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Chiropractic costs

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https://www.readbyqxmd.com/read/28619298/alternative-medicine-worker-health-and-absenteeism-in-the-united-states
#1
Kate Rybczynski
Health related absenteeism costs an estimated $153 billion annually in the United States (Witters and Agrawal, 2011).(1) Chronic conditions (major contributors to absenteeism) are often successfully managed by Complementary and Alternative Medicine (CAM). As CAM becomes an increasingly visible component of healthcare, firms may wish to consider whether CAM therapies can help reduce illness-related absenteeism. This paper aims to extend the literature on healthcare utilization and absenteeism by exploring whether CAM treatment is associated with fewer workdays missed due to illness...
June 2017: Complementary Therapies in Medicine
https://www.readbyqxmd.com/read/28501759/resource-utilization-for-non-operative-cervical-radiculopathy-management-by-surgeons-versus-non-surgeons
#2
Sophie H Chung, Daniel D Bohl, Jonathan T Paul, Jeffrey A Rihn, James S Harrop, Zoher Ghogawala, Alan S Hilibrand, Jonathan N Grauer
OBJECTIVES: To compare the estimated resource utilization for non-operative treatment of cervical radiculopathy if managed by surgeons versus non-surgeons. PATIENTS AND METHODS: A Cervical Spine Research Society-sponsored survey was administered at a national spine surgery conference to surgeons and non-surgeons, as classified above. The survey asked questions regarding resource utilization and perceived costs for the "average patient" with cervical radiculopathy managed non-operatively...
July 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28439405/the-start-back-tool-in-chiropractic-practice-a-narrative-review
#3
REVIEW
Yasmeen Khan
BACKGROUND: The Keele STarT Back Tool was designed for primary care medical physicians in the UK to determine the risk for persistent disabling pain in patients with musculoskeletal pain and to tailor treatments accordingly. In medical and physical therapy settings, STarT Back Tool's tailored care plans improved patients' low back pain outcomes and lowered costs. OBJECTIVE: Review studies using the STarT Back Tool in chiropractic patient populations. METHODS: PubMed, The Cochrane Library, Index to Chiropractic Literature, and Science Direct databases were searched...
2017: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/28403461/toward-enhancing-treatment-for-pregnant-smokers-laying-the-groundwork-for-the-use-of-complementary-and-alternative-medicine-approaches
#4
Amy M Loree, Steven J Ondersma, Emily R Grekin
Introduction: Although effective treatments exist, most women who smoke during pregnancy neither seek nor receive treatment. Complementary and alternative medicine (CAM) treatments (eg, mindfulness, yoga, and acupuncture) may be attractive, low-cost options that can be used to assist a large proportion of pregnant women with smoking cessation. Methods: This study examined participant characteristics and treatment utilization among pregnant smokers in the National Survey on Drug Use and Health (NSDUH) and the National Health Interview Survey (NHIS) in order to explore the prevalence and predictors of CAM use for any purpose within this population...
May 1, 2017: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/27999660/-pico-d-management-a-decision-aid-for-evidence-based-chiropractic-education-and-clinical-practice
#5
Lyndon G Amorin-Woods, Barrett E Losco
BACKGROUND: Various models and decision-making aids exist for chiropractic clinical practice. RESULTS: "PICO-D Man" (Patient-Intervention-Comparator-Outcome-Duration Management) is a decision-aid developed in an educational setting which field practitioners may also find useful for applying defensible evidence-based practice. Clinical decision-making involves understanding and evaluating both the proposed clinicalintervention(s) and the relevant and available management options with respect to describing the patient and their problem, clinical and cost effectiveness, safety, feasibility and time-frame...
2016: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/27852100/withdrawn-acupuncture-for-neck-disorders
#6
REVIEW
Kien Trinh, Nadine Graham, Dominik Irnich, Ian D Cameron, Mario Forget
BACKGROUND: Neck pain is one of the three most frequently reported complaints of the musculoskeletal system. Treatments for neck pain are varied, as are perceptions of benefit. Acupuncture has been used as an alternative to more conventional treatment for musculoskeletal pain. This review summarises the most current scientific evidence on the effectiveness of acupuncture for acute, subacute and chronic neck pain. This update replaces our 2006 Cochrane review update on this topic. OBJECTIVES: To determine the effects of acupuncture for adults with neck pain, with focus on pain relief, disability or functional measures, patient satisfaction and global perceived effect...
November 17, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27645465/the-effect-of-chiropractic-treatment-on-the-reaction-and-response-times-of-special-operation-forces-military-personnel-study-protocol-for-a-randomized-controlled-trial
#7
James W DeVocht, Dean L Smith, Cynthia R Long, Lance Corber, Bridget Kane, Thomas M Jones, Christine M Goertz
BACKGROUND: Chiropractic care is commonly used to treat musculoskeletal conditions and has been endorsed by clinical practice guidelines as being evidence-based and cost-effective for the treatment of patients with low back pain. Gaps in the literature exist regarding the physiological outcomes of chiropractic treatment. Previous pilot work has indicated the possibility of improvements in response time following the application of chiropractic treatment. However, it is unknown whether or not chiropractic treatment is able to improve reaction and response times in specific populations of interest...
