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Cypress BK. Characteristics of physician visits for back symptoms: a national perspective. Am J Public Health 1983;73:389–95
Cypress BK. Office visits to internists: The National Ambulatory Medical Care Survey, United States, 1975. Vital and Health Statistics: Series 13, Data from the National Health Survey; no. 36. DHEW publication (PHS) 79-1787, 1978.
Quinet RJ, Hadler NM. Diagnosis and treatment of backache. Semin Arthritis Rheum 1979;8:261–87
White AA, Gordon SL. Synopsis: Workshop on idiopathic low-back pain. Spine 1982;7:141–9
Williams ME, Hadler NM. The illness as the focus of geriatric medicine. N Engl J Med 1983;308:1357–60
Arnoldi CC, Brodsky AE, Cauchoix J, et al. Lumbar spinal stenosis and nerve root entrapment syndromes. Clin Orthop 1976;11:4–5
Magora A, Schwartz A. Relationship between the low back pain syndrome and x-ray findings. 1. Degenerative osteoarthritis. Scand J Rehab Med 1976;8:115–25
Murphy WA. The facet syndrome. Radiology 1984;151:533
Hadler NM. A rheumatologist’s view of the back. J Occup Med 1982;24:282–5
Churchill MA, Geraci JE, Hunder GG. Musculoskeletal manifestations of bacterial endocarditis. Ann Intern Med 1977;87:754–9
Light HG. Hernia of the inferior lumbar space: a cause of back pain. Arch Surg 1983;118:1077–80
Liang M, Komaroff AL. Roentgenograms in primary care patients with acute low back pain: a cost-effectiveness analysis. Arch Intern Med 1982;142:1108–12
Barton JE, Haight RO, Marsland DW, Temple TE. Low back pain in the primary care setting. J Fam Pract 1976;3:363–6
Rhea JT, De Luca SA, Llewellyn HJ, Boyd RJ. The oblique view: an unnecessary component of the initial adult lumbar spine examination. Radiology 1980;134:45–7
Scavone JG, Latshaw RF, Weidner WA. Anteroposterior and lateral radiographs: an adequate lumbar spine examination. Am J Radiol 1981;136:715–7
Scavone JG, Latshaw RF, Rohrer GV. Use of lumbar spine films: statistical evaluation at a university teaching hospital. JAMA 1981;246:1105–8
Gehweiler JA, Daffner RH. Low back pain: the controversy of radiologic evaluation. Am J Radiol 1983;140:109–12
Eisenberg RL, Hedgcock MW, Williams EA, et al. Optimum radiographic examination for consideration of compensation awards: II. Cervical and lumbar spines. Am J Radiol 1980;135:1071–4
Brekkan A. Radiographic examination of the lumbosacral spine: an ‘age-stratified’ study. Clin Radiol 1983;34:321–4
Deyo RA, Diehl AK. Lumbar spine films in primary care: current use and the effects of selective ordering criteria. J Gen Intern Med 1986;1:20–5
Calin A, Porta J, Fries JF, Schurman DJ. Clinical history as a screening test for ankylosing spondylitis. JAMA 1977;237:2613–4
Calin A, Kaye B, Sternberg M, Antell B, Chan M. The prevalence and nature of back pain in an industrial complex: a questionnaire and radiographic and HLA analysis. Spine 1980;5:201–5
Waddell G, Main CJ, Morris EW, et al. Normality and reliability in the clinical assessment of backache. Br Med J 1982;284:1519–23
Moll JMH, Wright V. Normal range of spinal mobility: an objective clinical study. Ann Rheum Dis 1971;30:381–6
Russell AS, Maksymowych W, Le Clercq S. Clinical examination of the sacroiliac joints: a prospective study. Arthritis Rheum 1981;24:1575–7
Spangfort EV. The lumbar disc herniation: a computer-aided analysis of 2,504 operations. Acta Orthop Scand 1972; Suppl. 142:5–94
MacNab I. Backache. Baltimore: Williams and Wilkins, 1977;184
Deyo RA, Diehl AK. How much bedrest for backache? A randomized clinical trial. Clin Res 1985;33:248A (Abstract)
Hammonds W, Brena SF, Unikel IP. Compensation for work-related injuries and rehabilitation of patients with chronic pain. South Med J 1978;71:664–6
Waddell G, McCullough JA, Kummel E, Venner RM. Nonorganic physical signs in low-back pain. Spine 1980;5:117–25
Koch H, Gagnon RO. Office visits involving x-rays, National Ambulatory Medical Care Survey: United States, 1977. Advance Data from Vital and Health Statistics, No. 53, DHEW Publication No. (PHS) 79-1250, 1979:1–7.
