Cargando…

Cost-effectiveness of general practice care for low back pain: a systematic review

Care from a general practitioner (GP) is one of the most frequently utilised healthcare services for people with low back pain and only a small proportion of those with low back pain who seek care from a GP are referred to other services. The aim of this systematic review was to evaluate the evidenc...

Descripción completa

Detalles Bibliográficos
Autores principales: Lin, Chung-Wei Christine, Haas, Marion, Maher, Chris G., Machado, Luciana A. C., van Tulder, Maurits W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer-Verlag 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3176699/
https://www.ncbi.nlm.nih.gov/pubmed/21203890
http://dx.doi.org/10.1007/s00586-010-1675-4
_version_ 1782212240316825600
author Lin, Chung-Wei Christine
Haas, Marion
Maher, Chris G.
Machado, Luciana A. C.
van Tulder, Maurits W.
author_facet Lin, Chung-Wei Christine
Haas, Marion
Maher, Chris G.
Machado, Luciana A. C.
van Tulder, Maurits W.
author_sort Lin, Chung-Wei Christine
collection PubMed
description Care from a general practitioner (GP) is one of the most frequently utilised healthcare services for people with low back pain and only a small proportion of those with low back pain who seek care from a GP are referred to other services. The aim of this systematic review was to evaluate the evidence on cost-effectiveness of GP care in non-specific low back pain. We searched clinical and economic electronic databases, and the reference list of relevant systematic reviews and included studies to June 2010. Economic evaluations conducted alongside randomised controlled trials with at least one GP care arm were eligible for inclusion. Two reviewers independently screened search results and extracted data. Eleven studies were included; the majority of which conducted a cost-effectiveness or cost-utility analysis. Most studies investigated the cost-effectiveness of usual GP care. Adding advice, education and exercise, or exercise and behavioural counselling, to usual GP care was more cost-effective than usual GP care alone. Clinical rehabilitation and/or occupational intervention, and acupuncture were more cost-effective than usual GP care. One study investigated the cost-effectiveness of guideline-based GP care, and found that adding exercise and/or spinal manipulation was more cost-effective than guideline-based GP care alone. In conclusion, GP care alone did not appear to be the most cost-effective treatment option for low back pain. GPs can improve the cost-effectiveness of their treatment by referring their patients for additional services, such as advice and exercise, or by providing the services themselves.
format Online
Article
Text
id pubmed-3176699
institution National Center for Biotechnology Information
language English
publishDate 2011
publisher Springer-Verlag
record_format MEDLINE/PubMed
spelling pubmed-31766992011-09-21 Cost-effectiveness of general practice care for low back pain: a systematic review Lin, Chung-Wei Christine Haas, Marion Maher, Chris G. Machado, Luciana A. C. van Tulder, Maurits W. Eur Spine J Health Technology Assessment & Transfer Care from a general practitioner (GP) is one of the most frequently utilised healthcare services for people with low back pain and only a small proportion of those with low back pain who seek care from a GP are referred to other services. The aim of this systematic review was to evaluate the evidence on cost-effectiveness of GP care in non-specific low back pain. We searched clinical and economic electronic databases, and the reference list of relevant systematic reviews and included studies to June 2010. Economic evaluations conducted alongside randomised controlled trials with at least one GP care arm were eligible for inclusion. Two reviewers independently screened search results and extracted data. Eleven studies were included; the majority of which conducted a cost-effectiveness or cost-utility analysis. Most studies investigated the cost-effectiveness of usual GP care. Adding advice, education and exercise, or exercise and behavioural counselling, to usual GP care was more cost-effective than usual GP care alone. Clinical rehabilitation and/or occupational intervention, and acupuncture were more cost-effective than usual GP care. One study investigated the cost-effectiveness of guideline-based GP care, and found that adding exercise and/or spinal manipulation was more cost-effective than guideline-based GP care alone. In conclusion, GP care alone did not appear to be the most cost-effective treatment option for low back pain. GPs can improve the cost-effectiveness of their treatment by referring their patients for additional services, such as advice and exercise, or by providing the services themselves. Springer-Verlag 2011-01-04 2011-07 /pmc/articles/PMC3176699/ /pubmed/21203890 http://dx.doi.org/10.1007/s00586-010-1675-4 Text en © The Author(s) 2011 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Health Technology Assessment & Transfer
Lin, Chung-Wei Christine
Haas, Marion
Maher, Chris G.
Machado, Luciana A. C.
van Tulder, Maurits W.
Cost-effectiveness of general practice care for low back pain: a systematic review
title Cost-effectiveness of general practice care for low back pain: a systematic review
title_full Cost-effectiveness of general practice care for low back pain: a systematic review
title_fullStr Cost-effectiveness of general practice care for low back pain: a systematic review
title_full_unstemmed Cost-effectiveness of general practice care for low back pain: a systematic review
title_short Cost-effectiveness of general practice care for low back pain: a systematic review
title_sort cost-effectiveness of general practice care for low back pain: a systematic review
topic Health Technology Assessment & Transfer
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3176699/
https://www.ncbi.nlm.nih.gov/pubmed/21203890
http://dx.doi.org/10.1007/s00586-010-1675-4
work_keys_str_mv AT linchungweichristine costeffectivenessofgeneralpracticecareforlowbackpainasystematicreview
AT haasmarion costeffectivenessofgeneralpracticecareforlowbackpainasystematicreview
AT maherchrisg costeffectivenessofgeneralpracticecareforlowbackpainasystematicreview
AT machadolucianaac costeffectivenessofgeneralpracticecareforlowbackpainasystematicreview
AT vantuldermauritsw costeffectivenessofgeneralpracticecareforlowbackpainasystematicreview