain in the primary care setting.

Objectives:

• Summarize the current general understanding of the management of Chronic Lower Back Pain as it pertains to the Primary Care setting.
• Describe the findings of recent systematic reviews of RCTs examining management strategies for chronic lower back pain in the primary care setting.
• Analyze the effects of in-office review of MRI results with patients and compare how ‘traditional’ vs ‘clinical’ reporting influences the patient’s perception of pain.
• Generalize these findings for the primary care setting management of Chronic Lower Back Pain.

Presenter:

Cristina Cepeda, MD
PGY-3
Family Medicine Residency
UT Health San Antonio

Jordan Kampschmidt, MD
PGY-3
Family Medicine Residency
UT Health San Antonio

Financial Disclosures:

Cristina Cepeda, MD, Jordan Kampschmidt, MD and their faculty mentor Maria Del Pilar Montañez Villacampa have no financial relationships with ineligible companies to disclose.

The Family & Community Medicine Professional Development and Grand Rounds Committee members (Mark Nadeau, MD, Marcy Wiemers, MD, Maria Del Pilar Montañez Villacampa, MD, Christine Song, DO, Nehman Andry, MD, Margaret Finley, MD, Gabriela Gibson-Lopez, PsyD, Richel Avery, MD, Yun Shi, MD, Stacy Ogbeide, PsyD, Lauren Fuller,MD and Nichole Rubio) have no financial relationships with ineligible companies to disclose.

The Family & Community Medicine Professional Development and Grand Rounds Committee member Carlos Roberto Jaén, MD has disclosed he receives royalties from General Practice and Family Medicine for being UpToDate Editor-in-Chief.

Credits:

AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Participation Credit (1.00 hours)

Target Audience:

Specialties – Primary Care; Family Medicine
Faculty, residents, other health care providers and staff from our department; physicians and health care providers from San Antonio and South Texas; and medical students in our third-year clerkship and fourth year rotations.

Accreditation:

The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation:

The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses and other healthcare professionals will receive a Certificate of Attendance. For information on applicability and acceptance, please consult your professional licensing board.

For activity related questions, please contact:
Name: Nichole Rubio- FCM Grand Rounds Coordinator
Email: rubion@uthscsa.edu

For CME general questions, please contact
Ph: (210) 567-4445
Email: cme@uthscsa.edu