Avoidable costs of physical treatments for chronic back, neck and shoulder pain within the Spanish National Health Service: A cross-sectional study

BMC Musculoskeletal Disorders

Volumn 12, Issue , 2011, Pages

  Serrano Aguilar, Pedro ^a,b,f   Kovacs, Francisco ^c,d   Cabrera Herńndez, Jose ^a   Ramos Gõi, Juan ^b,e   García Pérez, Lidia ^b,e  

^a Canary Islands Health Service   (Spain)

^b CIBER EPIDEMIOLOGÍA Y SALUD PÚBLICA CIBERESP   (Spain)

^c Fundacián Kovacs   (Spain)

^d Spanish Back Pain Research Network ^*  (Spain)

^e Fundacián Canaria de Investigacián Y Salud FUNCIS   (Spain)

^f Servicio de Evaluacián   (Spain)

Author keywords

Avoidable costs; Back pain; Evidence based practice; Neck pain; Physical therapy; Shoulder pain; Treatment costs

Indexed keywords

ADULT; ARTICLE; BACKACHE; CHRONIC PAIN; COST BENEFIT ANALYSIS; CROSS-SECTIONAL STUDY; ELECTROSTIMULATION; FEMALE; HEALTH CARE COST; HUMAN; HYPERTHERMIC THERAPY; IONTOPHORESIS; KINESIOTHERAPY; LOW LEVEL LASER THERAPY; MAGNETOTHERAPY; MAJOR CLINICAL STUDY; MALE; MOBILIZATION; NATIONAL HEALTH SERVICE; NECK PAIN; OUTCOME ASSESSMENT; PHYSIOTHERAPY; PRACTICE GUIDELINE; PRESCRIPTION; SHOULDER PAIN; SPAIN; TRACTION THERAPY; ULTRASOUND THERAPY; AGED; COST CONTROL; ECONOMICS; EVIDENCE BASED MEDICINE; MIDDLE AGED; PAIN ASSESSMENT; TIME; TREATMENT OUTCOME;

ADULT; AGED; BACK PAIN; CHRONIC PAIN; COST SAVINGS; EVIDENCE-BASED MEDICINE; FEMALE; HEALTH CARE COSTS; HEALTH EXPENDITURES; HUMANS; MALE; MIDDLE AGED; NECK PAIN; PAIN MEASUREMENT; PHYSICAL THERAPY MODALITIES; SHOULDER PAIN; SPAIN; STATE MEDICINE; TIME FACTORS; TREATMENT OUTCOME;

EID: 83755228892     PISSN: None     EISSN: 14712474     Source Type: Journal    
DOI: 10.1186/1471-2474-12-287     Document Type: Article

References (73)

1. Andersson GBJ: The epidemiology of spinal disorders. In The Adult Spine: Principles and Practice. 2 edition. Edited by: Frymoyer JW. New York: Raven Press; 1997:93-141.
2. Kvarnstrom S: Occurrence of musculoskeletal disorders in a manufacturing industry with special attention to occupational shoulders. Scand J Rehab Med 1983, 8(Suppl):1-114.
3. Cailliet R: Shoulder pain. 3 edition. Philadelphia: F.A. Davis Co; 1991.
4. Sáinz de Murieta E, Fernández Baraibar J, Pascual I, Mena A, Martínez-Zubiri A, Condón MJ: Occupational disability due to locomotor pathology in the Foral Community of Navarra. Epidemiological aspects. An Sist Sanit Navar 2005, 28(1):83-92.
5. Rajala U, Keinänen-Kiukaanniemi S, Uusimäki A, Kivelä SL: Musculoskeletal pain and depression in a middle-aged Finnish population. Pain 1995, 61(3):451-457.
6. Côté P, Kristman V, Vidmar M, Van Eerd D, Hogg-Johnson S, Beaton D, Smith PM: The prevalence and incidence of work absenteeism involving neck pain: a cohort of Ontario lost-time claimants. Spine 2008, 33(Suppl 4):S192-198. (Pubitemid 351155770)
7. Maniadakis N, Gray A: The economic burden of back pain in the UK. Pain 2000, 84(1):95-103.
8. van Tulder MW, Koes BW, Bouter LM: A cost-of-illness study of back pain in The Netherlands. Pain 1995, 62(2):233-240.
9. Waddell G, Burton K, Aylward M: Work and common health problems. J Insur Med 2007, 39(2):109-120.
10. Ministry of Health and Consumption [Homepage]: Madrid: Ministry of Health and Consumption; 2006 [http://www.msc.es/estadEstudios/estadisticas/ encuestaNacional/encuestaNac2006/webTablasAvancePubl.xls], Spanish National Survey of Health 2006.
11. Deyo RA, Rainville J, Kent DL: What can the history and physical examination tell us about back pain? JAMA 1992, 268(6):760-765.
12. Bassols A, Bosch F, Campillo M, Baños JE: Back pain in the general population of Catalonia (Spain). Prevalence, characteristics and therapeutic behavior. Gac Sanit 2003, 17(2):97-107.
13. Ballina Garcia FJ, Hernandez Mejía R, Martín Lascuevas P, Fernandez Santana J, Cueto Espinar A: Epidemiology of musculoskeletal complaints and use of health services in Asturias, Spain. Scand J Rheumatol 1994, 23(3):137-141.
14. Pope DP, Croft PR, Pritchard CM, Silman AJ: Prevalence of shoulder pain in the community: the influence of case definition. Ann Rheum Dis 1997, 56:308-312. (Pubitemid 27278518)
15. OECD -Organisation for Economic Co-Operation and Development- Health Data: 2010 [http://www.oecd.org], [Internet database].
16. Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, Mannion AF, Reis S, Staal JB, Ursin H, Zanoli G, COST B13 Working Group on Guidelines for Chronic Low Back Pain: Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006, 15(Suppl 2):S192-S300.
17. Spanish Working Group of European Programme COST B13: Clinical Practice Guideline for Unspecific Back Pain 2005 [http://www.reide.org].
18. Merskey H, Bogduk N: Classification of chronic pain. Description of chronic pain syndromes and definitions of pain terms. 2 edition. IASP Press; 1994, 60-74.
19. The AGREE Collaboration: AGREE Instrument Spanish version, Appraisal of guidelines for research and evaluation.[http://www.agreetrust.org/].
20. Oxman AD, Cook DJ, Guyatt GH: User's Guides to the medical literature. VI. How to use an overview. JAMA 1994, 272(17):1367-1371. (Pubitemid 24323620)
21. Philadelphia Panel: Philadelphia Panel Evidence-Based Clinical Practice Guidelines on selected rehabilitation interventions for neck pain. Phys Ther 2001, 81(10):1701-1717.
