Cited by 1,306Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyMedical Practices and Rehabilitation

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Comparison of stratified primary care management for low back pain with current best practice (STarT Back): a randomised controlled trial

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Hill, Jonathan C, Whitehurst, David GT, Lewis, Martyn, Bryan, Stirling, Dunn, Kate M, Foster, Nadine E, Konstantinou, Kika, Main, Chris J, Mason, Elizabeth, Somerville, Simon, Sowden, Gail, Vohora, Kanchan, Hay, Elaine M·2011·The Lancet

DOI 10.1016/s0140-6736(11)60937-9PMC PMC3208163

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Abstract

Background Back pain remains a challenge for primary care internationally. One model that has not been tested is stratification of the management according to the patient's prognosis (low, medium, or high risk). We compared the clinical effectiveness and cost-effectiveness of stratified primary care (intervention) with non-stratified current best practice (control).Methods 1573 adults (aged ≥18 years) with back pain (with or without radiculopathy) consultations at ten general practices in England responded to invitations to attend an assessment clinic. Eligible participants were randomly assigned by use of computer-generated stratified blocks with a 2:1 ratio to intervention or control group. Primary outcome was the effect of treatment on the Roland Morris Disability Questionnaire (RMDQ) score at 12 months. In the economic evaluation, we focused on estimating incremental quality-adjusted life years (QALYs) and health-care costs related to back pain. Analysis was by intention to treat. This study is registered, number ISRCTN37113406.Findings 851 patients were assigned to the intervention (n=568) and control groups (n=283). Overall, adjusted mean changes in RMDQ scores were significantly higher in the intervention group than in the control group at 4 months (4·7 [SD 5·9] vs 3·0 [5·9], between-group difference 1·81 [95% CI 1·06-2·57]) and at 12 months (4·3 [6·4] vs 3·3 [6·2], 1·06 [0·25-1·86]), equating to effect sizes of 0·32 (0·19-0·45) and 0·19 (0·04-0·33), respectively. At 12 months, stratified care was associated with a mean increase in generic health benefit (0·039 additional QALYs) and cost savings (£240·01 vs £274·40) compared with the control group.Interpretation The results show that a stratified approach, by use of prognostic screening with matched pathways, will have important implications for the future management of back pain in primary care.Funding Arthritis Research UK.

