ArticleMayo Clinic proceedings. Innovations, quality & outcomes2017
Influence of Initial Provider on Health Care Utilization in Patients Seeking Care for Neck Pain.
Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- The value of integrating physical therapists into primary care, including patient outcomes and health care costs: a scoping review.Physical therapy · 2026Article
- Predictive factors for care intensification in a no co-pay physical therapy model for musculoskeletal pain.BMC health services research · 2026Article
- Impact of chiropractic care on opioid use for noncancer spine pain: systematic review and meta-analysis.Pain reports · 2026Review
- Opioid dose, duration, and risk of use disorder in Medicaid patients with musculoskeletal pain.Pain medicine (Malden, Mass.) · 2026Article
- Episode of Care Characteristics Following Implementation of a No Copay Physical Therapy Program for Musculoskeletal Conditions.Physical therapy · 2025Article
- Treatment variability for shoulder pain between physician and non-physician clinicians based on initial setting and specific shoulder diagnosis: a health system analysis.BMC health services research · 2025Observational
- Characteristics and productivity of the chiropractic workforce of the Veterans Health Administration.Chiropractic & manual therapies · 2022Article
- The Effect of Mobile Care Delivery on Clinically Meaningful Outcomes, Satisfaction, and Engagement Among Physical Therapy Patients: Observational Retrospective Study.JMIR rehabilitation and assistive technologies · 2022Article
- Association between chiropractic care and use of prescription opioids among older medicare beneficiaries with spinal pain: a retrospective observational study.Chiropractic & manual therapies · 2022Observational
- Back and neck pain: in support of routine delivery of non-pharmacologic treatments as a way to improve individual and population health.Translational research : the journal of laboratory and clinical medicine · 2021Review
- Identifying patients who access musculoskeletal physical therapy: a retrospective cohort analysis.Family practice · 2021Article
- The Effect of Healthcare Provider Availability on Spine Spending.Journal of general internal medicine · 2021Article
- Prevalence and predictors of no-shows to physical therapy for musculoskeletal conditions.PloS one · 2021Article
- Article
- Value-Based Care for Musculoskeletal Pain: Are Physical Therapists Ready to Deliver?Physical therapy · 2020Article
- Chiropractic integration within a community health centre: a cost description and partial analysis of cost-utility from the perspective of the institution.The Journal of the Canadian Chiropractic Association · 2019Article
- Association of Early Physical Therapy With Long-term Opioid Use Among Opioid-Naive Patients With Musculoskeletal Pain.JAMA network open · 2018Article
- A comparison of one-year treatment utilization for shoulder osteoarthritis patients initiating care with non-orthopaedic physicians and orthopaedic specialists.BMC musculoskeletal disorders · 2018Article
- Health seeking behavior as a predictor of healthcare utilization in a population of patients with spinal pain.PloS one · 2018Article
- Physical therapy and opioid use for musculoskeletal pain management: competitors or companions?Pain reportsReview
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine patients seeking care for neck pain to determine associations between the type of provider initially consulted and 1-year health care utilization. PATIENTS AND
methodsA retrospective cohort of 1702 patients (69.25% women, average age, 45.32±14.75 years) with a new episode of neck pain who consulted a primary care provider, physical therapist (PT), chiropractor (DC), or specialist from January 1, 2012, to June 30, 2013, was analyzed. Descriptive statistics were calculated for each group, and subsequent 1-year health care utilization of imaging, opioids, surgery, and injections was compared between groups.
resultsCompared with initial primary care provider consultation, patients consulting with a DC or PT had decreased odds of being prescribed opioids within 1 year from the index visit (DC: adjusted odds ratio [aOR], 0.54; 95% CI, 0.39-0.76; PT: aOR, 0.59; 95% CI, 0.44-0.78). Patients consulting with a DC additionally demonstrated decreased odds of advanced imaging (aOR, 0.43; 95% CI, 0.15-0.76) and injections (aOR, 0.34; 95% CI, 0.19-0.56). Initiating care with a specialist or PT increased the odds of advanced imaging (specialist: aOR, 2.96; 95% CI, 2.01-4.38; PT: aOR, 1.57; 95% CI, 1.01-2.46), but only initiating care with a specialist increased the odds of injections (aOR, 3.21; 95% CI, 2.31-4.47).
conclusionInitially consulting with a nonpharmacological provider may decrease opioid exposure (PT and DC) over the next year and also decrease advanced imaging and injections (DC only). These data provide an initial indication of how following recent practice guidelines may influence health care utilization in patients with a new episode of neck pain.
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