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Assessment and Management of Back Pain

John C. Licciardone, DO, MS, MBA1; Robert Gatchel, PhD2; Simon Dagenais, DC, PhD, MSc3
[+] Author Affiliations
1The Osteopathic Research Center, University of North Texas Health Science Center, Ft Worth
2Department of Psychology, College of Science, University of Texas at Arlington, Arlington
3Spine Research LLC, Winchester, Massachusetts
JAMA Intern Med. 2014;174(3):478-479. doi:10.1001/jamainternmed.2013.13692.
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To the Editor We wish to congratulate Mafi and colleagues1 on their article “Worsening Trends in the Management and Treatment of Back Pain.” The assessment and management of back pain has long been recognized as suboptimal in the United States, with perceived overutilization of health services that are not in accordance with recommendations from evidence-based clinical practice guidelines (CPGs) and underutilization of recommended health services. Nevertheless, this article has stimulated additional thought on several issues that warrant attention.

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Correspondence

September 23, 2013
John N. Mafi, MD; Ellen P. McCarthy, PhD, MPH; Roger B. Davis, ScD; Bruce E. Landon, MD, MBA, MSc
1Division of Primary Care and General Internal Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
1Division of Primary Care and General Internal Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts2Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
JAMA Intern Med. 2013;173(17):1573-1581. doi:10.1001/jamainternmed.2013.8992.
March 1, 2014
John N. Mafi, MD; Bruce E. Landon, MD, MBA, MSc
1Division of Primary Care and General Internal Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
1Division of Primary Care and General Internal Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts2Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
JAMA Intern Med. 2014;174(3):479-480. doi:10.1001/jamainternmed.2013.13683.
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