ArticleBMC health services research2020
Socio-demographic, clinical and psychological predictors of healthcare utilization among patients with musculoskeletal disorders: a prospective cohort study.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 30 citations in OpenAlex.
- Modifiable prognostic factors of high societal costs among people on sick leave due to musculoskeletal disorders: a replication study.BMC musculoskeletal disorders · 2024Trial
- Trial
- The Role of Psychological Wellbeing in a Cross-Provider Worksite Healthcare Management Program for Employees with Musculoskeletal Disorders.International journal of environmental research and public health · 2022Trial
- Use of primary care physiotherapy and its associations with clinical and socioeconomic outcomes in musculoskeletal disorders: a cohort study.Scandinavian journal of primary health care · 2026Article
- Economic evaluation of advanced practice physiotherapy models of care for upper extremity musculoskeletal disorders In Denmark: a registry-based cohort study.The European journal of health economics : HEPAC : health economics in prevention and care · 2026Article
- Predicting high health care use in patients with spinal disorder in secondary care: model development and validation.Pain reports · 2026Article
- Empirical evaluation of an ICF core set for managing musculoskeletal conditions in primary care physical therapy services in Spain: a multicenter study.Frontiers in rehabilitation sciences · 2026Article
- Musculoskeletal pain among South African flight Attendants: A cross-sectional study.Journal of chiropractic humanities · 2025Article
- Prospective associations between 24-h device-measured occupational and leisure-time physical activity and register-based musculoskeletal-related primary healthcare utilization among Danish workers.Scientific reports · 2025Article
- Development and evaluation of the musculoskeletal physical therapy registry in Iran: a step toward enhanced evidence-based practice.BMC musculoskeletal disorders · 2025Article
- Developing a minimum data set for the musculoskeletal physical therapy registry.Journal of education and health promotion · 2025Article
- Patient characteristics and healthcare use for high-cost patients with musculoskeletal disorders in Norway: a cohort study.BMC health services research · 2024Article
- Article
- Multicentre cross-sectional study assessing content validity of the International Classification of Functioning, disability and health core set for post-acute musculoskeletal conditions in primary care physiotherapy services.Journal of rehabilitation medicine · 2023Article
- Predicting outcomes across treatment settings in patients with shoulder pain referred to physiotherapy: a secondary analysis of two comparable prospective cohort studies.BMJ open sport & exercise medicine · 2023Article
- Neck and back pain: Differences between patients treated in primary and specialist health care.Journal of rehabilitation medicine · 2022Article
- Modifiable prognostic factors of high costs related to healthcare utilization among older people seeking primary care due to back pain: an identification and replication study.BMC health services research · 2022Observational
- Article
- Care Utilization and Measures of the Subjective.Chronic stress (Thousand Oaks, Calif.)Article
- Physical Therapy Integration in Primary Care for Noncommunicable Diseases: A Scoping Review of Evidence, Barriers, and Implementation Pathways for Saudi Arabia.Saudi journal of medicine & medical sciencesReview
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMusculoskeletal disorders are common in the general population and a leading cause for care seeking. Despite the large number of patients with musculoskeletal disorders seeking care, little is known of the clinical course, pathways and predictors of healthcare utilization among these patients. The purposes of the study were to 1) describe the clinical course and related healthcare utilization in primary care physiotherapy and secondary healthcare among patients with neck, shoulder and low-back pain treated in physiotherapy practice, and 2) identify independent clinical, socio-demographic, psychological and general health predictors of healthcare utilization.
methodsThe study was a prospective cohort study of patients seeking physiotherapy treatment for neck, shoulder, or low-back pain in physiotherapy practices across Denmark. A total of 759 physiotherapy patients completed questionnaires containing information on clinical course and potential predictors of healthcare utilization. Healthcare utilization was obtained from the Danish National Health Service Register and National Patient Register. Associations between potential predictors and low/high primary care physiotherapy utilization and hospital contacts in relation to specific neck, shoulder or low-back disorders were analysed using binomial regression analyses and adjusted for age, sex, duration of pain and comorbidity.
resultsDuring 6 months follow-up, patients experienced clinically relevant improvements in pain, fear avoidance and psychological wellbeing. Patients with higher baseline pain and disability and who were on sickness leave were more likely to have high primary care physiotherapy utilization. Hospital contacts were predicted by higher levels of pain, disability and low psychological wellbeing.
conclusionsClinical factors and sickness leave seems to be the main predictors of primary care physiotherapy utilization, whereas for secondary care contacts, psychological factors may also be of importance. The study contributes to the on-going research into clinical pathways and may identify future target areas to reduce healthcare utilization in patients with musculoskeletal disorders.
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