Precision-Based Primary Care for Musculoskeletal Pain

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational project will implement the Start-MSK screening instrument in primary care settings to identify prognostic factors and stratify patients by risk of long-term pain and disability. About 300 adults (18+) with musculoskeletal pain seeking rehabilitation will be recruited from multiple primary care units in Sweden and followed for six months while receiving standard physiotherapy care. The goal is to see if Start-MSK can predict pain and quality of life outcomes at 3 and 6 months to support precision-based, shared decision-making about treatment intensity. No additional interventions will be tested beyond integrating the stratification tool into care planning. The study is led by Karolinska Institutet and aims to strengthen patient-centered care by guiding management based on risk classification.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* adults with musculoskeletal pain (neck, back, shoulder, hip, knee, multisite pain)
* recruited from primary care, aged 18 and above

Exclusion Criteria:

* malignant and inflammatory diseases
* inability to understand spoken and written Swedish

Where it's running

• Karolinska Institutet
  Stockholm, Sweden Recruiting

Study contacts

• Principal investigator: Philip von Rosen, Associate professor, PhD — Karolinska Institutet
• Study coordinator: Eva Rasmussen Barr, Associate professor PhD
• Email: eva.rasmussen.barr@ki.se
• Phone: 0046707400045

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.