Cost-effectiveness analysis of the SHaPED trial testing a multifaceted implementation strategy of a model of care to improve emergency department care of low back pain.

ABSTRACT:

Objective

To test the cost effectiveness of an implementation strategy to promote evidence-based practice for low back pain in the emergency department.

Methods

An economic evaluation was conducted alongside a stepped-wedge cluster-randomised controlled trial. The trial aimed to evaluate a strategy to implement a guideline-endorsed model of care in four emergency departments in New South Wales, Australia. The intervention targeted emergency clinicians and was compared to usual emergency care. The main trial outcomes were healthcare use that aligns with the main principles of the model of care. The outcomes explored in this economic evaluation were lumbar imaging referrals, opioid use, and hospital admissions for low back pain. Costs related to implementation development, del

SUBMITTER: Coombs D 

PROVIDER: S-EPMC12465644 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature