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Master Thesis

Traitement de la douleur lombaire chronique neuropathique par les médecins généralistes en ambulatoire de Seine-et-Marne en 2020

Abstract : Background: Chronic low back pain was in 2015 the eighth reason for consultation with the general practitioner. However, research suggests that 16 to 55% of these patients possibly have a neuropathic component. The objective is to evaluate the drug management of chronic neuropathic low back pain by general practitioners. Methods: In this quantitative study, a survey was sent to one hundred general practitioners of Seine-et-Marne chosen at random. The primary endpoint was based on five prescription rules issued by the French Society for the Study and Treatment of Pain, giving a score out of five points. Results : Only 4.8% of physicians had a score of 5/5, and 19% of 4/5. The items with the lowest scores are the time before prescription and the insufficient duration of treatment. Discussion: Barriers persist in the treatment of neuropathic pain. The difficulties appear to be linked to the patient's lack of adherence in connection with the lack of immediate efficacy and the need for long-term treatment. The study also highlights an incomplete diagnosis of neuropathic pain, and insufficient psychotherapy support. Conclusion: Chronic neuropathic low back pain remains a poorly understood and poorly treated entity despite an increase in knowledge in neuropathy. The need for training is supported by the arrival of new recommendations in 2020.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03328784
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Submitted on : Monday, August 30, 2021 - 12:52:16 PM
Last modification on : Saturday, September 4, 2021 - 3:26:11 AM

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  • HAL Id : dumas-03328784, version 1

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Antoine Heng. Traitement de la douleur lombaire chronique neuropathique par les médecins généralistes en ambulatoire de Seine-et-Marne en 2020. Médecine humaine et pathologie. 2021. ⟨dumas-03328784⟩

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