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Back pain: a National Health Priority Area in Australia?

Rachelle Buchbinder and Andrew M Briggs
Med J Aust 2009; 191 (8): . || doi: 10.5694/j.1326-5377.2009.tb02894.x
Published online: 19 October 2009

In reply: The two preceding letters highlight that there are many stakeholders with an interest in back pain in Australia. Many craft groups are involved with the provision of postgraduate education and have contributed to the musculoskeletal core competencies initiative. Vaughan and colleagues describe promising results from using a clinical decision tool for acute back pain in an emergency department. On a national scale, implementation of such a tool in all emergency departments may significantly improve outcomes and reduce costs. Making back pain a national priority would provide unique opportunities to rigorously study these types of approaches.


  • 1 Cabrini Institute and Monash University, Melbourne, VIC.
  • 2 School of Physiotherapy and Curtin Health Innovation Research Institute, Curtin University of Technology, Perth, WA.



  • 1. Briggs AM, Buchbinder R. Back pain: a National Health Priority Area in Australia? Med J Aust 2009; 190: 499-502. <MJA full text>
  • 2. National Institute for Health and Clinical Excellence. Low back pain. Early management of persistent non-specific low back pain. Clinical guideline CG88. London: NICE, May 2009. http://www.nice.org.uk/CG88 (accessed Sep 2009).
  • 3. Kmietowicz Z. President of British Pain Society is forced from office after refusing to denounce NICE guidance on low back pain. BMJ 2009; 339: b3049.
  • 4. Buchbinder R, Staples M, Jolley D. Doctors with a special interest in back pain have poorer knowledge about how to treat back pain.Spine (Phila Pa 1976) 2009; 34: 1218-1226.
  • 5. Kent P, Keating J. Do primary-care clinicians think that nonspecific low back pain is one condition? Spine (Phila Pa 1976) 2004; 29: 1022-1031.

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