Olav Amundsen

• Amundsen, Olav; Starcevich, Cobie; Frisell, Even Johansen; Nordal, Tom; Williams, Sian & Mitchell, Tim [Show all 7 contributors for this article] (2021). Does body scanning through visual imagery improve perception and function in patients after anterior cruciate ligament-reconstruction? An exploratory study. Physiotherapy Theory and Practice. ISSN 0959-3985. doi: 10.1080/09593985.2021.1901328.
• Amundsen, Olav; Vøllestad, Nina Køpke; Meisingset, Ingebrigt & Robinson, Hilde Stendal (2021). Associations between treatment goals, patient characteristics, and outcome measures for patients with musculoskeletal disorders in physiotherapy practice. BMC Musculoskeletal Disorders. ISSN 1471-2474. 22:182, p. 1–12. doi: 10.1186/s12891-021-04048-4. Full text in Research Archive
• Briggs, Andrew M.; Persaud, Jennifer G.; Deverell, Marie L.; Bunzli, Samantha; Tampin, Brigitte & Sumi, Yuka [Show all 13 contributors for this article] (2019). Integrated prevention and management of non-communicable diseases, including musculoskeletal health: A systematic policy analysis among OECD countries. BMJ Global Health. ISSN 2059-7908. 4:e001806(5), p. 1–24. doi: 10.1136/bmjgh-2019-001806.

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• Amundsen, Olav & Vøllestad, Nina Køpke (2022). Registerforskning – et nyttig fugleperspektiv for klinikere? .
• Amundsen, Olav & Vøllestad, Nina Køpke (2022). Smerter hos voksne og bruk av helsetjenester.
• Amundsen, Olav & Vøllestad, Nina Køpke (2022). Hvordan er første års helsetjenestebruk for pasienter med muskel-skjelettplager assosiert med bruk av spesialisthelsetjenesten 3 år senere? Show summary

  Bakgrunn: Muskel-skjelettplager (MUSP) inkluderer noen av de mest prevalente lidelsene både internasjonalt og i Norge. I Norge er kostanden for helsetjenester relatert til MUSP beregnet til 14.3 mrd NOK, og den økonomiske byrden relatert til redusert arbeidsdeltakelse og sosiale ytelser er estimert til å være 69-73 mrd NOK. For å kunne håndtere den økende byrden av MUSP trengs forskning på hvordan vi kan bedre individuelle helserelaterte utfallsmål og gjøre de samfunnsmessige kostnadene bærekraftige. Dette inkluderer et behov for å identifisere og fremme behandlingsforløp som er effektive, og redusere bruken av ineffektive behandlingsforløp. Metode: Studien henter data fra offentlige konsultasjoner hos fysioterapeut og spesialisthelsetjenesten fra dataregistrene KUHR og NPR-somatikk. Studiepopulasjonen er pasienter registrert med MUSP for første gang hos fastlege/fysioterapeut i 2015. Ressursbruk hos fysioterapeut og spesialisthelsetjeneste kodes i kategoriene høy/lav/ingen. Kategoriene "høy" og "lav" kodes basert på 50-percentilen. Kategoriene brukes som hovedvariabel i logistisk regresjonsanalyse hvor utfallsmålet er høy/lav eller ingen spesialisthelsetjenestebruk 3 år senere. Det er kontrollert for alder, kjønn, utdanning, arbeidslivstilknytning og komorbiditeter. Analysene er foreløpige og under utvikling. Resultater: Høy og lav bruk av spesialisthelsetjeneste første år var assosiert med høy bruk av spesialisthelsetjeneste 3 år senere, sammenlignet med ingen bruk. (Høy: OR 1.98, 95%CI 1.60-2.46. Lav: OR 1.25 95%CI 1.01-1.57). For kombinasjoner mellom helsetjenestebruk første år har gruppene med høy spesialisthelsetjenestebruk økt risiko for høy bruk etter 3 år, men gruppen med samtidig høy bruk av fysioterapi har lavest risiko av disse (Høy spesialisthelsetjeneste ingen fysioterapi: OR 2.00, 95%CI 1.54-2.61. Høy spesialisthelsetjeneste lav fysioterapi: OR 3.00 95%CI 1.90-4.75. Høy spesialisthelsetjeneste høy fysioterapi: OR 1.47, 95%CI 1.04-2.07). Diskusjon/konklusjon Høy bruk av spesialisthelsetjeneste første år var assosiert med høy bruk 3 år senere. Samtidig høy bruk av fysioterapi kan redusere risikoen for høy bruk av spesialisthelsetjeneste i denne gruppen, noe som kan ha betydning for reduksjon i samfunnskostnad.