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The Hospital Anxiety and Depression Scale
Zigmond, A. S., & Snaith, R. P. (1983) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1983.tb09716.x · Cited by 47,139
A 12-Item Short-Form Health Survey: Construction of Scales and Preliminary Tests of Reliability and Validity
WARE, J. E., KOSINSKI, M., & KELLER, S. D. (1996) · Medical Care · doi:10.1097/00005650-199603000-00003 · Cited by 17,392
Statistical Analysis With Missing Data
Lahiff, M., Little, R. J. A., & Rubin, D. B. (1989) · Journal of the American Statistical Association · doi:10.2307/2289883 · Cited by 17,385
Depression and quality of life in older persons: A review
Sivertsen, H., Bjørkløf, G. H., Engedal, K., Selbæk, G., & Helvik, A.-S. (2015) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000437299 · Cited by 14,152
The american college of rheumatology 1990 criteria for the classification of fibromyalgia
Wolfe, F., Smythe, H. A., Yunus, M. B., Bennett, R. M., Bombardier, C., Goldenberg, D. L., Tugwell, P., Campbell, S. M., Abeles, M., Clark, P., et al. (1990) · Arthritis & Rheumatism · doi:10.1002/art.1780330203 · Cited by 9,563
The Pain Catastrophizing Scale: Development and validation.
Sullivan, M. J. L., Bishop, S. R., & Pivik, J. (1995) · Psychological Assessment · doi:10.1037//1040-3590.7.4.524 · Cited by 8,227
A Study of the Natural History of Back Pain: Part I
ROLAND, M., & MORRIS, R. (1983) · Spine · doi:10.1097/00007632-198303000-00004 · Cited by 3,395 · cited 1×
“RMDQ=Roland and Morris Disability Questionnaire. PCS=Pain Catastrophizing Scale. TSK=Tampa Scale of Kinesiophobia. HADS=Hospital Anxiety and Depression Scale. SF12=Short Form 12. *Based on major groups 5–9 of the UK Standard Occupation Classifi cation (2000) for current or most recent paid employment (inclusive of 36…”
Roderick J.A. Little, Donald B. Rubin — Statistical Analysis with Missing Data
Bo., N., Little, R. J. A., & Rubin, D. B. (1988) · Population · doi:10.2307/1533221 · Cited by 2,163
Kinesiophobia : a new view of chronic pain behavior
Kori, S. (1990) · Medical Entomology and Zoology · Cited by 1,056
A primary care back pain screening tool: identifying patient subgroups for initial treatment
Hill, J. C., Dunn, K. M., Lewis, M., Mullis, R., Main, C. J., Foster, N. E., & Hay, E. M. (2008) · Arthritis Care & Research · doi:10.1002/art.23563 · Cited by 1,052
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Patients and Advanced Practice Physiotherapists’ Experiences and Perceptions in a Specialized Spine Model of Care: A Qualitative Study
Lafrance, S., Marien, L., Desmeules, F., Cunningham, C., Santaguida, C., & Lowry, V. (2025) · Physiotherapy Canada · doi:10.3138/ptc-2024-0023 · Cited by 4
Predictors for patients with knee complaints receiving physiotherapy
Karstens, S., Hermann, K., Froböse, I., & Weiler, S. W. (2014) · European Journal of Physiotherapy · doi:10.3109/21679169.2013.852241 · Cited by 2
Prediction of prognosis for people off sick with upper extremity musculoskeletal disorders
Walker-Bone, K. E., & Linaker, C. (2016) · Occupational and Environmental Medicine · doi:10.1136/oemed-2016-103884 · Cited by 4
Low back pain: Identifying sub-groups, clinical prediction rules and measuring results
Breen, A. C. (2017) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2017.07.005 · Cited by 4
Working together to deliver stratified medicine research effectively
Attar, S., Poustie, V. J., Smye, S., Beety, J. M., Hawcutt, D., Littlewood, S., Oni, L., Pirmohamed, M., & Beresford, M. W. (2019) · British Medical Bulletin · doi:10.1093/bmb/ldz003 · Cited by 3
Developing the Network Pain Rehabilitation Limburg: a feasibility study protocol
Lamper, C., Kroese, M., Köke, A. J. A., Ruwaard, D., Verbunt, J., & Huijnen, I. P. J. (2019) · BMJ Open · doi:10.1136/bmjopen-2018-025962 · Cited by 5
Factor Structure, Validity, and Reliability of the STarT Back Screening Tool in Italian Obese and Non-obese Patients With Low Back Pain
Giusti, E. M., Varallo, G., Abenavoli, A., Manzoni, G. M., Aletti, L., Capodaglio, P., Castelnuovo, G., & Maggiani, A. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.740851 · Cited by 4
Low Risk for Persistent Back Pain Disability Is Characterized by Lower Pain Sensitivity and Higher Physical Performance
Butera, K. A., Fox, E. J., Bishop, M. D., Coombes, S. A., Beneciuk, J. M., & George, S. Z. (2021) · Physical Therapy · doi:10.1093/ptj/pzab283 · Cited by 4
Service evaluation of telehealth in a physiotherapy musculoskeletal setting: Patient outcomes and results from risk stratification
Slattery, B. W., Ackerman, L., & Jagadamma, K. C. (2022) · Musculoskeletal Care · doi:10.1002/msc.1623 · Cited by 4
Rückenschmerzen
Pfingsten, M., & Hildebrandt, J. (2016) · Springer eBooks · doi:10.1007/978-3-662-50512-0_28 · Cited by 4
Challenges of a stratified care approach to musculoskeletal pain
