Controlled randomized trials have demonstrated the efficacy, safety, effectiveness, and cost-effectiveness of neuroreflexotherapy (NRT) for the management of non-specific @entity615 . In this audit study, we describe the implementation of NRT into the routine practice of primary care within the Spanish public health service of the Balearic Islands and the results obtained after one year (2004). A referral protocol was made available to all general practitioners (GPs) who could refer eligible @entity1 to specialized units in performing NRT interventions. A total of 1209 @entity1 (median age 52 years, 68% @entity1 ) were referred to NRT by 412 GPs (80% of all GPs), with a mean (standard deviation (S.D.)) referral rate of 1.57 (0.84) @entity1 per month/10,000 @entity1 affiliated to each practice, and an appropriate referral rate of 95.5%. @entity158 decreased from a median score (visual analog scale) of 8 at baseline to 1 at discharge, referred @entity158 from 7 to 1, and disability (Roland-Morris Questionnaire) from 12 to 1. NRT was refused by 2.7% of @entity1 . Adverse effects related to the procedure were only a skin reaction in 3.3% of @entity1 . We conclude that it is feasible to implement NRT in the public health service complying with methods and application conditions used in previous randomized controlled trials (RCTs). In such conditions, implementation of this technology obtained positive audit results at one year.

XXXX within the Spanish public health system: audit results after one year.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'persons'] @entity615 :: ('MESH:D001416', 'Disease') :: ['back pain'] @entity158 :: ('MESH:D010146', 'Disease') :: ['Pain', 'pain']
@entity615 :: (MESH:D001416,Disease) :: ['Implementation of neuroreflexotherapy for subacute and chronic neck and back pain']
