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November/December 2013 Annals of Family Medicine tip sheet
Date:11/11/2013

ant and enduring influence on patients' attitudes, with such information often impacting their beliefs for many years. Notably, they found messages from clinicians that were interpreted as meaning the back is vulnerable and needed to be protected could result in increased vigilance, worry, frustration and guilt for patients. These findings, the authors write, paint a discouraging picture of the role clinicians unwittingly play in the management of low back pain. They call on clinicians to provide reassurance to patients in an effort to increase confidence and to offer clear advice that will empower patients and positively influence their approach to movement and activity.

The Enduring Impact of What Clinicians Say to People With Low Back Pain
By Ben Darlow, et al
University of Otago, Wellington, New Zealand


Multimorbidity is Common in Australian Primary Care, With Prevalence and Severity Increasing With Age

Examining the pattern and prevalence of multimorbidity among patients attending two large Australian primary care practices, researchers find the coexistence of multiple chronic conditions is very common in both men and women and its prevalence and severity increases steadily with age. Analyzing medical records data on 7,247 patients seen over a six month period, researchers found 52 percent of all patients had two or more chronic illness, 35 percent had three or more and 15 percent had five or more. Musculoskeletal illness was the most common morbidity domain, followed by psychiatric, respiratory and vascular. The prevalence of multimorbidity increased with age (44 percent of patients aged 25 to 44, 76 percent of patients aged 45 to 64, 88 percent of patients aged 65 to 74, and 97 percent of patients aged 75 years and older). Overall, 58 percent of patients had mild, 49 percent had moderate and 14 percent had severe severity index scores. Severity index scores also increased with age, with moderate scores showing the g
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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