Oppong, R, Lewis, AM, Campbell, P, Dunn, KM, Foster, N, Hill, JC and Jowett, S (2022) Comparison of healthcare utilisation, costs and health-related quality of life across the subgroups defined by the Keele STarT MSK Tool. Rheumatology. ISSN 1462-0324

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Abstract

Objectives: The aim of this study was to describe and compare health economic outcomes (healthcare utilisation, costs, work outcomes and health-related quality of life (EQ-5D-5L)) in patients classified into different risk subgroups by the Keele STarT MSK Tool.
Methods: Data on healthcare utilisation, costs and EQ-5D-5L were collected from a healthcare perspective within a primary care prospective observational cohort study. Patients presenting with one (or more) of the five most common musculoskeletal pain presentations were included: back, neck, shoulder, knee or multi-site pain. Participants at low, medium and high risk of persistent disabling pain were compared in relation to mean healthcare utilisation, costs, health-related quality of life and employment status. Regression analysis was used to estimate costs.
Results: Over 6 months, the mean (SD) total healthcare (NHS and private) costs associated with the low, medium and high risk subgroups were £132.92 (167.88), £279.32 (462.98) and £476.07 (716.44) respectively. Mean health-related quality of life over the 6 month period was lower and more people changed their employment status in the high risk subgroup compared to the medium and low risk subgroups.
Conclusion: This study demonstrates that subgroups of people with different risk of poor musculoskeletal pain outcomes also have different levels of healthcare utilization, healthcare costs, health-related quality of life and work outcomes. The findings show that the STarT MSK tool not only identifies those at risk of a poorer outcome, but also those who will have more healthcare visits and incur higher costs.

Item Type: Article
Additional Information: © The Author(s) 2022. Published by Oxford University Press on behalf of the British Society for Rheumatology. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine and Health Sciences > School of Medicine
Depositing User: Symplectic
Date Deposited: 28 Sep 2022 07:46
Last Modified: 13 Oct 2022 12:03
URI: https://eprints.keele.ac.uk/id/eprint/11460

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