Which spine pain care model saves money and improves outcomes?

NCT ID NCT03083886

Completed Knowledge-focused Sponsor: Brigham and Women's Hospital Source: ClinicalTrials.gov ↗

First seen Jun 26, 2026 · Last updated Jun 26, 2026

Summary

This completed study compared three approaches to treating recent back or neck pain: usual care from a primary care provider, usual care plus a coordinated decision-making model (ICE), and usual care plus individualized postural therapy (IPT). Over 3,000 adults with spine pain for less than three months took part. The goal was to see which model leads to lower healthcare costs and better pain and function after one year.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance: Care model (ICE decision-making or Individualized Postural Therapy) plus usual primary care
What this could lead to: If successful, this could show which care model is most cost-effective and helpful for acute spine pain, guiding doctors toward better, cheaper care.
What could go wrong: This is a completed pragmatic trial comparing care models, not a new drug or treatment. Results may not apply to all patients or settings.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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Conditions

The condition(s) this trial relates to.

Back Pain Neck Pain

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

BACK PAIN NECK PAIN

Contacts and locations

Locations

Augusto Focil, MD

Oxnard, California, 93030, United States
Bernadette U. Iguh, MD

Houston, Texas, 77051, United States
Carlos R. Herrera, MD

Houston, Texas, 77013, United States
HonorHealth Medical Group

Phoenix, Arizona, 85255, United States
Luis Zepeda, MD

Houston, Texas, 77017, United States
Marwan A. Edris, MD

Laguna Hills, California, 92653, United States
Teresa S. Sligh, MD

North Hollywood, California, 91606, United States
Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

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