Stanaway, F., & Bell, K. (2022) · The Lancet Rheumatology · doi:10.1016/s2665-9913(22)00187-4 · Cited by 4
A Scoping Review of Chronic Low Back Pain Classification Schemes Based on Patient-Reported Outcomes.
Herman, P. M., Coulter, I. D., Hays, R. D., Rodriguez, A., & Edelen, M. O. (2022) · PubMed · Cited by 4
Sequential and Comparative Evaluation of Pain Treatment Effectiveness Response (SCEPTER), a pragmatic trial for conservative chronic low back pain treatment
Clark, J. D., Bair, M. J., Belitskaya‐Lévy, I., Fitzsimmons, C., Zehm, L., Dougherty, P. E., Giannitrapani, K. F., Groessl, E. J., Higgins, D. M., Murphy, J. L., et al. (2022) · Contemporary Clinical Trials · doi:10.1016/j.cct.2022.107041 · Cited by 5
Management of low back pain by primary care physiotherapists using the pain and disability drivers management model: An improver analysis
Longtin, C., Lacasse, A., Cook, C. E., Tousignant, M., & Tousignant‐Laflamme, Y. (2023) · Musculoskeletal Care · doi:10.1002/msc.1742 · Cited by 4
The High Burden of Acute and Chronic Pain in General Practice in French-Speaking Belgium
Steyaert, A., Bischoff, R., Feron, J.-M., & Berquin, A. D. (2023) · Journal of Pain Research · doi:10.2147/jpr.s399037 · Cited by 4
Derivation of a Clinical Decision Rule for a Bone Marrow Aspirate Concentrate Injection in Knee Osteoarthritis
Smith, A. D., Sydora, D., & Burnham, R. S. (2023) · Regenerative Medicine · doi:10.2217/rme-2023-0014 · Cited by 5
Development and External Validation of Individualized Prediction Models for Pain Intensity Outcomes in Patients With Neck Pain, Low Back Pain, or Both in Primary Care Settings
Archer, L., Snell, K. I. E., Stynes, S. M., Axén, I., Dunn, K. M., Foster, N. E., Wynne‐Jones, G., van der Windt, D., & Hill, J. C. (2023) · Physical Therapy · doi:10.1093/ptj/pzad128 · Cited by 4
Self-citation
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Lalji, R., Laguna, J. M., Kauth, J., Hofstetter, L., Kurmann, A., Adams, J., Kongsted, A., von Wyl, V., Puhan, M. A., & Hincapié, C. A. (2024) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/phm.0000000000002485 · Cited by 4
Musculoskeletal disorders and work disability
Hartvigsen, J. (2013) · Pain · doi:10.1016/j.pain.2013.06.036 · Cited by 4
Patterns of interaction between factors that enhance or inhibit recovery from chronic low back pain
Nichols, V. P., Griffiths, F. E., Patel, S., & Lamb, S. E. (2014) · Disability and Rehabilitation · doi:10.3109/09638288.2014.913705 · Cited by 4
Yoga: Can It Be Integrated with Treatment of Neuropathic Pain
Telles, S., Sayal, N., Nacht, C. L., Chopra, A., Patel, K., Wnuk, A., Dalvi, P. S., Bhatia, K., Miranpuri, G. S., & Anand, A. (2017) · Integrative Medicine International · doi:10.1159/000463385 · Cited by 4
Optimal search strategies for identifying moderators and predictors of treatment effects in PubMed
Tummers, M., van Hoorn, R., Levering, C., Booth, A., van der Wilt, G. J., & Kievit, W. (2018) · Health Information & Libraries Journal · doi:10.1111/hir.12230 · Cited by 5
Low Back Disorders
Barr, K. P., Standaert, C. J., Johnson, S. C., & Sandhu, N. S. (2020) · Elsevier eBooks · doi:10.1016/b978-0-323-62539-5.00033-3 · Cited by 6
Accuracy of the Örebro Musculoskeletal Pain Questionnaire and Work Assessment Triage Tool for selecting interventions in workers with spinal conditions
Gergelé, E., Parent, É., & Gross, D. P. (2021) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.3233/bmr-200169 · Cited by 4
Lumbosacral pain: Delivery of care to patients in the United Kingdom Podchufarova E.
Подчуфарова, Е. В. (2014) · Neurology neuropsychiatry Psychosomatics · doi:10.14412/2074-2711-2014-2-75-80 · Cited by 4
What really goes on behind closed doors: The need to understand communication about pain
Main, C. J., & Linton, S. J. (2013) · Scandinavian Journal of Pain · doi:10.1016/j.sjpain.2012.11.005 · Cited by 4
Self-citation
Evaluating Physical Therapy Students' Knowledge of and Adherence to the Ambassador Low Back Pain Guideline
Collinge, W. R., Gross, D. P., Bostick, G. P., Cutforth, G. S., Rutten, G. M., Maroun, C., & Oostendorp, R. A. B. (2013) · Physiotherapy Canada · doi:10.3138/ptc.2012-33 · Cited by 4
SAPC hot topic: is it a dangerous idea to make physiotherapists the gatekeepers of frontline primary care for all patients with musculoskeletal problems?
Bishop, A., Foster, N. E., & Croft, P. R. (2013) · Primary Health Care Research & Development · doi:10.1017/s1463423613000364 · Cited by 5
Self-citation
Management of Chronic Pain
Laker, S. R., Friedrich, J. M., Stanos, S. P., & Tyburski, M. D. (2015) · PM&R · doi:10.1016/j.pmrj.2015.09.017 · Cited by 4
A proposal for the organization of the referral of patients with chronicnon-specific low back pain
Itz, C. J., Huygen, F. J. P. M., & van Kleef, M. (2016) · Current Medical Research and Opinion · doi:10.1080/03007995.2016.1220933 · Cited by 4

