Evidence map›Paper›PMID 30067844›Full record

ArticlePloS one2018

Health seeking behavior as a predictor of healthcare utilization in a population of patients with spinal pain.

Derek Clewley, Dan Rhon, Timothy Flynn, Shane Koppenhaver, Chad Cook

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05086159 (Effectiveness of Pain Neuroscience Education), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
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.

NCT05086159 nacompletednot on this map

Effectiveness of Pain Neuroscience Education (PNE) to Veterans With Post-Traumatic Stress and Low Back Pain

TypeinterventionalSponsorKeller Army Community HospitalRan2017 to 2021Enrolled47ConditionsChronic Low Back Pain, Post-traumatic StressArmsPain Neuroscience Education, Exercise, Traditional Education
3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

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  12. Using artificial intelligence to improve pain assessment and pain management: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2023
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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

5 authors.

Derek ClewleyRocky Mountain University of Health Professions, Provo, Utah, United States of America.ORCID 0000-0002-5763-8975
Dan RhonCenter for the Intrepid, San Antonio, Texas, United States of America.
Timothy FlynnSouth College, School of Physical Therapy, Knoxville, Tennessee, United States of America.
Shane KoppenhaverBaylor University, Doctor of Physical Therapy Program, Waco, Texas, United States of America.
Chad CookDuke University School of Medicine, Department of Orthopaedics, Division of Physical Therapy, Durham, North Carolina, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global burden of low back pain is growing rapidly, accompanied by increasing rates of associated healthcare utilization. Health seeking behavior (HSB) has been suggested as a mediator of healthcare utilization. The aims of this study were to: 1) develop a proxy HSB measure based on healthcare consumption patterns prior to initial consultation for spinal pain, and 2) examine associations between the proxy HSB measure and future healthcare utilization in a population of patients with spine disorders.

methodsA cohort of 1,691 patients seeking care for spinal pain at a single military hospital were included. Cluster analyses were performed for the identification of a proxy HSB measure. Logistic regression was used to identify the predictive capacity of HSB on eight different general and spine-related high healthcare utilization (upper 25%) outcomes variables.

resultsThe strongest proxy measure of HSB was prior primary care provider visits. In unadjusted models, HSB predicted healthcare utilization across all eight general and spine-related outcome variables. After adjusting for covariates, HSB still predicted general and spine-related healthcare utilization for most variables including total medical visits (OR = 2.48, 95%CI 1.09,3.11), total medical costs (OR = 2.72, 95%CI 2.16,3.41), and low back pain-specific costs (OR = 1.31, 95%CI 1.00,1.70).

conclusionHealth seeking behavior prior to initial consultation for spine pain was related to healthcare utilization after consultation for spine pain. HSB may be an important variable to consider when developing an individualized care plan and considering the prognosis of a patient.

Indexed as

Patient Acceptance of Health CareAdultBack PainCluster AnalysisCohort StudiesFemaleHospitals, MilitaryHumansMiddle AgedModels, StatisticalReferral and Consultation

Identifiers

PMID30067844
PMCPMC6070259

What OpenQuestion holds

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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.