Evidence map›Paper›PMID 42083507›Full record

ArticleScandinavian journal of primary health care2026

Use of primary care physiotherapy and its associations with clinical and socioeconomic outcomes in musculoskeletal disorders: a cohort study.

Olav Amundsen, Tron Anders Moger, Jon Helgheim Holte, Silje Bjørnsen Haavaag, Line K Bragstad, Ragnhild Hellesø, Trond Tjerbo, Nina Køpke Vøllestad

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Olav AmundsenDepartment of Public Health Science and Interdisciplinary Health Science, Institute of Health and Society, University of Oslo, Oslo, Norway.ORCID 0000-0001-8551-549X
Tron Anders MogerDepartment of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Oslo, Norway.ORCID 0000-0003-2865-4762
Jon Helgheim HolteDepartment of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Oslo, Norway.ORCID 0009-0005-0136-9170
Silje Bjørnsen HaavaagDepartment of Public Health Science and Interdisciplinary Health Science, Institute of Health and Society, University of Oslo, Oslo, Norway.ORCID 0000-0002-0960-3479
Line K BragstadDepartment of Rehabilitation Science and Health, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
Ragnhild HellesøDepartment of Public Health Science and Interdisciplinary Health Science, Institute of Health and Society, University of Oslo, Oslo, Norway.ORCID 0000-0002-7757-6521
Trond TjerboDepartment of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Oslo, Norway.ORCID 0000-0003-0473-8662
Nina Køpke VøllestadDepartment of Public Health Science and Interdisciplinary Health Science, Institute of Health and Society, University of Oslo, Oslo, Norway.ORCID 0000-0002-7575-6625

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess how physiotherapy contact frequency relates to clinical outcomes in patients with musculoskeletal disorders across prognostic groups, and how outcomes are associated with future healthcare costs and disability pension. DESIGN AND

settingCohort study linking clinical data from the FYSIOPRIM primary care physiotherapy cohort (12-month follow-up) with national registry data on healthcare use, costs, and socioeconomic factors.

participants1475 patients were included in FYSIOPRIM at baseline, 671 provided data on all covariates and 12-month outcomes and were included in the analysis.

methodComparing low and high physiotherapy use during a 12 month follow-up period (High use: Median or higher (9+ contacts)). Patients were categorized into good, medium, and poor clinical prognosis based on seven baseline clinical factors.

main outcome measuresGlobal Perceived Effect (GPE) at 12 months, high healthcare costs (≥95th percentile two years post-FYSIOPRIM), and disability pension (1-3 years post-FYSIOPRIM).

resultsHigh physiotherapy use was associated with improvement in GPE in patients with poor prognosis (OR 4.04, 95%CI 1.56-10.50) but not for good or medium prognosis. Improvement on GPE was associated with lower odds of high future healthcare costs (OR 0.27, 95%CI 0.13-0.58) and disability pension (OR 0.06, 95%CI 0.01-0.53).

conclusionsPatients with poor prognosis may benefit from more physiotherapy contacts, while those with better prognosis may require fewer contacts. Tailoring treatment intensity to prognosis may support more efficient resource allocation and support long-term societal benefits through reduced healthcare costs and disability risk.

Indexed as

Health Care CostsMusculoskeletal DiseasesPhysical Therapy ModalitiesPrimary Health CareAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedPensionsPersons with DisabilitiesPrognosisSocioeconomic Factorshealth planningmusculoskeletal diseasesPhysiotherapyprognosistreatment outcome

Identifiers

PMID42083507
PMCPMC13148086

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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.