{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T19:33:25Z","timestamp":1780083205403,"version":"3.54.0"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T00:00:00Z","timestamp":1732838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To describe characteristics and primary healthcare utilisation in Danish patients with low back pain (LBP) or neck\/thoracic spine pain (NTP) 8\u00a0years before and 2\u00a0years after assessment in secondary care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this cohort study, we included patients aged \u2265 18 who were assessed at an outpatient spine clinic from 2013 to 2021 and linked self\u2010reported information with national registry data. We calculated the prevalence of all\u2010cause healthcare utilisation in primary care. Then, we determined changes in the number of consultations from before to after assessment in secondary care using generalised estimating equations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We included 56,949 LBP patients and 18,926 NTP patients. The baseline characteristics were similar overall. For both LBP and NTP, all\u2010cause healthcare utilisation increased slightly over time, with a substantial increase in the quarter before the secondary care assessment and a decrease after. Before the assessment, almost all patients consulted general practitioners (95%), while some consulted physiotherapists or chiropractors (60%). Overall, consultations decreased by 19% and 17% for patients with LBP and NTP from 12 to 1\u00a0month before to 1\u201312\u00a0months after the assessment. In contrast, 13\u201324\u00a0months after assessment, we found a slight increase in consultations in both groups compared to the same period before.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with LBP and NTP were similar and used similar primary healthcare, which slightly increased over the 10 years. As physiotherapists and chiropractors are first\u2010line providers of guideline\u2010recommended spine pain treatment, the finding that 40% did not consult these professions the year before the secondary care assessment indicates that not all patients receive recommended care before referral.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.70017","type":"journal-article","created":{"date-parts":[[2024,11,30]],"date-time":"2024-11-30T04:23:53Z","timestamp":1732940633000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Healthcare Utilisation in Danish Primary Care Among Patients With Low Back or Neck\/Thoracic Spine Pain Before and After Assessment in Secondary Care"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8632-4596","authenticated-orcid":false,"given":"Stine","family":"Clausen","sequence":"first","affiliation":[{"name":"Department of Sports Science and Clinical Biomechanics Center for Muscle and Joint Health University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Hartvigsen","sequence":"additional","affiliation":[{"name":"Department of Sports Science and Clinical Biomechanics Center for Muscle and Joint Health University of Southern Denmark  Odense Denmark"},{"name":"Chiropractic Knowledge Hub  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melker S.","family":"Johansson","sequence":"additional","affiliation":[{"name":"Department of Sports Science and Clinical Biomechanics Center for Muscle and Joint Health University of Southern Denmark  Odense Denmark"},{"name":"Research Unit for General Practice Department of Public Health University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lise Grethe","family":"Kj\u00f8n\u00f8","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Science and Health Technology Faculty of Health Sciences Oslo Metropolitan University  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f8ren","family":"Gr\u00f8n","sequence":"additional","affiliation":[{"name":"Department of Sports Science and Clinical Biomechanics Center for Muscle and Joint Health University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian V.","family":"Skovsgaard","sequence":"additional","affiliation":[{"name":"Department of Public Health Danish Centre for Health Economics (DaCHE) University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kjersti","family":"Storheim","sequence":"additional","affiliation":[{"name":"Division of Clinical Neuroscience Department of Research and Innovation Oslo University Hospital  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Magnusson","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Science and Health Technology Faculty of Health Sciences Oslo Metropolitan University  Oslo Norway"},{"name":"Norwegian Institute of Public Health Health Services Research  Oslo Norway"},{"name":"Department of Clinical Sciences Lund, Orthopaedics, Clinical Epidemiology Unit Faculty of Medicine Lund University  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margreth","family":"Grotle","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Science and Health Technology Faculty of Health Sciences Oslo Metropolitan University  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casper","family":"Nim","sequence":"additional","affiliation":[{"name":"Department of Sports Science and Clinical Biomechanics Center for Muscle and Joint Health University of Southern Denmark  Odense Denmark"},{"name":"Medical Research Unit Spine Centre of Southern Denmark University Hospital of Southern Denmark  Middelfart Denmark"},{"name":"Department for Regional Health Research University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,29]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494810394718"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2017.0302"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021\u20109681(87)90171\u20108"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2665\u20109913(23)00098\u2010X"},{"key":"e_1_2_12_6_1","doi-asserted-by":"crossref","volume-title":"Applied Longitudinal Analysis","author":"Fitzmaurice G. 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