ArticleClinical epidemiology2025
Impact of Changes in Patient Reported Outcomes on Healthcare Use After a Self-Management Supportive Intervention for Individuals with Low Back Pain.
Article in Clinical epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: To investigate the potential impact of changes in patient reported outcome measures (PROMs) on subsequent healthcare use following a self-management supportive program for low back pain. Patients and methods: Clinical data from a cohort of 2803 participants enrolled in a self-management supportive intervention for LBP (2018 to 2022) was linked with Danish national registry data. PROMs (predictors) were collected at baseline and at 3-months follow-up (end of intervention), including pain intensity, disability, illness perceptions, self-efficacy, and health-related quality of life. Healthcare use (outcome) was measured as the total use in the year before and after the intervention for i) visits to physiotherapists or chiropractors and ii) analgesics use. Associations between standardized changes in PROMs and changes in healthcare use were analyzed using zero-inflated negative binomial regression models and reported as incidence rate ratios (IRRs) with 95% confidence intervals (CIs). Subgroup analyses were conducted for low, medium, and high baseline use of each outcome. Results: Across PROMs, improvements from baseline to 3-months follow-up were associated with reductions in subsequent healthcare use. For example, one standard deviation improvement in back pain, disability, and self-efficacy were associated with 6-8% reductions in visits (adjusted IRRs [95% CI], back pain: 0.92 [0.88, 0.97]; disability: 0.94 [0.90, 0.99]; self-efficacy: 0.92 [0.87, 0.96]). For analgesic use, improvements in back pain and self-efficacy were related to a 4% reduction (adjusted IRR [95% CI], back pain: 0.96 [0.92, 1.01], self-efficacy 0.96 [0.91, 1.00]). Stronger associations were observed in subgroups with medium visit use and medium or low analgesic use at baseline. Conclusion: On a group-level, improvements across PROMs were associated with reductions in subsequent healthcare use following participation in a self-management supportive intervention. The strength of the associations varied across subgroups and additional factors not measured by the PROMs are likely to also influence changes in healthcare use.
Indexed as
Identifiers
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.