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Predicting high health care use in patients with spinal disorder in secondary care: model development and validation.


ABSTRACT:

Introduction

Spinal disorders are among the biggest contributors to health care utilization (HCU).

Objective

To develop and externally validate a prediction model for high all-cause HCU (75th percentile during 1 year after the index date) among patients with spinal disorders visiting multidisciplinary secondary care clinics.

Methods

We developed and internally validated the model using the Norwegian Neck and Back Registry, including patients registered between January 1, 2016, and December 31, 2020, linked with national health registries (N = 9092). For external validation, we used data from the Danish SpineData Registry, linked with national registries, for the same period (N = 34,853). We assessed Nagelkerke R 2 , discrimination (area under

SUBMITTER: Kjono LG 

PROVIDER: S-EPMC12815531 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature