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

Health Services Research
Julie M FritzStephen J Hunter

Abstract

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. Electronic medical record (EMR) and insurance claims data. Retrospective analysis of propensity-matched groups. Claims and EMR data were used. Utilization and LBP-related charges over a 1-year period were extracted from claims data. 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). 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.

References

Jul 14, 1994·The New England Journal of Medicine·M C JensenJ S Ross
Sep 12, 1998·Journal of General Internal Medicine·V SundararajanT Carey
Jun 5, 2003·JAMA : the Journal of the American Medical Association·Jeffrey G JarvikRichard A Deyo
Oct 29, 2004·Journal of Health Services Research & Policy·Julie Barber, Simon Thompson
Sep 30, 2005·Journal of General Internal Medicine·Thomas O StaigerClarence H Braddock
Apr 7, 2007·Journal of the American College of Radiology : JACR·Daniel I RosenthalJames H Thrall
May 24, 2007·Journal of Evaluation in Clinical Practice·John L MoranJeffrey Martin
Jan 1, 2008·The Spine Journal : Official Journal of the North American Spine Society·Simon DagenaisScott Haldeman
Feb 14, 2008·JAMA : the Journal of the American Medical Association·Brook I MartinSean D Sullivan
Jan 7, 2009·Journal of the American Board of Family Medicine : JABFM·Richard A DeyoBrook I Martin
May 27, 2009·Journal of the American College of Radiology : JACR·Patricia C DavisMichael A Sloan
Aug 28, 2010·Journal of Occupational and Environmental Medicine·Barbara S Webster, Manuel Cifuentes
Nov 26, 2010·Spine·Alfred Campbell GellhornJanna Friedly
Dec 18, 2010·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·N Ann ScottChrista Harstall
Jan 8, 2011·Journal of the American College of Radiology : JACR·C Craig BlackmoreGary S Kaplan
Feb 2, 2011·Annals of Internal Medicine·Roger ChouUNKNOWN Clinical Guidelines Committee of the American College of Physicians
Mar 3, 2011·European Heart Journal·Georg Heinze, Peter Jüni
Mar 10, 2011·Journal of the American Medical Informatics Association : JAMIA·Andrew GeorgiouJohanna I Westbrook
Apr 5, 2011·Journal of the American College of Radiology : JACR·Cally Vinz, Jim Trevis
Apr 14, 2011·Journal of the American Medical Informatics Association : JAMIA·Lynn Curry, Martin H Reed
May 25, 2011·Archives of Internal Medicine·UNKNOWN Good Stewardship Working Group
Jun 7, 2011·The Journal of Orthopaedic and Sports Physical Therapy·Timothy W FlynnRoger Chou
Jun 6, 2012·Archives of Internal Medicine·Shubha V SrinivasZackary D Berger
Oct 31, 2012·Annals of Internal Medicine·David W BakerUNKNOWN American College of Physicians Performance Measurement Committee
Jan 10, 2013·BMC Family Practice·Tammy C HoffmannJuliana Mai
Feb 16, 2013·BMJ : British Medical Journal·Pavel S RoshanovR Brian Haynes
May 30, 2013·Journal of Multidisciplinary Healthcare·Max Zusman
Feb 26, 2014·BMC Medical Informatics and Decision Making·John S Santa

❮ Previous
Next ❯

Citations

Mar 2, 2016·The Journal of Orthopaedic and Sports Physical Therapy·J Haxby Abbott
Feb 18, 2016·Biological Research for Nursing·Angela R StarkweatherSusan G Dorsey
May 2, 2018·The Journal of Orthopaedic and Sports Physical Therapy·Paul E MintkenTimothy W Flynn
Jan 15, 2019·The Health Care Manager·Kyle PulfordRon Miller
Feb 24, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·G P G LemmersJ B Staal
Oct 22, 2019·Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy·Mukadas AkindeleEfe Useh
Jan 5, 2018·Medical Care Research and Review : MCRR·Jean M Mitchell, Jack Hadley
Nov 26, 2019·Physical Therapy·Trevor A LentzSteven Z George
Jul 14, 2016·BMC Health Services Research·Maggie E HornMark D Bishop
Oct 16, 2018·Physical Therapy·Alan M Jette
Nov 13, 2019·Journal of Occupational and Environmental Medicine·Richard WickstromKenneth Harwood
Jun 1, 2017·The Journal of Manual & Manipulative Therapy·Yannick Tousignant-LaflammeJean-Michel Brismée
May 23, 2020·Pain Reports·Steven Z GeorgeJeff Boissoneault
Sep 30, 2020·Journal of General Internal Medicine·Josephine C JacobsPaul G Barnett
Jul 23, 2020·Pain·Steven Z GeorgeJulie M Fritz
Dec 6, 2020·Musculoskeletal Care·Darren HudsonMartin Benwell
Jun 25, 2020·American Journal of Physical Medicine & Rehabilitation·Stephen SchaafGwendolyn Sowa
Sep 19, 2018·Mayo Clinic Proceedings. Innovations, Quality & Outcomes·Maggie E HornJulie M Fritz

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.