Exploring the cost–utility of stratified primary care management for low back pain compared with current best practice within risk-defined subgroups
Annals of Rheumatic Diseases,  Clinical Article

Whitehurst DGT et al. – Compared with current best practice, stratified primary care management for low back pain provides a highly cost–effective use of resources across all risk–defined subgroups.

Methods
  • Within a cost–utility framework, the base–case analysis estimated the incremental healthcare cost per additional quality–adjusted life year (QALY), using the EQ–5D to generate QALYs, for each risk–defined subgroup.
  • Uncertainty was explored with cost–utility planes and acceptability curves.
  • Sensitivity analyses were performed to consider alternative costing methodologies, including the assessment of societal loss relating to work absence and the incorporation of generic (ie, non–back pain) healthcare utilisation.

Results
  • The stratified management approach was a cost–effective treatment strategy compared with current best practice within each risk–defined subgroup, exhibiting dominance (greater benefit and lower costs) for medium–risk patients and acceptable incremental cost to utility ratios for low–risk and high–risk patients.
  • The likelihood that stratified care provides a cost–effective use of resources exceeds 90% at willingness–to–pay thresholds of £4000 ( 4500; $6500) per additional QALY for the medium–risk and high–risk groups.
  • Patients receiving stratified care also reported fewer back pain–related days off work in all three subgroups.

Please login or register to follow this author.
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

    Currently, there are no available articles.

Your Unread Messages in Rheumatology

See All >> Messages include industry-sponsored communications and special communications from MDLinx

<

Most Popular Rheumatology Articles

Indexed Journals in Rheumatology: Arthritis & Rheumatism, Annals of Rheumatic Diseases, Journal of Rheumatologymore

Make smarter career moves with less time.

Sign up for our free job placement service today and have a dedicated career consultant help locate the right physician job for you!
Click Here for more information.

Get Started Now!

Free-of-charge, no obligation.

Terms and Conditions For M3 Career Consult

By registering with the M3 Career Consult service you authorize M3 USA Corporation to represent you in your job search. The following is a summary of the terms of our service and our mutual obligations to help you find a job:

  • You designate M3 to act as your agent and represent you in your job search;
  • You will not pay us for this service
  • You will advise us of any companies or positions to which you apply or have applied;
  • You will advise us if you believe you are not capable of performing a position for which we submit you, or for which you interview;
  • You will keep all information we provide you about companies or positions strictly confidential;
  • You will promptly provide us with information we request of you;
  • You will make yourself reasonably available for phone, video and in-person conversations and interviews;
  • You will be truthful in all of your communications with us; and
  • You will advise us if anything above changes.
 

The Top Read Articles of 2014 are Now Available

Scouring thousands of peer-reviewed journals and popular press, Our Editors just released the Top Read Articles of the Year. See the Top Read List