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Health professionals' referral practice and related healthcare utilization for people with low back pain in Singapore: A retrospective study.

Hong Kong Physiother J · 2019 · PMC6467832 · PMID 31156313

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an increasing trendno p-value reported
7 A study of the trend of health expenditures, healthcare utilization and health statuses of people with spine problems in the US showed an increasing trend in these areas. 9 A key systematic review of eight population-based studies, conducted from 1995 to 2005, indicated that the prevalence of care-seeking among LBP sufferers was 58%(10).

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.