<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-8123</journal-id>
<journal-title><![CDATA[Revista Colombiana de Reumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev.Colomb.Reumatol.]]></abbrev-journal-title>
<issn>0121-8123</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Reumatología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-81232022000400303</article-id>
<article-id pub-id-type="doi">10.1016/j.rcreu.2021.02.010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Dolor lumbar crónico: enfoque diagnóstico para el primer nivel de atención]]></article-title>
<article-title xml:lang="en"><![CDATA[Chronic low back pain: diagnostic approach for primary care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos-Moreno]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sucerquia-Quintero]]></surname>
<given-names><![CDATA[Julián Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Salinas]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Biomab IPS  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Fundación Universitaria Juan N Corpas  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Laboratorio Novartis de Colombia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Italiano La Plata  ]]></institution>
<addr-line><![CDATA[Provincia de Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>29</volume>
<numero>4</numero>
<fpage>303</fpage>
<lpage>309</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-81232022000400303&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-81232022000400303&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-81232022000400303&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Antecedentes:  El dolor lumbar es uno de los principales motivos de consulta en el primer nivel de atención, requiere múltiples intervenciones diagnósticas, así como la adopción de conductas terapéuticas, e incluso, conlleva discapacidad en los pacientes adultos.  Objetivo:  Brindar una aproximación clínica con orientación diagnóstica para el abordaje de los pacientes con un motivo de consulta frecuente en el primer nivel de atención.  Resultados:  Los autores proponen un algoritmo para el abordaje clínico del paciente con dolor lumbar crónico, orientando, además, hacia generalidades de los exámenes complementarios (química sanguínea, imágenes diagnósticas, entre otros), para evaluar en un primer nivel al paciente que acude por esta patología.  Conclusiones:  La propuesta presentada en este artículo permite guiar al personal médico de primer nivel de atención a través de una aproximación enfocada en las características semiológicas del dolor, así como poder correlacionar con los diagnósticos más frecuentes, a fin de remitir o dirigir al paciente de acuerdo con las necesidades particulares correspondientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Keywords: Background: Low back pain is one of the main complaints in primary care reported by-patients, requiring several diagnostic interventions, therapeutic approaches and even entailing disability in young adults.  Objective:  To provide a clinical approach, diagnostically oriented, for patients frequently consulting primary care.  Results: Of the authors propose a clinical algorithm for the clinical assessment of the patient with chronic low back pain, also considering complementary tests (imaging, blood chemistry, etc.) for the evaluation in primary care of the patient with this pathology.  Conclusions:  The proposal provided in this article helps guide the primary care physician through an approach focusing on the semiological characteristics of pain, so that they can correlate with the most frequent diagnoses, in order to refer or direct the patient according to their particular needs.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dolor de la región lumbar]]></kwd>
<kwd lng="es"><![CDATA[Diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[Atención primaria]]></kwd>
<kwd lng="en"><![CDATA[Low back pain]]></kwd>
<kwd lng="en"><![CDATA[Diagnosis]]></kwd>
<kwd lng="en"><![CDATA[Primary health carea]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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