Add wos sample results library

02-data/intermediate/wos_sample/a85ba518af76aa8245b354e02395d75d-darlow-ben-and-stan/info.yaml

@@ -0,0 +1,182 @@
+abstract: 'Background
+
+  Effective and cost-effective primary care treatments for low back pain
+
+  (LBP) are required to reduce the burden of the world''s most disabling
+
+  condition. This study aimed to compare the clinical effectiveness and
+
+  cost-effectiveness of the Fear Reduction Exercised Early (FREE) approach
+
+  to LBP (intervention) with usual general practitioner (GP) care
+
+  (control).
+
+  Methods and findings
+
+  This pragmatic, cluster-randomised controlled trial with process
+
+  evaluation and parallel economic evaluation was conducted in the Hutt
+
+  Valley, New Zealand. Eight general practices were randomly assigned
+
+  (stratified by practice size) with a 1:1 ratio to intervention (4
+
+  practices; 34 GPs) or control group (4 practices; 29 GPs). Adults
+
+  presenting to these GPs with LBP as their primary complaint were
+
+  recruited. GPs in the intervention practices were trained in the FREE
+
+  approach, and patients presenting to these practices received care based
+
+  on the FREE approach. The FREE approach restructures LBP consultations
+
+  to prioritise early identification and management of barriers to
+
+  recovery. GPs in control practices did not receive specific training for
+
+  this study, and patients presenting to these practices received usual
+
+  care. Between 23 September 2016 and 31 July 2017, 140 eligible patients
+
+  presented to intervention practices (126 enrolled) and 110 eligible
+
+  patients presented to control practices (100 enrolled). Patient mean age
+
+  was 46.1 years (SD 14.4), and 46\% were female. The duration of LBP was
+
+  less than 6 weeks in 88\% of patients. Primary outcome was change from
+
+  baseline in patient participant Roland Morris Disability Questionnaire
+
+  (RMDQ) score at 6 months. Secondary patient outcomes included pain,
+
+  satisfaction, and psychosocial indices. GP outcomes included attitudes,
+
+  knowledge, confidence, and GP LBP management behaviour. There was active
+
+  and passive surveillance of potential harms. Patients and outcome
+
+  assessors were blind to group assignment. Analysis followed
+
+  intention-to-treat principles. A total of 122 (97\%) patients from 32
+
+  GPs in the intervention group and 99 (99\%) patients from 25 GPs in the
+
+  control group were included in the primary outcome analysis. At 6
+
+  months, the groups did not significantly differ on the primary outcome
+
+  (adjusted mean RMDQ score difference 0.57, 95\% CI - 0.64 to 1.78; p =
+
+  0.354) or secondary patient outcomes. The RMDQ difference met the
+
+  predefined criterion to indicate noninferiority. One control group
+
+  participant experienced an activity-related gluteal tear, with no other
+
+  adverse events recorded. Intervention group GPs had improvements in
+
+  attitudes, knowledge, and confidence compared with control group GPs.
+
+  Intervention group GP LBP management behaviour became more guideline
+
+  concordant than the control group. In cost-effectiveness, the
+
+  intervention dominated control with lower costs and higher
+
+  QualityAdjusted Life Year (QALY) gains. Limitations of this study were
+
+  that although adequately powered for primary outcome assessment, the
+
+  study was not powered for evaluating some employment, healthcare use,
+
+  and economic outcomes. It was also not possible for research nurses
+
+  (responsible for patient recruitment) to be masked on group allocation
+
+  for practices.
+
+  Conclusions
+
+  Findings from this study suggest that the FREE approach improves GP
+
+  concordance with LBP guideline recommendations but does not improve
+
+  patient recovery outcomes compared with usual care. The FREE approach
+
+  may reduce unnecessary healthcare use and produce economic benefits.
+
+  Work participation or health resource use should be considered for
+
+  primary outcome assessment in future trials of undifferentiated LBP.'
+affiliation: 'Darlow, B (Corresponding Author), Univ Otago, Dept Primary Hlth Care
+  \& Gen Practice, Wellington, New Zealand.
+
+  Darlow, Ben; Garrett, Sue; Dowell, Anthony, Univ Otago, Dept Primary Hlth Care \&
+  Gen Practice, Wellington, New Zealand.
+
+  Stanley, James, Univ Otago, Biostat Grp, Wellington, New Zealand.
+
+  Dean, Sarah, Univ Exeter, Med Sch, Coll Med \& Hlth, Exeter, Devon, England.
+
+  Abbott, J. Haxby; Wilson, Ross, Univ Otago, Dept Surg Sci, Dunedin, New Zealand.
+
+  Mathieson, Fiona, Univ Otago, Dept Psychol Med, Wellington, New Zealand.'
+article-number: e1002897
+author: Darlow, Ben and Stanley, James and Dean, Sarah and Abbott, J. Haxby and Garrett,
+  Sue and Wilson, Ross and Mathieson, Fiona and Dowell, Anthony
+author-email: ben.darlow@otago.ac.nz
+author_list:
+- family: Darlow
+  given: Ben
+- family: Stanley
+  given: James
+- family: Dean
+  given: Sarah
+- family: Abbott
+  given: J. Haxby
+- family: Garrett
+  given: Sue
+- family: Wilson
+  given: Ross
+- family: Mathieson
+  given: Fiona
+- family: Dowell
+  given: Anthony
+da: '2023-09-28'
+doi: 10.1371/journal.pmed.1002897
+eissn: 1549-1676
+files: []
+issn: 1549-1277
+journal: PLOS MEDICINE
+keywords-plus: MULTIPLE IMPUTATION
+language: English
+month: SEP
+number: '9'
+number-of-cited-references: '35'
+orcid-numbers: 'Abbott, J. Haxby/0000-0001-6468-7284
+
+  Wilson, Ross/0000-0001-8505-8081
+
+  Dean, Sarah/0000-0002-3682-5149
+
+  Darlow, Ben/0000-0002-6248-6814'
+papis_id: 23b1c64f7c7488c24ffdee7dfb3b113f
+ref: Darlow2019fearreduction
+researcherid-numbers: 'Abbott, J. Haxby/AAK-4346-2020
+
+  Wilson, Ross/AAH-3161-2019
+
+  Darlow, Ben/N-9905-2013'
+times-cited: '16'
+title: 'The Fear Reduction Exercised Early (FREE) approach to management of low back
+  pain in general practice: A pragmatic cluster-randomised controlled trial'
+type: Article
+unique-id: WOS:000559715700001
+usage-count-last-180-days: '0'
+usage-count-since-2013: '1'
+volume: '16'
+web-of-science-categories: Medicine, General \& Internal
+year: '2019'