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Papers of the Week

2019 Nov 07

BMC Musculoskelet Disord



The impact of patient preferences and costs on the appropriateness of spinal manipulation and mobilization for chronic low back pain and chronic neck pain.


Herman PM, Whitley MD, Ryan GW, Hurwitz EL, Coulter ID
BMC Musculoskelet Disord. 2019 Nov 07; 20(1):519.
PMID: 31699077.


Although the delivery of appropriate healthcare is an important goal, the definition of what constitutes appropriate care is not always agreed upon. The RAND/UCLA Appropriateness Method is one of the most well-known and used approaches to define care appropriateness from the clinical perspective-i.e., that the expected effectiveness of a treatment exceeds its expected risks. However, patient preferences (the patient perspective) and costs (the healthcare system perspective) are also important determinants of appropriateness and should be considered.