Systematic review of the cost effectiveness of implementing guidelines on low back pain management in primary care: is transferability to other countries possible

Cathrine Elgaard Jensen, Martin Bach Jensen, Allan Riis, Karin Dam Petersen

Research output: Contribution to conference without a publisher/journalPosterResearchpeer-review

Abstract

Objective The primary aim is to identify, summarise and quality assess the available literature on the cost-effectiveness of implementing low back pain guidelines in primary care. The secondary aim is to assess the transferability of the results to determine whether the identified studies can be included in a comparison with a Danish implementation study to establish which strategy procures most value for money. Design Systematic review. Data sources The search was conducted in Embase, PubMed, Cochrane Library, NHS Economic Evaluation Database, Scopus, CINAHL and EconLit. No restrictions were made concerning language, year of publication or publication type. The bibliographies of the included studies were searched for any studies not captured in the literature search. Eligibility criteria for selecting studies To be included, a study must be: (1) based on a randomised controlled trial comparing implementation strategies, (2) the guideline must concern treatment of low back pain in primary care and (3) the economic evaluation should contain primary data on cost and cost-effectiveness. Results The title and abstract were assessed for 308 studies; of these, three studies were found eligible for inclusion. The Consensus Health Economic Criteria (CHEC) list showed that the 3 studies were of moderate methodological quality while application of Welte's model showed that cost results from two studies could, with adjustments, be transferred to a Danish setting. It was questionable whether the associated effects could be transferred. Conclusions Despite the resemblance of the implementation strategies, the 3 studies report conflicting results on cost-effectiveness. This review showed that transferring the results from the identified studies is not straightforward and underlines the importance of transparent reporting. Future research should focus on transferability of effects, for example, development of a supplement to Welte's model.

Original languageEnglish
Publication date2016
DOIs
Publication statusPublished - 2016
Externally publishedYes
EventInternational Forum on Back and Neck Pain Research in Primary Care - Devonshire Dome, Buxton, United Kingdom
Duration: 31 May 20163 Jun 2016
Conference number: 14

Conference

ConferenceInternational Forum on Back and Neck Pain Research in Primary Care
Number14
LocationDevonshire Dome
Country/TerritoryUnited Kingdom
CityBuxton
Period31/05/1603/06/16

Keywords

  • physiotherapy

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