Effect of Low Back Pain Risk-Stratification Strategy on Patient Outcomes and Care Processes: the MATCH Randomized Trial in Primary Care

Cherkin, Dan; Balderson, Benjamin H.; Wellman, Rob; Hsu, Clarissa; Sherman, Karen J.; Evers, Sarah; Hawkes, Rene; Cook, Andrea J.; Levine, Martin D.; Piekara, Diane; Rock, Pam; Estlin, Katherine Talbert; Brewer, Georgie; Jensen, Mark P.; LaPorte, Anne-Marie; Yeoman, John; Sowden, Gail; Hill, Jonathan; Foster, Nadine E

doi:10.1007/s11606-018-4468-9

Cited by 105 publications

(151 citation statements)

References 28 publications

(38 reference statements)

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“…For example, a targeted psychologically informed management approach using the Keele STarT Back Screening Tool as a stratification measure for acute low back pain has been developed and shown to be more effective than non‐stratified primary care in the United Kingdom (Hill et al, ). Several follow‐up investigations have attempted to adapt and implement a similar approach in U.S. primary care settings (Cherkin et al, ) and outpatient physical therapy (Beneciuk & George, ). The Keele STarT Back Screening Tool is a short (nine items) and easy to administer questionnaire that is clinically feasible for determining psychosocial risk in patients with low back pain.…”

Section: Discussionmentioning

confidence: 99%

Preoperative and postoperative psychologically informed physical therapy: A systematic review of randomized trials among patients with degenerative spine, hip, and knee conditions

Coronado

Patel

McKernan

et al. 2019

J Appl Biobehavioral Res

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Purpose: To summarize evidence on preoperative and postoperative psychologically informed physical therapy (PIPT) for improving outcomes after degenerative spine, hip, or knee surgery. Methods: Four electronic databases were searched.Randomized trials were included if they examined the efficacy of a preoperative or postoperative intervention involving the delivery of psychologically based strategies by a physical therapist for improving function/disability, pain, quality of life, or psychological factors. Outcomes at 12 months or longer were considered long-term.Results: Twelve articles representing 10 unique studies (total N = 1,127 patients, 636 (56.4%) females) in lumbar (n = 7) or cervical spine surgery (n = 1), total knee arthroplasty (n = 1), and total knee/hip arthroplasty (n = 1) were included. The most common PIPT components were coping skills training, psychoeducation, and positive reinforcement. Greater improvements following PIPT were reported in 5 (56%) studies for function/disability, 6 (60%) for pain, 5 (71%) for quality of life, and 7 (70%) for psychological factors. Of these, greater long-term benefit was reported

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Section: Discussionmentioning

confidence: 99%

Preoperative and postoperative psychologically informed physical therapy: A systematic review of randomized trials among patients with degenerative spine, hip, and knee conditions

Coronado

Patel

McKernan

et al. 2019

J Appl Biobehavioral Res

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show abstract

“…The trial also found that matching treatment and referral pathways to prognostic factors led to modest improvements in disability compared with usual care. However, the result was not replicated in the second trial in the US setting 32. These conflicting results may mean that further research is required to examine the true effectiveness of stratified care across different healthcare settings and countries.…”

Section: What About Stratified Care?mentioning

confidence: 96%

Non-pharmacological treatment of low back pain in primary care

O’Keeffe

2019

DTB

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“…A randomized controlled trial by Hill et al () held in the United Kingdom found that the intervention group, stratified to care based off their SBT score, had significantly improved disability scores at 4 and 12 months, improved health‐related quality of life, and decreased cost of care when compared to the control group. However, two subsequent trials in which the SBT was used for primary care risk stratification in the U.S. and Denmark did not improve patient outcomes (Cherkin et al, ; Riis et al, ).…”

Section: Multidimensional Psychosocial Screening Toolsmentioning

confidence: 99%

Assessing psychosocial profile in the physical therapy setting

Wyngaarden

Noehren

Archer

2019

J Appl Biobehavioral Res

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Purpose Physical therapists play a crucial role in managing persistent pain and disability. Since psychosocial factors are important predictors of poor patient outcomes, it is essential that clinicians understand how to utilize validated instruments to assess psychosocial profile in the clinical setting. The following article reviews the psychometric properties and clinical application of the Keele Subgroups for Targeted Treatment Back Screening Tool (SBT), Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO‐YF), Pain Catastrophizing Scale (PCS), Tampa Scale of Kinesiophobia (TSK), Pain Self‐Efficacy Questionnaire (PSEQ), and Patient Health Questionnaire (PHQ). Results Multidimensional screening tools, such as the SBT and OSPRO‐YF, are useful prognostic indicators of long‐term disability and the presence of yellow flags that may be contributing to patient presentation, respectively. This can guide both the treatment and administration of specific, unidimensional psychosocial assessment tools. The following cutoffs are identified as moderate elevation of psychosocial profile which can be used to inform clinical practice: PCS ≥20, TSK >37, PSEQ ≥40, and PHQ‐9 ≥10. Conclusion Valid and reliable unidimensional and multidimensional psychosocial assessment tools provide important prognostic information to inform a patient's psychosocial profile and subsequently improve clinical efficiency and patient outcomes.

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Effect of Low Back Pain Risk-Stratification Strategy on Patient Outcomes and Care Processes: the MATCH Randomized Trial in Primary Care

Abstract: National Clinical Trial Number NCT02286141.

Cited by 105 publications

References 28 publications

Preoperative and postoperative psychologically informed physical therapy: A systematic review of randomized trials among patients with degenerative spine, hip, and knee conditions

Preoperative and postoperative psychologically informed physical therapy: A systematic review of randomized trials among patients with degenerative spine, hip, and knee conditions

Non-pharmacological treatment of low back pain in primary care

Assessing psychosocial profile in the physical therapy setting

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