Economic impact of musculoskeletal disorders (MSDs) on work in Europe

Bevan, Stephen

doi:10.1016/j.berh.2015.08.002

Cited by 528 publications

(340 citation statements)

References 35 publications

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“…In practice, there is a need for greater interdisciplinary working between clinical specialities that may currently provide individual streams of care. ‘Siloed’ packages (health, welfare, social or employment) can obstruct optimal outcomes for patients with complex inter-related needs 79. Better education of all healthcare professionals is important to enable early recognition of musculoskeletal conditions and ensure appropriate referral.…”

Section: Future Researchmentioning

confidence: 99%

Lower extremity osteoarthritis: optimising musculoskeletal health is a growing global concern: a narrative review

et al. 2018

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The burden of non-communicable diseases, such as osteoarthritis (OA), continues to increase for individuals and society. Regrettably, in many instances, healthcare professionals fail to manage OA optimally. There is growing disparity between the strength of evidence supporting interventions for OA and the frequency of their use in practice. Physical activity and exercise, weight management and education are key management components supported by evidence yet lack appropriate implementation. Furthermore, a recognition that treatment earlier in the disease process may halt progression or reverse structural changes has not been translated into clinical practice. We have largely failed to put pathways and procedures in place that promote a proactive approach to facilitate better outcomes in OA. This paper aims to highlight areas of evidence-based practical management that could improve patient outcomes if used more effectively.

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Section: Future Researchmentioning

confidence: 99%

Lower extremity osteoarthritis: optimising musculoskeletal health is a growing global concern: a narrative review

et al. 2018

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“…1 2 They are prevalent and result in huge healthcare costs. 3 There are considerable variations in definition, localisation, causes and treatment strategies for these diseases. 4 5 Microscopic damage accumulates in some parts of the body such as the muscles, ligaments, tendons, intervertebral discs, cartilage, bone, and related nerves and blood vessels, and causes acute, recurrent, continuous or chronic pain or dysfunction.…”

Section: Introductionmentioning

confidence: 99%

Economic evaluation of manual therapy for musculoskeletal diseases: a protocol for a systematic review and narrative synthesis of evidence

et al. 2016

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IntroductionManual therapy is the non-surgical conservative management of musculoskeletal disorders using the practitioner's hands on the patient's body for diagnosing and treating disease. The aim of this study is to systematically review trial-based economic evaluations of manual therapy relative to other interventions used for the management of musculoskeletal diseases.Methods and analysisRandomised clinical trials (RCTs) on the economic evaluation of manual therapy for musculoskeletal diseases will be included in the review. The following databases will be searched from their inception: Medline, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Econlit, Mantis, Index to Chiropractic Literature, Science Citation Index, Social Science Citation Index, Allied and Complementary Medicine Database (AMED), Cochrane Database of Systematic Reviews (CDSR), National Health Service Database of Abstracts of Reviews of Effects (NHS DARE), National Health Service Health Technology Assessment Database (NHS HTA), National Health Service Economic Evaluation Database (NHS EED), CENTRAL, five Korean medical databases (Oriental Medicine Advanced Searching Integrated System (OASIS), Research Information Service System (RISS), DBPIA, Korean Traditional Knowledge Portal (KTKP) and KoreaMed) and three Chinese databases (China National Knowledge Infrastructure (CNKI), VIP and Wanfang). The evidence for the cost-effectiveness, cost-utility and cost-benefit of manual therapy for musculoskeletal diseases will be assessed as the primary outcome. Health-related quality of life and adverse effects will be assessed as secondary outcomes. We will critically appraise the included studies using the Cochrane risk of bias tool and the Drummond checklist. Results will be summarised using Slavin's qualitative best-evidence synthesis approach.Ethics and disseminationThe results of the study will be disseminated via a peer-reviewed journal and/or conference presentations.Trial registration numberPROSPERO CRD42015026757.

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“…Musculoskeletal disorders (MSD) remain a burden both in terms of suffering and economics with European economies paying up to €240 billion a year in health and work related costs [1]. Up to 80% of the population will suffer from MSDs at some point in their life [2] and at least 100 million people reported chronic musculoskeletal pain in 2008 [3].…”

Section: Introductionmentioning

confidence: 99%

“…It is estimated that annually British businesses lose 4.9 billion work days due to back pain with UK total costs associated with MSDs of around £7 billion [4]. The need to return patients to work and satisfactory resolution of these types of disorders is clearly imperative and The Work Foundation [1] states that ‘return to work and maintaining work productivity should be explicit clinical targets, and in this respect, the benefits of early diagnosis, appropriate intervention and effective rehabilitation in managing MSDs are clear’ .…”

Section: Introductionmentioning

confidence: 99%

Prognostic accuracy of clinicians for back, neck and shoulder patients in routine practice

Newell

Field²,

Visnes

2013

Chiropr Man Therap

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BackgroundChronicity amongst musculoskeletal patients remains a considerable burden and predicting outcomes in these patients has proven difficult. Although a large number of studies have investigated a range of predictors of outcome few have looked at the practitioners’ ability to discern those that improve from those most likely to fail to improve. This study aimed to investigate the ability of chiropractors to predict patient outcomes.MethodsPrediction and outcome data were collected from 440 consecutive patients with back, neck or shoulder pain accepted for chiropractic care within 5 linked private practices.Predictions by chiropractors were compared to patient outcomes as measured by Bournemouth Questionnaire (BQ) scores, pain NRS scores and patient global impression of change (PGIC) collected at 4 and 12 weeks following the initial consultation.ResultsOverall, chiropractors appear unable to accurately predict poor outcomes in their patients particularly in the longer term. Although some conditions (neck) faired a little better in some cases with some trends in short term pain scores being associated with the clinicians prediction, this was marginal. Subgrouping by practitioners or duration did not improve the performance of these predictionsConclusionsChiropractors generally fail to reliably predict poor treatment outcome of patients at initial consultation.

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Economic impact of musculoskeletal disorders (MSDs) on work in Europe

Cited by 528 publications

References 35 publications

Lower extremity osteoarthritis: optimising musculoskeletal health is a growing global concern: a narrative review

Lower extremity osteoarthritis: optimising musculoskeletal health is a growing global concern: a narrative review

Economic evaluation of manual therapy for musculoskeletal diseases: a protocol for a systematic review and narrative synthesis of evidence

Prognostic accuracy of clinicians for back, neck and shoulder patients in routine practice

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