Hall FM. Back pain and the radiologist. Radiology 1980;137:861–3
Whalen JP, Balter S. Radiation risks associated with diagnostic radiology DM 1982;28(6):73
Nachemson AL. The lumbar spine: an orthopedic challenge. Spine 1976;1:59–71
Magora A, Schwartz A. Relation between low back pain and x-ray changes. 4. Lysis and olisthesis. Scand J Rehab Med 1980;12:47–52
Fries JF, Mitchell DM. Joint pain or arthritis. JAMA 1976;235:199–204
Eisenberg RL, Akin JR, Hedgcock MW. Single, well centered lateral view of lumbosacral spine: is coned view necessary? Am J Radiol 1979;133:711–3
DeLuca SA, Rhea JT. Are routine oblique roentgenograms of the lumbar spine of value? J Bone Joint Surg (Am) 1981;63:846
World Health Organization. A Rational Approach to Radiodiagnostic Investigations. World Health Organization Technical Report Series 689, World Health Organization, Geneva, 1983;31
Park WM. The place of radiology in the investigation of low back pain. Clin Rheum Dis 1980;6:93–132
Khan MA, Khan MK. Diagnostic value of HLA-B27 testing in ankylosing spondylitis and Reiter’s syndrome. Ann Intern Med 1982;96:70–6
Calin A. HLA-B27 in 1982: reappraisal of a clinical test. Ann Intern Med 1982;96:114–5
Hawkins BR, Dawkins RL, Christiansen FT, Zilko PJ. Use of the B27 test in the diagnosis of ankylosing spondylitis: a statistical evaluation. Arthritis Rheum 1981;24:743–6
Hudgins WR. Computer-aided diagnosis of lumber disc herniation. Spine 1983;8:604–15
Haughton VM, Elderik OP, Magnaes B, Amundsen P. A prospective comparison of computed tomography and myelography in the diagnosis of herniated lumbar disks. Radiology 1982;142:103–10
Burton CV. High-resolution CT scanning: the present and future. Orthop Clin North Am 1983;14:539–51
Pistenma DA, McDougall R, Kriss JP. Screening for bone metastases: are only scans necessary? JAMA 1975;231:46–50
Corcoran RJ, Thrall JH, Kyle RW, et al. Solitary abnormalities in bone scans of patients with extraosseous malignancies. Radiology 1976;121:663–7
Schutte HE, Park WM. The diagnostic value of bone scintigraphy in patients with low back pain. Skeletal Radiol 1983;10:1–4
Kieffer SA, Cacayorin ED, Sherry RG. The radiological diagnosis of herniated lumbar intervertebral disk: a current controversy. JAMA 1984;251:1192–5
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Received from the Department of Medicine, Division of General Internal Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Supported in part by a grant from the Robert Wood Johnson Foundation, Princeton, New Jersey. The opinions, conclusions, and proposals in the text are those of the author and do not necessarily represent the views of the Robert Wood Johnson Foundation.
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Deyo, R.A. Early diagnostic evaluation of low back pain. J Gen Intern Med 1, 328–338 (1986). https://doi.org/10.1007/BF02596214
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DOI: https://doi.org/10.1007/BF02596214