Stratified primary care versus non-stratified care for musculoskeletal pain: findings from the STarT MSK feasibility and pilot cluster randomized controlled trial [PDF]
BMC Family Practice, 2020 Background Musculoskeletal (MSK) pain from the five most common presentations to primary care (back, neck, shoulder, knee or multi-site pain), where the majority of patients are managed, is a costly global health challenge.
J. C. Hill +13 more
doaj +6 more sources
Stratified primary care versus non-stratified care for musculoskeletal pain: qualitative findings from the STarT MSK feasibility and pilot cluster randomized controlled trial [PDF]
BMC Family Practice, 2020 Background Stratified care involves subgrouping patients based on key characteristics, e.g. prognostic risk, and matching these subgroups to appropriate early treatment options. The STarT MSK feasibility and pilot cluster randomised controlled trial (RCT)
Benjamin Saunders +7 more
doaj +6 more sources
Stratified Care vs Stepped Care for Depression [PDF]
JAMA Psychiatry, 2022 Depression is a major cause of disability worldwide. Although empirically supported treatments are available, there is scarce evidence on how to effectively personalize psychological treatment selection.To compare the clinical effectiveness and cost-effectiveness of 2 treatment selection strategies: stepped care and stratified care.This multisite ...
Delgadillo, J. +8 more
europepmc +7 more sources
Stratified care integrated with eHealth versus usual primary care physiotherapy in patients with neck and/or shoulder complaints: protocol for a cluster randomized controlled trial [PDF]
BMC Musculoskeletal Disorders, 2021 Background Neck and shoulder complaints are common in primary care physiotherapy. These patients experience pain and disability, resulting in high societal costs due to, for example, healthcare use and work absence. Content and intensity of physiotherapy
Mark L. van Tilburg +8 more
doaj +3 more sources
Advancing practice for back pain through stratified care (STarT Back) [PDF]
Brazilian Journal of Physical Therapy, 2018 Low back pain (LBP) is common, however research comparing the effectiveness of different treatments over the last two decades conclude either no or small differences in the average effects of different treatments. One suggestion to explain this is that patients are not all the same and important subgroups exist that might require different treatment ...
Sowden, Gail +4 more
europepmc +6 more sources
Patients’ and clinicians’ perspectives on a ‘fast-track’ pathway for patients with sciatica in primary care: qualitative findings from the SCOPiC stratified care trial [PDF]
BMC Musculoskeletal Disorders, 2020 Background Sciatica is common and associated with significant impacts for the individual and society. The SCOPiC randomised controlled trial (RCT) (trial registration: ISRCTN75449581 ) tested stratified primary care for sciatica by subgrouping patients ...
Benjamin Saunders +4 more
doaj +3 more sources
The clinical and cost-effectiveness of stratified care for patients with sciatica: the SCOPiC randomised controlled trial protocol (ISRCTN75449581) [PDF]
BMC Musculoskeletal Disorders, 2017 Background Sciatica has a substantial impact on patients, and is associated with high healthcare and societal costs. Although there is variation in the clinical management of sciatica, the current model of care usually involves an initial period of ‘wait
Nadine E. Foster +14 more
doaj +3 more sources
Professional barriers and facilitators to using stratified care approaches for managing non-specific low back pain: a qualitative study with Canadian physiotherapists and chiropractors [PDF]
Chiropractic & Manual Therapies, 2019 Background Recent clinical practice guidelines for the management of non-specific low back pain (LBP) recommend using stratified care approaches. To date, no study has assessed barriers and facilitators for health professionals in using stratified care ...
Fadi M. AL Zoubi +4 more
doaj +3 more sources
The effectiveness of a stratified care model for non-specific low back pain in Danish primary care compared to current practice: study protocol of a randomised controlled trial [PDF]
Trials, 2018 Background Prior studies indicate that stratified care for low back pain results in better clinical outcome and reduced costs in healthcare compared to current practice.
Lars Morso +8 more
doaj +3 more sources
General Practitioners’ and patients’ perceptions towards stratified care: a theory informed investigation [PDF]
BMC Family Practice, 2016 Stratified primary care involves changing General Practitioners' (GPs) clinical behaviour in treating patients, away from the current stepped care approach to instead identifying early treatment options that are matched to patients' risk of persistent disabling pain. This article explores the perspectives of UK-based GPs and patients about a prognostic
Benjamin Saunders +5 more
europepmc +4 more sources