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Article

Community Pharmacist’s Role in Detecting Low Back Pain, and Patient Attitudes—A Cross-Sectional Observational Study in Italian Community Pharmacies

1
Società Italiana Farmacia Clinica (SIFAC), Viale Regina Margherita 30, 09126 Cagliari, Italy
2
Department of Pharmaceutical Sciences, Università degli Studi di Milano, Via G. Colombo 71, 20133 Milan, Italy
3
Centro Reumatologia, IRCCS Santa Maria Nascente, Fondazione Don Gnocchi ONLUS, 20148 Milano, Italy
*
Author to whom correspondence should be addressed.
SIFAC Group of Clinical Community Pharmacists: Andrea Incorvaia, Massimo Mirabella, Maria D’Isidoro, Michele Favero, Clara Saba, Margherita Saddì, Sonia Via, Sofia Bonati, Salvatore Marini, and Sara Montesano.
Int. J. Environ. Res. Public Health 2020, 17(16), 5965; https://doi.org/10.3390/ijerph17165965
Received: 14 July 2020 / Revised: 13 August 2020 / Accepted: 14 August 2020 / Published: 17 August 2020
Background: Low back pain (LBP) is one of the most frequent diseases for which patients seek advice in a community pharmacy. The study aimed to evaluate the feasibility of the administration by community pharmacists of questionnaires to assess the LBP intensity and disability degree in patients entering community pharmacies and the attitudes they have toward pain management by pharmacological and non-pharmacological strategies. Methods: An explorative, cross-sectional, observational, and quantitative study was performed. Twelve Italian community pharmacists were asked to submit a questionnaire on LBP to patients visiting their pharmacies. The questionnaire included a pain intensity scale, and two validated tools: the Roland and Morris Disability Questionnaire (RMDQ) and the Start Back Screening Tool (SBST) to determine the degree and risk of patient disability, respectively. Results: 872 patients filled out the questionnaires in 6 months. No statistical differences between genders (p > 0.30) were recorded for pain intensity (Female: median score 6, IQR 4–7; Male: median scores 5, IQR 4–7; p > 0.30) and disability associated with LBP (RMDQ high-disability level: Females, 14.7%, Males, 15.0%; p > 0.90). Most of the patients (69%) reported a low degree of disability, but the risk of disability was medium and high in 36% and 18% of them, respectively (p < 0.05). About 14% of patients declare to never seek for physician’s advice despite their medium-high degree of disability. Conclusion: The study demonstrated the feasibility of validated tools for assessing the degree and risk of disability in LBP patients administrable in community pharmacies. Moreover, the community pharmacy resulted in an important care portal for patients suffering from moderate LBP and for intercepting patients who suffered from severe LBP but had never reported their problem to their physician. View Full-Text
Keywords: low back pain; community pharmacy; Roland and Morris disability questionnaire; start back screening tool low back pain; community pharmacy; Roland and Morris disability questionnaire; start back screening tool
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MDPI and ACS Style

Giua, C.; Minghetti, P.; Gandolini, G.; Rocco, P.; Arancio, E.; Bevacqua, T.; Floris, N.; Keber, E.; SGCP; Musazzi, U.M. Community Pharmacist’s Role in Detecting Low Back Pain, and Patient Attitudes—A Cross-Sectional Observational Study in Italian Community Pharmacies. Int. J. Environ. Res. Public Health 2020, 17, 5965. https://doi.org/10.3390/ijerph17165965

AMA Style

Giua C, Minghetti P, Gandolini G, Rocco P, Arancio E, Bevacqua T, Floris N, Keber E, SGCP, Musazzi UM. Community Pharmacist’s Role in Detecting Low Back Pain, and Patient Attitudes—A Cross-Sectional Observational Study in Italian Community Pharmacies. International Journal of Environmental Research and Public Health. 2020; 17(16):5965. https://doi.org/10.3390/ijerph17165965

Chicago/Turabian Style

Giua, Corrado; Minghetti, Paola; Gandolini, Giorgio; Rocco, Paolo; Arancio, Elisa; Bevacqua, Teresa; Floris, Nicolina; Keber, Enrico; SGCP; Musazzi, Umberto M. 2020. "Community Pharmacist’s Role in Detecting Low Back Pain, and Patient Attitudes—A Cross-Sectional Observational Study in Italian Community Pharmacies" Int. J. Environ. Res. Public Health 17, no. 16: 5965. https://doi.org/10.3390/ijerph17165965

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