Evidence map›Paper›PMID 29884217›Full record

ArticleTrials2018

The effectiveness of a stratified care model for non-specific low back pain in Danish primary care compared to current practice: study protocol of a randomised controlled trial.

Lars Morso, Berit Schiøttz-Christensen, Jens Søndergaard, Nils-Bo de Vos Andersen, Flemming Pedersen, Kim Rose Olsen, Morten Sall Jensen, Jonathan Hill, David Høyrup Christiansen

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02612467 (The Effectiveness of a Stratified Care Model for Non-specific Low Back Pain in Danish Primary Care Compared to Current Practice in a Randomised Controlled Trial), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02612467 nacompletednot on this map

The Effectiveness of a Stratified Care Model for Non-specific Low Back Pain in Danish Primary Care Compared to Current Practice in a Randomised Controlled Trial

TypeinterventionalSponsorRegion of Southern DenmarkRan2015 to 2018Enrolled333ConditionsLow Back PainArmsStratified care, Current care
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Models of care for managing non-specific low back pain.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Trial
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Lars MorsoCentre for Quality, Region of Southern Denmark, P.V. Tuxensvej 5, 5500, Middelfart, Denmark. lars.morsoe@rsyd.dk.ORCID http://orcid.org/0000-0003-3084-4186
Berit Schiøttz-ChristensenDepartment of Regional Health Research, University of Southern Denmark, Odense, Denmark.
Jens SøndergaardResearch Unit of General Practice, University of Southern Denmark, Odense, Denmark.
Nils-Bo de Vos AndersenDepartment for Health Provision, Region of Central Denmark, Viborg, Denmark.
Flemming PedersenPhysiothery Primary Care Consultant, Region of Southern Denmark, Vejle, Denmark.
Kim Rose OlsenDepartment of Business and Economics, COHERE, University of Southern Denmark, Odense, Denmark.
Morten Sall JensenCentre for Quality, Region of Southern Denmark, P.V. Tuxensvej 5, 5500, Middelfart, Denmark.
Jonathan HillInstitute for Primary Care and Health Sciences, Keele University, Staffordshire, UK.
David Høyrup ChristiansenDepartment for Health Provision, Region of Central Denmark, Viborg, Denmark.
University of Southern Denmark · DKCentral Denmark Region · DKRegion of Southern Denmark · DKKeele University · GB

Funding

Danske Fysioterapeuter 10/531Gigtforeningen A3281Region Syddanmark 14/24247
6 · The paper itself

Abstract

backgroundPrior studies indicate that stratified care for low back pain results in better clinical outcome and reduced costs in healthcare compared to current practice. Stratified care may be associated with clinical benefits for patients with low back pain at a lower cost, but evidence is sparse. Hence this study aims to evaluate the clinical effects and cost-effectiveness of stratified care in patients with non-specific low back pain compared to current practice. METHODS/

designThe study is a two-armed randomised controlled trial in primary care in the Regions of Southern and Central Denmark (2.5 million citizens). Patients with non-specific low back will be recruited by paticpating GPs. Patients are randomised to either (1) stratified care or (2) current practice at participating physiotherapy clinics. In the stratified care arm, the intervention is based on the patient's STarT Back Tool classification and trained accordingly, whereas physiotherapists in the current pratice arm are blinded to the STarT score. Primary outcomes in the trial will be group differences in time off work, improvement in LBP disability measured by the Roland Morris Disability Questionnaire (RMDQ) and patient-reported global change. Secondary measures will be pain intensity, patient satisfaction, data on patient healthcare resource utilisation and quality-adjusted life year based on the EQ-5D-5L. DISCUSSION: Stratified care that effectively targets treatment to relevant sub-groups of patients has potentially great impact on the treatment pathways of low back pain. Thus, if effective, this could result in better patient outcomes and at the same time reduce the costs for treatment of low back pain.

trial registrationClinicalTrials.gov , NCT02612467 . Registered on 16 November 2015.

Indexed as

Physical Therapy ModalitiesPrimary Health CareDenmarkDisability EvaluationHumansLow Back PainPain MeasurementPatient-Centered CarePatient Reported Outcome MeasuresQuality-Adjusted Life YearsQuality of LifeRandomized Controlled Trials as TopicTime FactorsTreatment OutcomeCost effectivenessRandomised controlled trialSTarT back toolStratified care

Identifiers

PMID29884217
PMCPMC5994129
OpenAlexW2806785394

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.