BMJ  2005;330:674 (19 March), doi:10.1136/bmj.330.7492.674-b

Letter

United Kingdom back pain exercise and manipulation (UK BEAM) trial

Manipulation alone costs more than other options so why is it recommended?

The first 100% of the full text of this article appears below.

EDITOR—It is not clear why the UK Beam Trial Team recommends manipulation alone for back pain because it costs more per quality adjusted life year (QALY) than exercise and manipulation combined and even slightly more than exercise alone.1 The average effect of exercise and manipulation combined is also larger than the other two in absolute terms.

Timothy R Church, associate professor

University of Minnesota, Minneapolis, MN 55455, USA trc@cccs.umn.edu

Competing interests: None declared.

  1. UK BEAM Trial Team. United Kingdom back pain exercise and manipulation (UK BEAM) randomised trial: cost effectiveness of physical treatments for back pain in primary care. BMJ 2004;329: 1381-5. (11 December.)[Abstract/Free Full Text]

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Relevant Article

United Kingdom back pain exercise and manipulation (UK BEAM) randomised trial: cost effectiveness of physical treatments for back pain in primary care
UK BEAM Trial Team
BMJ 2004 329: 1381. [Abstract] [Full Text] [PDF]

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