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65, 95% confidence intervals0.49-0.85) CONCLUSIONS After a visit to a PCP for a new episode of care for LBP, patients with a history of an OUD are less likely to initiate physical therapy. Propensity score matching resulted in 1360 matched pairs of participants. The mean age was 47.2 years (15.9) and 55.9% were female. Compared to patients without an OUD, patients with an OUD were less likely to initiate physical therapy for LBP (adjusted odds ratio = 0.65, 95% confidence intervals0.49-0.85) CONCLUSIONS After a visit to a PCP for a ne