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Coordinated care for patients with low back pain

Effectiveness of Coordinated Care to Reduce the Risk of Prolonged Disability Among Patients Suffer From Subacute or Recurrent Acute Low Back Pain in Primary Care

Not applicable Interventional University Hospital, Angers · NCT04826757

This study tests if a team approach to treating low back pain, involving doctors, physiotherapists, and workplace health services, can help patients feel better and reduce the chances of long-term disability.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment500 (estimated)
Ages18 Years to 60 Years
SexAll
SponsorUniversity Hospital, Angers Government
Locations20 sites (Bonchamp-lès-Laval and 19 other locations)
Trial IDNCT04826757 on ClinicalTrials.gov

What this trial studies

This study evaluates the effectiveness of a coordinated care approach involving general practitioners, physiotherapists, and occupational health services for patients suffering from subacute or acute recurrent low back pain. The aim is to improve patient outcomes by enhancing the care pathway compared to standard care practices. The study will assess the impact of this coordinated approach on reducing prolonged disability risks associated with low back pain. Participants will be monitored over a 12-month period to determine the effectiveness of the intervention.

Who should consider this trial

Good fit: Ideal candidates are patients experiencing subacute or acute recurrent low back pain who are actively engaged in occupational activities.

Not a fit: Patients with specific low back pain conditions, such as fractures or infections, or those unable to participate in follow-up may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly reduce the risk of prolonged disability for patients with low back pain.

How similar studies have performed: While similar coordinated care approaches have shown promise in other contexts, this specific intervention is novel in its application to low back pain management.

Eligibility criteria

Show full inclusion / exclusion criteria 
Inclusion Criteria:

* Patient consulting an investigator GP for subacute low back pain or acute recurrent low back pain
* Patient with occupational activity (including sick leave)
* Patient depending of occupational health service
* Obtaining the signature of the consent to participate in this trial
* Patient Registered with social security scheme

Non-inclusion Criteria:

* Specific low back pain (fracture, infection, osteoporosis, inflammatory disease, tumor)
* Low back pain with sciatic, cruralgia
* Contraindication to active reeducation
* Impossibility to follow up during 12 months
* Patient planning to retire within the 12 months following the enrollment
* Disability to write or read french
* Adult patient protected under the law (guardianship),
* Pregnant, breastfeeding or parturient women
* Persons deprived of their liberty by judicial or administrative decision
* Persons subject to legal protection measures
* Persons unable to consent
* Persons on coercion psychiatric care
* Physiotherapy by a physiotherapist who don't participate in this trial

Where this trial is running

Bonchamp-lès-Laval and 19 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
View on ClinicalTrials.gov → Find more trials like this →
Conditions Low Back Pain
Last reviewed 2026-06-09 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.