Study protocol of cost-effectiveness and cost-utility of a biopsychosocial multidisciplinary intervention in the evolution of non-specific sub-acute low back pain in the working population: cluster randomised trialReportar como inadecuado




Study protocol of cost-effectiveness and cost-utility of a biopsychosocial multidisciplinary intervention in the evolution of non-specific sub-acute low back pain in the working population: cluster randomised trial - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Musculoskeletal Disorders

, 12:194

First Online: 22 August 2011Received: 27 July 2011Accepted: 22 August 2011

Abstract

BackgroundLow back pain LBP, with high incidence and prevalence rate, is one of the most common reasons to consult the health system and is responsible for a significant amount of sick leave, leading to high health and social costs. The objective of the study is to assess the cost-effectiveness and cost-utility analysis of a multidisciplinary biopsychosocial educational group intervention MBEGI of non-specific sub-acute LBP in comparison with the usual care in the working population recruited in primary healthcare centres.

Methods-designThe study design is a cost-effectiveness and cost-utility analysis of a MBEGI in comparison with the usual care of non-specific sub-acute LBP.

Measures on effectiveness and costs of both interventions will be obtained from a cluster randomised controlled clinical trial carried out in 38 Catalan primary health care centres, enrolling 932 patients between 18 and 65 years old with a diagnosis of non-specific sub-acute LBP. Effectiveness measures are: pharmaceutical treatments, work sick leave % and duration in days, Roland Morris disability, McGill pain intensity, Fear Avoidance Beliefs FAB and Golberg Questionnaires. Utility measures will be calculated from the SF-12. The analysis will be performed from a social perspective. The temporal horizon is at 3 months change to chronic LBP and 12 months evaluate the outcomes at long term.

Assessment of outcomes will be blinded and will follow the intention-to-treat principle.

DiscussionWe hope to demonstrate the cost-effectiveness and cost-utility of MBEGI, see an improvement in the patients- quality of life, achieve a reduction in the duration of episodes and the chronicity of non-specific low back pain, and be able to report a decrease in the social costs. If the intervention is cost-effectiveness and cost-utility, it could be applied to Primary Health Care Centres.

Trial registrationISRCTN: ISRCTN58719694

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Autor: Anna Berenguera - Enriqueta Pujol-Ribera - Teresa Rodriguez-Blanco - Concepció Violan - Marc Casajuana - Nelleke de Kort -

Fuente: https://link.springer.com/



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