Mauges Sur Loire

Low back pain is a common condition affecting about 23% of the general population and can lead to challenges such as psychosocial difficulties and prolonged inability to work. In France, treatment usually involves general practitioners and sometimes physiotherapists. Researchers are evaluating whether coordinated care involving general practitioners, physiotherapists, and occupational health services can improve the management and outcomes for patients with subacute or recurrent acute low back pain compared to standard care. The study compares two approaches: coordinated care and standard care. Coordinated care includes early contact with occupational health services initiated by the general practitioner and the use of an occupational retention tool. Patients in this group also receive an active physiotherapy program consisting of 15 individual, intensive, and regular rehabilitation sessions lasting one hour each, scheduled two to three times per week. This approach is deployed at the territory level to assess its impact on patient outcomes. Participants will be followed for one year after enrollment. During this time, researchers will monitor the perceived inability to work as the primary outcome. The study involves regular assessments and tracking of patient progress to evaluate the effectiveness of coordinated care in reducing prolonged disability related to low back pain. Overall, the study aims to improve the care pathway and reduce the risk of long-term disability for patients in primary care settings.

Very little information is available about hypoparathyroidism, a condition that can lead to complications such as low calcium symptoms, calcifications in various tissues, kidney stones, and kidney problems. No specific data exists for France, so researchers are gathering detailed information about the condition, its treatments, and related complications in French patients. This research aims to better understand how hypoparathyroidism affects people in France over about two years. No treatments or interventions will be given as part of this study. Instead, the study will collect and analyze existing data on patients diagnosed with chronic hypoparathyroidism who live in France. This approach allows researchers to observe real-world experiences without changing patient care. Participants will provide information that helps assess the overall patterns, treatments, and complications related to hypoparathyroidism. This includes tracking how common the condition is and monitoring any complications during the study. The study will continue until its completion, which is expected to be around two years, focusing on gathering comprehensive epidemiological data.