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Short Communication

Severe chronic low back pain: patient journey from onset of symptoms to strong opioid treatments in Europe

    Bart Morlion

    *Author for correspondence:

    E-mail Address: bart.morlion@uzleuven.be

    Leuven Centre for Algology & Pain Management, University Hospitals Leuven, KU Leuven, Leuven, Belgium

    ,
    Gabriele Finco

    Department of Medical Science & Public Health, University of Cagliari, Cagliari, Italy

    ,
    Dominic Aldington

    The Pain Team Ltd. c/o BMI Hampshire Clinic, Basingstoke, UK

    ,
    Michael Überall

    IFNAP – Private Institute of Neurological Sciences, Nürnberg, Germany

    &
    Ravi Karra‡

    Grünenthal GmbH, Zieglerstr. 6, 52058 Aachen 4, 90411, Nürnberg, Germany

    ‡Affiliation at the time of the study and during preparation of the manuscript

    Search for more papers by this author

    Published Online:https://doi.org/10.2217/pmt-2021-0009

    Aim: We report the first patient roadmap in severe chronic low back pain (cLBP) in Europe, assessing the views of cLBP patients and general practitioners (GPs) who treat cLBP with regard to current cLBP management. Methodology: Patient journey mapping was conducted in four European countries to assess the views of cLBP patients (n = 20) and GPs (n = 40). Results: Four broad phases of cLBP, subdivided into eight individual steps, were identified as part of the patient journey, showing a disconnect between patients’ and physicians’ treatment goals, and expectations regarding pain relief levels for some patients. Conclusion: Improved communication, with greater involvement of patients in multimodal management decisions, might benefit the GP–patient relationship and overall outcomes for cLBP patients.

    Papers of special note have been highlighted as: • of interest

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