BACKGROUND: In a small proportion of @entity1 experiencing unspecified @entity615 , a specified underlying pathology is present. OBJECTIVE: The purposes of this study were: (1) to identify the prevalence of physician-specified causes of @entity615 and (2) to assess associations between "red flags" and @entity174 , as diagnosed by the @entity1 ' general practitioner (GP), in older adults with @entity615 . METHODS: The Back Complaints in the Elders (BACE) study is a prospective cohort study. @entity1 (aged >55 years) with @entity615 were included when consulting their GP. A questionnaire was administered and a physical examination and heel bone densitometry were performed, and the results determined @entity615 and @entity1 characteristics, including red flags. @entity1 received a radiograph, and reports were sent to their GP. The final diagnoses established at 1 year were collected from the GP's @entity1 registry. RESULTS: Of the 669 @entity1 included, 6% were diagnosed with a serious underlying pathology during the 1-year follow-up. Most of these @entity1 (n=33, 5%) were diagnosed with a @entity174 . Multivariable regression analysis showed that age of >= 75 years, @entity130 , @entity170 , a @entity615 intensity score of >= 7, and @entity158 were associated with a higher chance of getting the diagnosis of a @entity174 . Of these variables, @entity130 showed the highest positive predictive value for @entity174 of 0.25 (95% confidence interval=0.09, 0.41) and a positive likelihood ratio of 6.2 (95% confidence interval=2.8, 13.5). A diagnostic prediction model including the 5 red flags did not increase these values. LIMITATIONS: Low prevalence of @entity174 could have led to findings by chance. CONCLUSIONS: In these older adults with @entity615 presenting in general practice, 6% were diagnosed with serious pathology, mainly a @entity174 (5%). Four red flags were associated with the presence of @entity174 .

Prevalence and "Red Flags" Regarding Specified Causes of Back XXXX in Older Adults Presenting in General Practice.

@entity1 :: ('9606', 'Species') :: ['participants', 'Patients', 'patients', 'patient', 'Participants'] @entity174 :: ('MESH:D050723', 'Disease') :: ['vertebral fractures', 'vertebral fracture'] @entity170 :: ('MESH:D010024', 'Disease') :: ['osteoporosis'] @entity615 :: ('MESH:D001416', 'Disease') :: ['back pain'] @entity158 :: ('MESH:D010146', 'Disease') :: ['thoracic pain'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity158 :: (MESH:D010146,Disease) :: ['Pain']
