Fibromyalgia & musculoskeletal pain

Comparison of health-care utilization, costs and health-related quality of life across the subgroups defined by the Keele STarT MSK Tool

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

This study demonstrates that subgroups of people with different levels of risk for poor musculoskeletal pain outcomes also have different levels of health-care utilization, health-care costs, health-related quality of life, and work outcomes.

Study context

Population
Primary care patients presenting with back, neck, shoulder, knee or multi-site musculoskeletal pain
Exposure
Low vs medium vs high risk of persistent disabling pain by the Keele STarT MSK Tool
Outcome
Health economic outcomes: health-care utilization and costs, work outcomes, and health-related quality of life (EQ-5D-5L)
Follow-up
6 months
Methodological detailsprimary care, observational, health-care perspective, regression analysis of costs
  • Primary care
  • Observational
  • Health-care perspective
  • Regression analysis of costs

Main finding

As reported in the abstract

Total health-care (NHS and private) costs

Observational data: associations, not effects.

Further findings

Health-related quality of life and employment status · 6 months

Mean health-related quality of life lower and more people changed employment status in high-risk vs medium- and low-risk subgroups

Original publication

Comparison of health-care utilization, costs and health-related quality of life across the subgroups defined by the Keele STarT MSK Tool. Rheumatology (Oxford). Published 3 October 2022. doi:10.1093/rheumatology/keac560

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