ReviewPain practice : the official journal of World Institute of Pain2022
Low-value care in musculoskeletal health care: Is there a way forward?
Review in Pain practice : the official journal of World Institute of Pain, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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.
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.
Who cites it
26 citing papers in PubMed, 55 citations in OpenAlex.
- Trial
- PRIME - A multilevel intervention for low back pain management in primary care: Protocol for an effectiveness-implementation hybrid type 1 cluster randomized controlled trial.Contemporary clinical trials communications · 2026Article
- Interdisciplinary Occupational Health System for Recovery From Musculoskeletal Injuries in US Army Personnel.JAMA network open · 2026Article
- De-implementing spinal injections in pursuit of value-based care: Rethinking pain relief.The journal of pain · 2026Review
- Surgical Nurses' Perspectives on Low-Value Care and Non-Nursing Tasks: A Cross-Sectional Study.Journal of clinical nursing · 2026Article
- Determining the Impact of a Physiotherapist-Led Primary Care Model for Low Back Pain: Protocol and Analysis Plan for a Cluster Randomized Controlled Trial and Embedded Process Evaluation.JMIR research protocols · 2026Article
- Routine medical care for adults with musculoskeletal disorders in the Indigenous community of Pimicikamak, northern Manitoba before and after implementing the Global Spine Care Initiative model: a retrospective chart review with a 10-month post-implementation window: A collaborative research project between World Spine Care Canada (WSCC), Pimicikamack Okimawin, and Cross Lake Nursing Station.The Journal of the Canadian Chiropractic Association · 2025Article
- Article
- Informing Implementation of a National Integrated Clinical Pathway for Low Back Pain in Ireland: A Pre-Implementation Qualitative Study With General Practitioners.Musculoskeletal care · 2025Article
- Article
- Patterns of initial treatment and subsequent care escalation among medicare beneficiaries with neck pain: a retrospective cohort study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- Is low-value care for persistent musculoskeletal pain more common in rural than urban areas? A scoping review.BMC health services research · 2025Article
- Patient characteristics and healthcare use for high-cost patients with musculoskeletal disorders in Norway: a cohort study.BMC health services research · 2024Article
- What is the Status Quo of Patient-Centred Physiotherapy Management of People with Headache within a Biopsychosocial Model? - A Narrative Review.Current pain and headache reports · 2024Review
- 'Pain free if I ever will be': lived experience of workers seeking care for pain attributed to musculoskeletal disorders.BMC musculoskeletal disorders · 2024Article
- Chronic Pain Management Approaches among Spanish Physiotherapists: Influences, Practices, Barriers, and Challenges.Journal of personalized medicine · 2024Article
- How people with persistent pain experience in-person physiotherapy blended with biopsychosocial digital health - A qualitative study on participants' experiences with Back2Action.Internet interventions · 2024Article
- Developing a low back pain guideline implementation programme in collaboration with physiotherapists and chiropractors using the Behaviour Change Wheel: a theory-driven design study.Implementation science communications · 2024Article
- Development of an interdisciplinary training program about chronic pain management with a cognitive behavioural approach for healthcare professionals: part of a hybrid effectiveness-implementation study.BMC medical education · 2024Article
- Use of electronic patient records and encrypted email patient communication among Swiss chiropractors: a population-based cross-sectional study.Chiropractic & manual therapies · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLow-value care that wastes resources and harms patients is prevalent in health systems everywhere.
methodsAs part of an invited keynote presentation at the Pain in Motion IV conference held in Maastricht, Holland, in May 2022, we reviewed evidence for low-value care in musculoskeletal conditions and discussed possible solutions.
resultsDrivers of low-value care are diverse and affect patients, clinicians, and health systems everywhere. We show that low-value care for back pian, neck pain, and osteoarthritis is prevalent in all professional groups involved in caring for people who seek care for these conditions. Implementation efforts that aim to reverse low-value care seem to work better if designed using established conceptual and theoretical frameworks.
conclusionLow-value care is prevalent in the care of people with musculoskeletal conditions. Reducing low-value care requires behaviour change among patients and clinicians as well as in health systems. There is evidence that behaviour change can be facilitated through good conceptual and theoretical frameworks but not convincing evidence that it changes patient outcomes.
Indexed as
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What OpenQuestion holds
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.