Study protocol of cost-effectiveness and cost-utility of a biopsychosocial multidisciplinary intervention in the evolution of non-specific sub-acute low back pain in the working population: cluster randomised trial
Autor/a
Berenguera, Anna
Pujol Ribera, Enriqueta
Rodriguez-Blanco, Teresa
Violán, Concepció
De Kort, Nelleke
Trapero-Bertran, Marta
Data de publicació
2011-08-22ISSN
1471-2474
Resum
Background
Low back pain (LBP), with high incidence and prevalence rate, is one of the most common reasons to consult the health system and is responsible for a significant amount of sick leave, leading to high health and social costs. The objective of the study is to assess the cost-effectiveness and cost-utility analysis of a multidisciplinary biopsychosocial educational group intervention (MBEGI) of non-specific sub-acute LBP in comparison with the usual care in the working population recruited in primary healthcare centres.
Methods/design
The study design is a cost-effectiveness and cost-utility analysis of a MBEGI in comparison with the usual care of non-specific sub-acute LBP.
Measures on effectiveness and costs of both interventions will be obtained from a cluster randomised controlled clinical trial carried out in 38 Catalan primary health care centres, enrolling 932 patients between 18 and 65 years old with a diagnosis of non-specific sub-acute LBP. Effectiveness measures are: pharmaceutical treatments, work sick leave (% and duration in days), Roland Morris disability, McGill pain intensity, Fear Avoidance Beliefs (FAB) and Golberg Questionnaires. Utility measures will be calculated from the SF-12. The analysis will be performed from a social perspective. The temporal horizon is at 3 months (change to chronic LBP) and 12 months (evaluate the outcomes at long term).
Assessment of outcomes will be blinded and will follow the intention-to-treat principle.
Discussion
We hope to demonstrate the cost-effectiveness and cost-utility of MBEGI, see an improvement in the patients' quality of life, achieve a reduction in the duration of episodes and the chronicity of non-specific low back pain, and be able to report a decrease in the social costs. If the intervention is cost-effectiveness and cost-utility, it could be applied to Primary Health Care Centres.
Tipus de document
Article
Versió del document
Versió acceptada
Llengua
English
Matèries (CDU)
33 - Economia
61 - Medicina
Paraules clau
Cost effectiveness
Cost-eficàcia
Análisis coste-beneficio
Esquena--Malalties
Back--Diseases
Dorsalgia
Pàgines
9
Publicat per
BMC
Col·lecció
12; 194
Publicat a
BMC Musculoskeletal Disorders
Citació
Berenguera, Anna; Pujol-Ribera, Enriqueta; Rodriguez-Blanco, Teresa et al. «Study protocol of cost-effectiveness and cost-utility of a biopsychosocial multidisciplinary intervention in the evolution of non-specific sub-acute low back pain in the working population: cluster randomised trial». BMC Musculoskeletal Disorders, 2011, vol. 12, art. 194. Disponible en: <https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-12-194>. Fecha de acceso: 05 dic. 2019. DOI: 10.1186/1471-2474-12-194
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Drets
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