22. Ezzo J, Haraldsson BG, Gross AR, Myers CD, Morien A, Goldsmith CH, Bronfort G, Peloso PM, Cervical Overview Group: Massage for mechanical neck disorders: a systematic review. Spine 2007, 32(3):353-62. (Pubitemid 46197476)
23. Kay TM, Gross A, Goldsmith C, Santaguida PL, Hoving J, Bronfort G, Cervical Overview Group: Exercises for mechanical neck disorders. Cochrane Database Syst Rev 2005, 3: CD004250.
24. Kroeling P, Gross AR, Goldsmith CH, Cervical Overview Group: A Cochrane review of electrotherapy for mechanical neck disorders. Spine 2005, 30(21):E641-E648.
25. Yousefi-Nooraie R, Schonstein E, Heidari K, Rashidian A, Pennick V, Akbari-Kamrani M, Irani S, Shakiba B, Mortaz Hejri SA, Mortaz Hejri SO, Jonaidi A: Low level laser therapy for nonspecific low-back pain. Cochrane Database Syst Rev 2008, 2: CD005107.
26. Khadilkar A, Milne S, Brosseau L, Wells G, Tugwell P, Robinson V, Shea B, Saginur M: Transcutaneous electrical nerve stimulation for the treatment of chronic back pain: a systematic review. Spine 2005, 30(23):2657-2666. (Pubitemid 41780376)
27. Clarke JA, van Tulder MW, Blomberg SEI, de Vet HC, van der Heijden GJ, Bronfort G, Bouter LM: Traction for low-back pain with or without sciatica. Cochrane Database Syst Rev 2007, 2: CD003010.
28. Hayden JA, van Tulder MW, Malmivaara A, Koes BW: Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev 2005, 3: CD000335.
29. French SD, Cameron M, Walker BF, Reggars JW, Esterman AJ: A Cochrane review of superficial heat or cold for low back pain. Spine 2006, 31(9):998-1006. (Pubitemid 43785931)
30. Assendelft WJ, Morton SC, Yu EI, Suttorp MJ, Shekelle PG: Spinal manipulative therapy for low back pain. Cochrane Database Syst Rev 2004, 1: CD000447.
31. Green S, Buchbinder R, Hetrick S: Physiotherapy interventions for shoulder pain. Cochrane Database Syst Rev 2003, 2: CD004258.
32. Verhagen AP, Karels C, Bierma-Zeinstra SM, Feleus A, Dahaghin S, Burdorf A, Koes BW: Exercise proves effective in a systematic review of work-related complaints of the arm, neck or shoulder. J Clin Epidemiol 2007, 60(2):110-117.
33. Chow RT, Barnsley L: Systematic review of the literature of low-level laser therapy (LLLT) in the management of neck pain. Lasers Surg Med 2005, 37(1):46-52. (Pubitemid 41105878)
34. Vernon H, Humphreys K, Hagino C: Chronic mechanical neck pain in adults treated by manual therapy: a systematic review of change scores in randomized clinical trials. J Manipulative Physiol Ther 2007, 30(6):473-478.
35. Plat E, Scherer M, Van Weel C: The treatment of neck pain. A systematic review. Huisarts Wet 2007, 50(13):660-665. (Pubitemid 350304426)
36. Gross AR, Hoving JL, Haines TA, Goldsmith CH, Kay T, Aker P, Bronfort G, Cervical overview group: Manipulation and mobilisation for mechanical neck disorders. Cochrane Database Syst Rev 2004, 1: CD004249.
37. Chou R, Huffman LH, American Pain Society. American College of Physicians: Nonpharmacologic therapies for acute and chronic back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med 2007, 147(7):492-504. (Pubitemid 351664520)
38. Pichón RA, Augustovski F, Alcaraz A, Bardach A, Ferrante D, Garcia MS: Transcutaneous electrical nerve stimulation (TENS-PENS) for back pain Buenos Aires: Institute for Clinical Effectiveness and Health Policy (IECS); 2006.
39. Ho C: Extracorporeal shock wave treatment for chronic rotator cuff tendonitis (shoulder pain) [Issues in emerging health technologies issue 96 part 3] Ottawa: Canadian Agency for Drugs and Technologies in Health; 2007.
40. Harniman E, Carette S, Kennedy C, Beaton D: Extracorporeal shock wave therapy for calcific and noncalcific tendonitis of the rotator cuff: a systematic review. J Hand Ther 2004, 17(2):132-151. (Pubitemid 38725379)
