Warning: Undefined array key "mm" in /www/wwwroot/www.ai-bt.com/si.php on line 10 Deprecated: trim(): Passing null to parameter #1 ($string) of type string is deprecated in /www/wwwroot/www.ai-bt.com/si.php on line 10 Physical Therapy or Advanced Imaging as First Management Strategy Following a New Consultation for Low Back Pain in Primary Care: Associations with Future Health Care Utilization and Charges.

Literature DB >> 25772625

Physical Therapy or Advanced Imaging as First Management Strategy Following a New Consultation for Low Back Pain in Primary Care: Associations with Future Health Care Utilization and Charges.

Julie M Fritz¹, Gerard P Brennan², Stephen J Hunter³.

Abstract

OBJECTIVE: Compare health care utilization and charges for low-back-pain (LBP) patients receiving advanced imaging or physical therapy as a first management strategy following a new primary care consultation. DATA SOURCE: Electronic medical record (EMR) and insurance claims data. STUDY
DESIGN: Retrospective analysis of propensity-matched groups. DATA COLLECTION/EXTRACTION: Claims and EMR data were used. Utilization and LBP-related charges over a 1-year period were extracted from claims data. PRINCIPAL
FINDINGS: In the propensity-matched sample (n = 406), advanced imaging recipients had higher odds of all utilization outcomes. Charges were higher with advanced imaging by an average $4,793 (95 percent CI: $3,676, $5,910).
CONCLUSIONS: For patients with LBP whom newly consulted primary care referred for additional management, advanced imaging as a first management was associated with higher health care utilization and charges than physical therapy. © Health Research and Educational Trust.

Entities: Disease Species

Keywords: Physical therapy; imaging; low back pain; primary care

Mesh：

Year: 2015 PMID： 25772625 PMCID： PMC4693839 DOI： 10.1111/1475-6773.12301

Source DB: PubMed Journal: Health Serv Res ISSN： 0017-9124 Impact factor: 3.402

48 in total

Review 1. Application of “less is more” to low back pain.

Authors: Shubha V Srinivas; Richard A Deyo; Zackary D Berger
Journal: Arch Intern Med Date: 2012-07-09

Review 2. Managing low back pain in the primary care setting: the know-do gap.

Authors: N Ann Scott; Carmen Moga; Christa Harstall
Journal: Pain Res Manag Date: 2010 Nov-Dec Impact factor: 3.037

3. Relationship of early magnetic resonance imaging for work-related acute low back pain with disability and medical utilization outcomes.

Authors: Barbara S Webster; Manuel Cifuentes
Journal: J Occup Environ Med Date: 2010-09 Impact factor: 2.162

4. A comparison of the ability of different propensity score models to balance measured variables between treated and untreated subjects: a Monte Carlo study.

Authors: Peter C Austin; Paul Grootendorst; Geoffrey M Anderson
Journal: Stat Med Date: 2007-02-20 Impact factor: 2.373

5. The "top 5" lists in primary care: meeting the responsibility of professionalism.

Authors:
Journal: Arch Intern Med Date: 2011-05-23

6. Expenditures and health status among adults with back and neck problems.

Authors: Brook I Martin; Richard A Deyo; Sohail K Mirza; Judith A Turner; Bryan A Comstock; William Hollingworth; Sean D Sullivan
Journal: JAMA Date: 2008-02-13 Impact factor: 56.272

7. Initial management decisions after a new consultation for low back pain: implications of the usage of physical therapy for subsequent health care costs and utilization.

Authors: Julie M Fritz; Gerard P Brennan; Stephen J Hunter; John S Magel
Journal: Arch Phys Med Rehabil Date: 2013-01-18 Impact factor: 3.966

8. New models for old questions: generalized linear models for cost prediction.

Authors: John L Moran; Patricia J Solomon; Aaron R Peisach; Jeffrey Martin
Journal: J Eval Clin Pract Date: 2007-06 Impact factor: 2.431

9. Radiology order entry with decision support: initial clinical experience.

Authors: Daniel I Rosenthal; Jeffrey B Weilburg; Thomas Schultz; Janet C Miller; Victoria Nixon; Keith J Dreyer; James H Thrall
Journal: J Am Coll Radiol Date: 2006-10 Impact factor: 5.532

10. Belief reinforcement: one reason why costs for low back pain have not decreased.

Authors: Max Zusman
Journal: J Multidiscip Healthc Date: 2013-05-16

23 in total

1. Value-Based Care for Musculoskeletal Pain: Are Physical Therapists Ready to Deliver?

Authors: Trevor A Lentz; Adam P Goode; Charles A Thigpen; Steven Z George
Journal: Phys Ther Date: 2020-04-17

2. Physical Therapy as the First Point of Care to Treat Low Back Pain: An Instrumental Variables Approach to Estimate Impact on Opioid Prescription, Health Care Utilization, and Costs.

Authors: Bianca K Frogner; Kenneth Harwood; C Holly A Andrilla; Malaika Schwartz; Jesse M Pines
Journal: Health Serv Res Date: 2018-05-23 Impact factor: 3.402

3. Imaging versus no imaging for low back pain: a systematic review, measuring costs, healthcare utilization and absence from work.

Authors: G P G Lemmers; W van Lankveld; G P Westert; P J van der Wees; J B Staal
Journal: Eur Spine J Date: 2019-02-22 Impact factor: 3.134

4. How radiological findings can help or hinder patients' recovery in the rehabilitation management of patients with low back pain: what can clinicians do?

Authors: Yannick Tousignant-Laflamme; Christian Longtin; Jean-Michel Brismée
Journal: J Man Manip Ther Date: 2017-04-07

5. Physical therapists familiarity and beliefs about health services utilization and health seeking behaviour.

Authors: Derek Clewley; Dan Rhon; Tim Flynn; Shane Koppenhaver; Chad Cook
Journal: Braz J Phys Ther Date: 2018-02-21 Impact factor: 3.377

6. Health Services Research in Rehabilitation and Disability-The Time is Now.

Authors: James E Graham; Addie Middleton; Pamela Roberts; Trudy Mallinson; Janet Prvu-Bettger
Journal: Arch Phys Med Rehabil Date: 2017-08-04 Impact factor: 3.966

7. Associations Between Early Chiropractic Care and Physical Therapy on Subsequent Opioid Use Among Persons With Low Back Pain in Arkansas.

Authors: Mahip Acharya; Divyan Chopra; Allen M Smith; Julie M Fritz; Bradley C Martin
Journal: J Chiropr Med Date: 2022-05-21