title: Tyrannized by evidence? Making 'outcomes' work for our patients.
abstract: The high cost of modern medicine has helped shape our social, political, and practice agendas for years, and we now have a managed care system strongly focused on cost containment. Thirty percent of people over age 16 report morbidity or use of the healthcare system for musculoskeletal conditions, 20% of which are chronic.(1) And they are expensive, costing about $126 billion annually.(2) Consequently, musculoskeletal-related costs are a prime target for containment, and since primary care and sports medicine physicians treat many patients who have these problems so is our practice.
authors.affiliation: Department of Rehabilitation Medicine and Orthopaedics, Puget Sound Sports and Spine, Seattle, WA, 98122-5647, USA.
authors.forename: S A
authors.initials: SA
authors.lastname: Herring