41. Neck and upper back complaints. In Occupational medicine practice guidelines: evaluation and management of common health problems and functional recovery of workers.. 2 edition. Edited by: Glass LS. Beverly Farms: OEM Press; 2004:164-193.
42. Cervical/thoracic. Clinical Guidelines for the Queensland Workers compensation Scheme Back. Queensland: Q-Comp; 2008, 88-92.
43. Gross AR, Kay TM, Kennedy C, Gasner D, Hurley L, Yardley K, Hendry L, McLaughlin L: Clinical practice guideline on the use of manipulation or mobilization in the treatment of adults with mechanical neck disorders. Man Ther 2002, 7(4):193-205. (Pubitemid 35303819)
44. Philadelphia Panel: Philadelphia Panel Evidence-Based Clinical Practice Guidelines on selected rehabilitation interventions for shoulder pain. Phys Ther 2001, 81(10):1719-1730.
45. CKS [Homepage]: United Kingdom: National Library for Health. NHS; 2005 [http://www.cks.nhs.uk/neck-pain-non-specific], Clinical topics. Neck pain.
46. Chou R, Qaseem A, Snow V, Casey D, Cross JT Jr, Shekelle P, Owens DK, Clinical Efficacy Assessment Subcommittee of the American College of Physicians. American College of Physicians. American Pain Society Back Pain Guidelines Panel: Diagnosis and treatment of back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med 2007, 147(7):478-491. (Pubitemid 351688341)
47. Koes BW, Sanders RJ, Tuut MK, Kwaliteitsinstituut voor de Gezondheidszorg CBO: The Dutch Institute for Health Care Improvement (CBO) guideline for the diagnosis and treatment of a specific acute and chronic back complaints. Ned Tijdschr Geneeskd 2004, 148(7):310-314. (Pubitemid 38222146)
48. American College of Occupational and Environmental Medicine (ACOEM): Shoulder complaints Elk Grove Village (IL): American College of Occupational and Environmental Medicine (ACOEM); 2004.
49. New Zealand Guidelines Group: The diagnosis and management of soft tissue shoulder injuries and related disorders. Best practices evidence based guideline New Zealand Guidelines Group; 2004.
50. Kovacs FM, Abraira V, Royuela A, Corcoll J, Alegre L, Tomás M, Mir MA, Cano A, Muriel A, Zamora J, Gil del Real MT, Gestoso M, Mufraggi N: Minimum detectable and minimal clinically important changes for pain in patients with nonspecific neck pain. BMC Musculoskelet Disord 2008, 9:43.
51. Pool JJM, Ostelo RWJG, Hoving JL, Bouter LM, de Vet HCW: Minimal clinically important change of the neck disability index and the numerical rating scale for patients with neck pain. Spine 2007, 32(26):3047-3051. (Pubitemid 350307290)
52. Kovacs FM, Abraira V, Royuela A, Corcoll J, Alegre L, Cano A, Muriel A, Zamora J, Gil del Real MT, Gestoso M, Mufraggi N, Spanish Back Pain Research Network: Minimal clinically important change for pain intensity and disability in patients with nonspecific back pain. Spine 2007, 32(25):2915-2920. (Pubitemid 351339366)
53. Verbeek J, Sengers MJ, Riemens L, Haafkens J: Patient Expectations of Treatment for Back Pain. A Systematic Review of Qualitative and Quantitative Studies. Spine 2004, 29(20):2309-2318. (Pubitemid 40362230)
54. Geraets JJ, Goossens ME, de Bruijn CP, de Groot IJ, Köke AJ, Pelt RA, Van der Heijden G, Dinant GJ, van den Heuvel WJ: Cost-effectiveness of a graded exercise therapy program for patients with chronic shoulder complaints. Int J Technol Assess Health Care 2006, 22(1):76-83. (Pubitemid 43376242)
55. Schers H, Wensing M, Huijsmans Z, van Tulder M, Grol R: Implementation barriers for general practice guidelines on back pain a qualitative study. Spine 2001, 26(15):E348-E353.
