Evidence map›Paper›PMID 31764990›Full record

ArticlePhysical therapy2020

Value-Based Care for Musculoskeletal Pain: Are Physical Therapists Ready to Deliver?

Trevor A Lentz, Adam P Goode, Charles A Thigpen, Steven Z George

Abstract read
In one paragraph

Article in Physical therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Trial
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  10. Review
  11. Article
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  15. Article
  16. Observational
  17. Providing value-based care as a physiotherapist.Archives of physiotherapy · 2021
    Article
  18. Article
  19. 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

4 authors.

Trevor A LentzDuke Clinical Research Institute, Duke University, and Department of Orthopaedic Surgery, Duke University, 200 Morris St, Durham, NC 22701 USA.
Adam P GoodeDuke Clinical Research Institute, Department of Orthopedic Surgery, and Department of Population Health Sciences, Duke University.
Charles A ThigpenATI Physical Therapy, Greenville, South Carolina, and Center for Effectiveness Research in Orthopaedics, University of South Carolina, Greenville, South Carolina.
Steven Z GeorgeFAPTA, Duke Clinical Research Institute, and Department of Orthopedic Surgery, Duke University.

Funding

Duke CTSA (Composite)UL1TR001117 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, LI, JENNIFER S · 2013 to 2017
$41.3M
NCATS NIH HHS UL1 TR001117
6 · The paper itself

Abstract

Early physical therapy models hold great promise for delivering high-value care for individuals with musculoskeletal pain. However, existing physical therapist practice and research standards are misaligned with value-based principles, which limits the potential for growth and sustainability of these models. This Perspective describes how the value proposition of early physical therapy can be improved by redefining harm, embracing a prognostic approach to clinical decision making, and advocating for system-wide guideline-adherent pain care. It also outlines the need to adopt a common language to describe these models and embrace new, rigorous study designs and analytical approaches to better understand where and how early physical therapy delivers value. The goal is to define a clear path forward to ensure physical therapists are aligned within health care systems to deliver on the American Physical Therapy Association's vision of high-value care in a rapidly changing health care environment.

Indexed as

Clinical Decision-MakingGuideline AdherenceHumansLanguageModels, TheoreticalMusculoskeletal PainObservational Studies as TopicPain ManagementPhysical TherapistsPhysical Therapy ModalitiesPhysical Therapy SpecialtyPrognosisRandom AllocationRandomized Controlled Trials as TopicResearchResearch DesignDecision MakingHealth Care ReformOrthopedicsPain ManagementQuality of Health Care

Identifiers

PMID31764990
PMCPMC7439230

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.