Table 2

Summary of themes

Theme: PCC viewsSubthemes
Guideline recommendations for conservative care of spine painAware of guideline recommendations
Guidelines too rigid and categorical to guide individual patient treatment decisions
Examination and patient reports and clinician’s instinct more influential than guidelines
Strength of research supporting guideline recommendationsScepticism that strong real-world evidence supports guideline recommendations for conservative care
Particular concern regarding lack of sufficient long-term outcomes
Would find useful to have long-term outcome study findings for conservative care
Patient risk assessment toolsDo not use risk assessment tools
Little awareness that well-validated tools are available
Would find useful screener that can confirm patient at low risk for chronic condition
Patient requests for aggressive careSpine pain patients believed to frequently request aggressive treatments
Value placed on reaching joint decisions with patients
  • PCC, primary care clinician.