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‘Before and after’. The journey of patients with low back pain consulting in elective spine surgery clinics. A qualitative study protocol

Title: ‘Before and after’. The journey of patients with low back pain consulting in elective spine surgery clinics. A qualitative study protocol
Authors: Matthew Fernandez; Deborah Lees; Katie de Luca; Dawn Dane; P Stilwell; L McKenna; B Tampin; C Bulsara; T Pincus; M Kendell
Publication Year: 2025
Collection: The University of Auckland: Figshare
Subject Terms: Surgery; Health systems; Care journey; Low back pain; Patient expectations; Patient experience; Qualitative research; Humans; Elective Surgical Procedures; Interviews as Topic; Referral and Consultation; Spine; Western Australia; Research Design
Description: Introduction: Low back pain (LBP) is a highly prevalent and disabling condition. People with LBP may be referred to elective surgical clinics for further evaluation and consideration of surgery. Despite long waits for an initial appointment, many of these patients are not surgical candidates and may be discharged, receiving minimal-to-no care, advice or alternative treatment options, leaving a critical gap in care. Methods: Approximately 25 participants with dominant, chronic non-specific axial LBP who are (1) referred to and (2) discharged without spinal surgery following consultation in two elective spinal surgery clinics in Western Australia will participate in a one-on-one pre-consultation semi-structured interview and a similar post-consultation qualitative interview. Purposive sampling will be used to recruit participants. Interviews will be audio-recorded and transcribed, underpinned by a qualitative descriptive approach to explore participants' care journey, including pre-consultation expectations and overall experiences post-consultation. We will use inductive content analysis to analyse our data, allowing for the identification of themes that are generated from the participants' responses. Discussion/Conclusion: This protocol outlines the methodological process for a qualitative study exploring the experiences and expectations of LBP patients before and after consulting in elective spinal surgery clinics in Western Australia. The findings may give rise to consumer-focused solutions to improve the care journey and highlight gaps in patient expectations and understanding of non-surgical management, informing the development of tailored educational resources, communication strategies and new care pathways. Patient or Public Contribution: This study will incorporate patient and/or public involvement by engaging representatives from Musculoskeletal Australia (https://muscha.org/) to contribute to the study design and interpretation of findings. Specifically, a consumer with lived experience of low back pain ...
Document Type: article in journal/newspaper
Language: unknown
Relation: 10779/cqu.29433563.v1; https://figshare.com/articles/journal_contribution/_Before_and_after_The_journey_of_patients_with_low_back_pain_consulting_in_elective_spine_surgery_clinics_A_qualitative_study_protocol/29433563
Availability: https://figshare.com/articles/journal_contribution/_Before_and_after_The_journey_of_patients_with_low_back_pain_consulting_in_elective_spine_surgery_clinics_A_qualitative_study_protocol/29433563
Rights: CC BY 4.0
Accession Number: edsbas.A70F9116
Database: BASE