Department of Physiotherapy, Oslo Metropolitan University, Oslo, Norway
Department of Physiotherapy, Oslo Metropolitan University, Oslo, Norway.
BMJ Open. 2022 Jun 20;12(6):e057778. doi: 10.1136/bmjopen-2021-057778.
To describe healthcare utilization and estimate associated costs during 1 year of follow-up among older people seeking primary care due to a new episode back pain and to describe healthcare utilization across patients with different risk profiles stratified using the StarT Back Screening Tool (SBST).
Prospective cohort study.
A total of 452 people aged ≥55 years seeking Norwegian primary care with a new episode of back pain were included.
The primary outcome of this study was total cost of healthcare utilization aggregated for 1 year of follow-up. Secondary outcomes included components of healthcare utilization aggregated for 1 year of follow-up. Healthcare utilization was self-reported and included: primary care consultations, medications, examinations, hospitalisation, rehabilitation stay, and operations. Costs were estimated based on unit costs collected from national pricelists. Healthcare utilization across patients with different SBST risk profiles was compared using Kruskal-Wallis test, post hoc Mann-Whitney U tests and Bonferroni adjustment.
In total, 438 patients were included in the analysis. Mean (BCa 95% CI) total cost per patient over 1 year was €825 (682-976). Median (BCa 95% CI) total cost was €364 (307-440). The largest cost category was primary care consultations, accounting for 56% of total costs. Imaging rate was 34%. The most commonly used medication was paracetamol (27%-35% of patients). Medium- and high-risk patients had a significantly higher degree of healthcare utilization compared with low-risk patients (p<0.030).
This study estimated a 1 year mean and median cost of healthcare utilization of €825 and €364, respectively. Patients within the top 25th percentile accounted for 77% of all costs. Patients classified as medium risk and high risk had a significantly higher degree of healthcare utilization compared with patients classified as low risk.
ClinicalTrials.gov NCT04261309, results.
描述因新发腰痛而寻求初级保健的老年人在 1 年随访期间的医疗保健利用情况，并使用 StarT Back Screening Tool（SBST）对不同风险特征的患者进行分层，描述 across 不同风险特征患者的医疗保健利用情况。
前瞻性队列研究。
共纳入 452 名年龄≥55 岁、因新发腰痛而寻求挪威初级保健的患者。
本研究的主要结局是汇总 1 年随访期间的医疗保健总费用。次要结局包括汇总 1 年随访期间的医疗保健利用情况的各个组成部分。医疗保健利用情况由自我报告，包括：初级保健咨询、药物、检查、住院、康复住院和手术。费用根据从国家价格清单中收集的单位成本进行估算。使用 Kruskal-Wallis 检验、事后 Mann-Whitney U 检验和 Bonferroni 调整比较不同 SBST 风险特征患者的医疗保健利用情况。
共有 438 名患者纳入分析。每位患者 1 年的总费用平均（BCa 95%CI）为 825 欧元（682-976 欧元）。中位数（BCa 95%CI）总费用为 364 欧元（307-440 欧元）。最大的费用类别是初级保健咨询，占总费用的 56%。影像学检查率为 34%。最常用的药物是对乙酰氨基酚（27%-35%的患者）。中危和高危患者的医疗保健利用率明显高于低危患者（p<0.030）。
本研究估计 1 年的平均和中位数医疗保健利用费用分别为 825 欧元和 364 欧元。在所有费用中，排在前 25%的患者占 77%。中危和高危患者的医疗保健利用率明显高于低危患者。
ClinicalTrials.gov NCT04261309，结果。