Authors: Hill, J. C., Whitehurst, D. G., Lewis, M., Bryan, S., Dunn, K. M., Foster, N. E., Konstantinou, K., Main, C. J., Mason, E., Somerville, S., Sowden, G., Vohora, K., & Hay, E. M.
Affiliations: Arthritis Research UK (GB)
University of British Columbia (CA)
Corresponding author: Hill, Jonathan C
ORCID: Hill, Jonathan C
Whitehurst, David GT
Lewis, Martyn
Bryan, Stirling
Dunn, Kate M
Foster, Nadine E
Konstantinou, Kika
Main, Chris J
Sowden, Gail
Hay, Elaine M
Venue: The Lancet
Publisher: Elsevier BV
Published: 2011-10
Volume: 378
Issue: 9802
Pages: 1560-1571
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(11)60937-9
PMC: PMC3208163
OpenAlex: W2160769294
Cited by: 1,306
References: 39
Citations by year: 2026: 45 · 2025: 63 · 2024: 71 · 2023: 79 · 2022: 98 · 2021: 108 · 2020: 104 · 2019: 104 · 2018: 103 · 2017: 103 · 2016: 105 · 2015: 96 · 2014: 85 · 2013: 98 · 2012: 38
FWCI: 52.48
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
doi.org/10.15223/policy-017 (stm-asf)
doi.org/10.15223/policy-037 (stm-asf)
doi.org/10.15223/policy-012 (stm-asf)
doi.org/10.15223/policy-029 (stm-asf)
doi.org/10.15223/policy-004 (stm-asf)
Locations: The Lancet (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute for Health and Care Research (RP-PG-0707-10131)
Versus Arthritis (17741)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords: low back pain, stratified care, primary care, radiculopathy, disability, quality-adjusted life years, cost-effectiveness, general practice
MeSH terms: Adult, Aged, Combined Modality Therapy, Cost-Benefit Analysis, Female, United Kingdom, Humans, Male, Middle Aged, Pain Measurement, Practice Patterns, Physicians', Prognosis, Reference Values, Severity of Illness Index, Treatment Outcome, Cost Savings, Low Back Pain, Risk Assessment, Quality-Adjusted Life Years, Disease Management, General Practice

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Comparison of stratified primary care management for low back pain with current best practice (STarT Back): a randomised controlled trial

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