Effect of a Biopsychosocial Intervention or Postural Therapy on Disability and Health Care Spending Among Patients With Acute and Subacute Spine Pain: The SPINE CARE Randomized Clinical Trial
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2023;11(3):14 JAMA. 2022 Dec 20;328(23): 2334-2344.What this means for my practice?
The results of this cluster-randomized, open-label clinical trial found that a risk-stratified biopsychosocial intervention program and IPT can effectively improve disability, symptoms, and quality of life vs. usual care, with the biopsychosocial intervention program doing so without any significant increase in cost (IPT led to a significant increase in cost vs. usual care). This study was limited by the loss to follow-up observed -- as high as 25% for some outcomes -- as well as the lack of allocation concealment and lack of blinding.
Study Summary
2971 patients with acute or sub-acute neck/back pain were included in this cluster-randomized, open-label clinical trial comparing a risk-stratified, multidisciplinary intervention (ICE care model; n=829) and an individualized postural therapy (IPT; n=1150) to usual care (n=992). The primary outcomes of interest included the improvement from baseline in Oswestry Disability Index (ODI) scores at 3 months, and the total spine-related healthcare spending. The results found both ICE and IPT interventions provided significantly greater improvements in ODI scores vs. usual care. The IPT intervention was, however, significantly more expensive than usual care at 1 year, with no difference between ICE and usual care observed.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
Are you affiliated with one of our partner associations?
Click here to gain complimentary access as part your association member benefits!
0 of 4 monthly FREE articles unlocked