• Amundsen, Olav & Vøllestad, Nina Køpke (2022). Is future disability benefit associated with specific combinations of health care use for musculoskeletal disorders? . Show summary

  Bakgrunn og formål Musculoskeletal disorders (MSD) are one of the highest contributors to disability benefit in Norway and other OECD-countries. This is an increasing problem in most OECD countries and is a major challenge for welfare states. To be able to prevent people from falling out of the work force it is important to identify combinations of care associated with poorer outcomes and increased risk of future disability pension. The study’s objective is to examine how combinations of health care use relate to future disability benefit, controlling for demographic, socioeconomic and clinical factors. Metode The study combines Norwegian data registers with information on health care use, diagnosis, comorbidities, demographic, education, socioeconomic factors and disability benefits. Patients are included at the time of their first health care visit for MSD in 2013-2015 and are followed until end of 2020. Patients between 18-62 years and registered in the work force at index are included. The outcome is being registered with disability benefit minimum 12 months after index. Multivariable regression analysis is used with combinations of health care use for the first 12 months as the main explanatory variables. Combinations of health care use are identified by variables for having used GP, physiotherapy and specialist health care for MSD and creating combinations of these dichotomous variables. Other variables were included as covariates. Resultater Using specialist health care for MSD in combination with GP (OR 1.91, 95%CI 1.36-2.68) or in combination with both GP and physiotherapy services (OR 2.38, 95%CI 1.53-3.71) was associated with increased risk of future disability pension compared to seeing GP alone. Konklusjon Using specialist health care for MSD was associated with increased risk of future disability pension, while seeing physiotherapist only or in combination with GP was not associated with increased risk of future disability pension. Reasons for these associations remain to be explored.

• Moger, Tron Anders; Amundsen, Olav & Holte, Jon Helgheim (2022). Innovations in use of register data (INOREG) – Design of a register-based study analysing care pathways and outcomes for chronic patients. Show summary

  Abstract: In recent years there have been several political initiatives in Norway, requiring increased research into how multimorbidity and health services in the municipality affect outcomes such as work participation, disability, quality of life and hospital admissions for patients with chronic diseases. Most of this care happens outside hospitals and has been difficult to capture in large, register-based studies. Focusing on two important chronic groups, patients with chronic obstructive pulmonary disease (COPD) and musculoskeletal disorders (MSD), the INOREG project will meet this need. In the paper we present the study design utilizing register data at the individual level for patients in Oslo and Trondheim, covering specialized care, primary care, home-based and long-term care, sociodemographic and –economic data and functioning. The database is constructed from a novel linkage of national health registers to care data from Oslo and Trondheim municipalities, capturing the entire population of COPD and MSD patients in the cities, and functioning and quality of life for ca. 3800 patients treated at physiotherapy clinics in the FYSIOPRIM project. This enables construction of complete care pathways and outcomes at the individual level during 2008-2020. The results from the project will fill knowledge gaps regarding patterns of care at different levels in the health care system and the association to outcomes for these patient groups. This will help inform decision makers about how services could be organized to improve provisions and coordination of services, as well as reduce inequalities in health.

• Amundsen, Olav; Holte, Jon Helgheim; Vøllestad, Nina Køpke & Moger, Tron Anders (2022). INOREG-prosjektet - drøfting av resultater.
• Moger, Tron Anders; Vøllestad, Nina Køpke; Hellesø, Ragnhild; Tjerbo, Trond; Holte, Jon Helgheim & Amundsen, Olav (2022). INOREG workshop.
• Amundsen, Olav; Vøllestad, Nina Køpke; Moger, Tron Anders; Tjerbo, Trond & Holte, Jon Helgheim (2022). Is future disability benefit associated with specific combinations of health care use for musculoskeletal disorders? Show summary

  Background Musculoskeletal disorders (MSD) are one of the highest contributors to disability benefit in Norway and other OECD-countries. This is an increasing problem in most OECD countries and is a major challenge for welfare states. To be able to prevent people from falling out of the work force it is important to identify combinations of care associated with poorer outcomes and increased risk of future disability pension. Objective Examine how combinations of health care use relate to future disability benefit, controlling for demographic, socioeconomic and clinical factors. Methods The study combines Norwegian data registers with information on health care use, diagnosis, comorbidities, demographic, education, socioeconomic factors and disability benefits. Patients are included at the time of their first health care visit for MSD in 2013-2015 and are followed until end of 2020. Patients between 18-62 years and registered in the work force at index are included. The outcome is being registered with disability benefit minimum 12 months after index. Multivariable regression analysis is used with combinations of health care use for the first 12 months as the main explanatory variables. Combinations of health care use are identified by variables for having used GP, physiotherapy and specialist health care for MSD and creating combinations of these dichotomous variables. Other variables were included as covariates. Results/conclusion Using specialist health care for MSD in combination with GP (OR 1.91, 95%CI 1.36-2.68) or in combination with both GP and physiotherapy services (OR 2.38, 95%CI 1.53-3.71) was associated with increased risk of future disability pension compared to seeing GP alone. Seeing physiotherapist only or in combination with GP was not associated with increased risk of future disability pension. Reasons for these associations remain to be explored.

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