56. Kmietowicz Z: NICE is to root out ineffective treatments in NHS. BMJ 2006, 333:568.
57. Gallego G, Haas M, Hall J, Viney R: Reducing the use of ineffective health care interventions. Centre for Health Economics Research and Evaluation University of Technology Sydney. Working Paper 2010/5;[http://www.chere.uts.edu. au/pdf/wp2010-5.pdf].
58. Kovacs FM, Llobera J, Abraira V, Lázaro P, Pozo F, Kleinbaum D, the KAP Group: Effectiveness and cost effectiveness analysis of neuroreflexotherapy for subacute and chronic low back pain in routine general practice. A cluster randomized, controlled trial. Spine 2002, 27(11):1149-1159. (Pubitemid 34596331)
59. Urrútia G, Burton AK, Morral A, Bonfill X, Zanoli G: Neuroreflexotherapy for non-specific low-back pain. Cochrane Database Syst Rev 2004, 2:CD003009.
60. Corcoll J, Orfila J, Tobajas P, Alegre L: Implementation of neuroreflexotherapy for subacute and chronic neck and back pain within the Spanish public health system: audit after one year. Health Policy 2006, 79(2-3):345-357. (Pubitemid 44550058)
61. Malmivaara A, Häkkinen U, Aro T, Heinrichs ML, Koskenniemi L, Kuosma E, Lappi S, Paloheimo R, Servo C, Vaaranen V, et al.: The treatment of acute low back pain-bed rest, exercises, or ordinary activity? N Engl J Med 1995, 332(6):351-355.
62. Carragee EJ, Deyo RA, Kovacs FM, Peul WC, Lurie JD, Urrútia G, Corbin TP: Clinical Research. Is the Spine Field a Mine Field? Spine 2009, 34(5):423-430.
63. Manca A, Dumville JC, Torgerson DJ, Klaber Moffett JA, Mooney MP, Jackson DA, Eaton S: Randomized trial of two physiotherapy interventions for primary care back and neck pain patients: cost effectiveness analysis. Rheumatology 2007, 46(9):1495-1501. (Pubitemid 47317102)
64. Sespas Report 2006. Maladjustment of Health in developed world. In Gac Sanit Edited by: Palomo L, Ortún V, García-Benavides F, Marzquez-Calderón S 2006, 20(Suppl 1):2-9.
65. Law 16/2003, of May 28, of Cohesion and Quality for the National Health System: Boletín Oficial del Estado 2003, 128:20567-20588.
66. Ministry of Health and Consumption: Annual Report of the Spanish National Health System 2004 Madrid: Ministry of Health and Consumption; 2006 [http://www.msc.es/organizacion/sns/planCalidadSNS/isns-02.htm].
67. Kovacs FM, Fernandez C, Cordero A, Muriel A, González-Luján L, the Spanish Back Pain Research Network: Non-specific low back pain in primary care in the Spanish National Health Service: a prospective study on clinical outcomes and determinants of management. BMC Health Services Research 2006, 6:57.
68. Lindsay DM, Dearness J, McGinley CC: Electrotherapy usage trends in private physiotherapy practice in Alberta. Physiother Can 1995, 47(1):30-34.
69. Di Lorio D, Henley E, Doughty A: A survey of primary care physician practice patterns and adherence to acute low back problem guidelines. Arch Fam Med 2000, 9(10):1015-1021. (Pubitemid 32014694)
70. Haldeman S, Dagenais SA: A supermarket approach to the evidence-informed management of chronic low back pain. Spine J 2008, 8(1):1-7. (Pubitemid 350299277)
71. Dagenais S, Haldeman S: Evidence-Based management of low back pain St. Louis, Missouri: Elservier Mosby; 2012, 443-449.
72. Martin BI, Deyo RA, Mirza SK: Expenditures and Health Status Among Adults With Back and Neck Problems. JAMA 2008, 299(6):656-664. (Pubitemid 351252723)
73. Lambeek LC, van Tulder MW, Swinkels IC, Koppes LL, Anema JR, van Mechelen W: The trend in total cost of back pain in The Netherlands in the period 2002 to 2007. Spine 2011, 36(13):1050-1058.