Low back pain

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Section editor Psanger
Article Editor Vacancy
Original author Psanger-admin
Created Jan 27, 2020
Last edited Jan 27, 2020
All contributors Psanger-admin
Sharing policy Public
Edit policy Allowed
Organ system Musculoskeletal, Neurological
Medical field Internal Medicine
Setting Outpatient
Type Complaint
Free tags GIM common outpatient
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Synonyms Sciatica

Assessment and Plan


- Surgery

Best practices
Suggestions (not requirements):

1. Your dotphrase can contain any/all of Subjective (S), Objective (O), Assessment/Plan (AP), Clinical education (ED), Patient Info (PI), or Admin/Other (AO). It can address a known diagnosis or an undifferentiated complaint. Encourage focusing on Assessment/Plan since this is the most challenging and not many existing dotphrases cover this.

2. Please include evidence where appropriate, e.g.:

  • for Subjective and Objective elements, cite likelihood ratios (preferred) or sensitivity/specificity
  • for Assessment/Plan, cite NNT/NNH for treatments and/or clinical decision rules
  • cite references
  • include links to shared decision aids

3. Write text in such a way as it can be directly used without editing, (eg, "The patient denied x, y, z" rather than "x, y, z?")

4. If S/O/AP have significant branch points, (eg, micro/normo/macrocytic anemia), indicate that and write separate text that is appropriate to each with the understanding that the other branches' text can be deleted.

5. For plans, try to include first, second and/or third line workup.

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