September 20, 2016: Trials
https://www.readbyqxmd.com/read/27621800/the-factors-and-motivations-behind-united-kingdom-chiropractic-professional-association-membership-a-survey-of-the-welsh-institute-of-chiropractic-alumni
#8
Sheena E Wotherspoon, Peter W McCarthy
BACKGROUND: There are many professional associations representing chiropractors and chiropractic in the United Kingdom (UK). Each has its unique selling points (USPs) and chiropractors can choose to join as many as they like; however, cost of membership has to be weighed against perceived benefits. The predictors of UK chiropractic association membership and motivational factors to join these associations, have not formally been identified. This research study aimed to identify some of the factors and motivations in Welsh Institute of Chiropractic (WIOC) Alumni regarding their decision to join (or not) a UK chiropractic professional association...
2016: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/27574493/the-intraprofessional-continuum-and-cleft
#9
REVIEW
Clyde B Jensen
The continuum cleft is a costly and precarious gap that divides professions on the health professions' continuum. It is an interprofessional phenomenon that is encouraged because health care professions protect their members in professional silos and isolate competing professions in professional cysts. This article uses case studies of the allopathic, osteopathic, naturopathic, and chiropractic professions to contemplate the existence, consequences, and possible mitigation of intraprofessional silos, cysts, and clefts...
August 2016: Integrative Medicine
https://www.readbyqxmd.com/read/27178973/economic-evaluation-of-manual-therapy-for-musculoskeletal-diseases-a-protocol-for-a-systematic-review-and-narrative-synthesis-of-evidence
#10
Chang-Gon Kim, Su-Jeong Mun, Ka-Na Kim, Byung-Cheul Shin, Nam-Kwen Kim, Dong-Hyo Lee, Jung-Han Lee
INTRODUCTION: Manual therapy is the non-surgical conservative management of musculoskeletal disorders using the practitioner's hands on the patient's body for diagnosing and treating disease. The aim of this study is to systematically review trial-based economic evaluations of manual therapy relative to other interventions used for the management of musculoskeletal diseases. METHODS AND ANALYSIS: Randomised clinical trials (RCTs) on the economic evaluation of manual therapy for musculoskeletal diseases will be included in the review...
May 13, 2016: BMJ Open
https://www.readbyqxmd.com/read/27175285/cost-effectiveness-of-chiropractic-care-versus-self-management-in-patients-with-musculoskeletal-chest-pain
#11
Mette Jensen Stochkendahl, Jan Sørensen, Werner Vach, Henrik Wulff Christensen, Poul Flemming Høilund-Carlsen, Jan Hartvigsen
AIMS: To assess whether primary sector healthcare in the form of chiropractic care is cost-effective compared with self-management in patients with musculoskeletal chest pain, that is, a subgroup of patients with non-specific chest pain. METHODS AND RESULTS: 115 adults aged 18-75 years with acute, non-specific chest pain of musculoskeletal origin were recruited from a cardiology department in Denmark. After ruling out acute coronary syndrome and receiving usual care, patients with musculoskeletal chest pain were randomised to 4 weeks of community-based chiropractic care (n=59) or to a single information session aimed at encouraging self-management as complementary to usual care (n=56)...
2016: Open Heart
https://www.readbyqxmd.com/read/27145001/acupuncture-for-neck-disorders
#12
REVIEW
Kien Trinh, Nadine Graham, Dominik Irnich, Ian D Cameron, Mario Forget
BACKGROUND: Neck pain is one of the three most frequently reported complaints of the musculoskeletal system. Treatments for neck pain are varied, as are perceptions of benefit. Acupuncture has been used as an alternative to more conventional treatment for musculoskeletal pain. This review summarises the most current scientific evidence on the effectiveness of acupuncture for acute, subacute and chronic neck pain. This update replaces our 2006 Cochrane review update on this topic. OBJECTIVES: To determine the effects of acupuncture for adults with neck pain, with focus on pain relief, disability or functional measures, patient satisfaction and global perceived effect...
May 4, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27033320/massage-for-low-back-pain
#13
Katrina Farber, L Susan Wieland
UNLABELLED: FURLAN AD, GIRALDOM, BASKWILL A, IRVIN E, IMAMURA M. MASSAGE FOR LOW-BACK PAIN. COCHRANE DATABASE SYST REV 2015, ISSUE 9. ART. NO.: CD001929. DOI: 10.1002/14651858.CD001929.PUB3. BACKGROUND: Low back pain (LPB) is one of the most common and costly musculoskeletal problems in modern society. It is experienced by 70-80% of adults at some time in their lives. Massage therapy has the potential to minimize pain and speed return to normal function. OBJECTIVES: To assess the effects of massage therapy for people with non-specific LBP...
May 2016: Explore: the Journal of Science and Healing
https://www.readbyqxmd.com/read/27028029/establishing-an-integrative-medicine-program-within-an-academic-health-center-essential-considerations
#14
David M Eisenberg, Ted J Kaptchuk, Diana E Post, Andrea L Hrbek, Bonnie B O'Connor, Kamila Osypiuk, Peter M Wayne, Julie E Buring, Donald B Levy
Integrative medicine (IM) refers to the combination of conventional and "complementary" medical services (e.g., chiropractic, acupuncture, massage, mindfulness training). More than half of all medical schools in the United States and Canada have programs in IM, and more than 30 academic health centers currently deliver multidisciplinary IM care. What remains unclear, however, is the ideal delivery model (or models) whereby individuals can responsibly access IM care safely, effectively, and reproducibly in a coordinated and cost-effective way...
September 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/26948180/characteristics-of-us-adults-who-have-positive-and-negative-perceptions-of-doctors-of-chiropractic-and-chiropractic-care
#15
William B Weeks, Christine M Goertz, William C Meeker, Dennis M Marchiori
OBJECTIVE: The purpose of this study was to compare characteristics, likelihood to use, and actual use of chiropractic care for US survey respondents with positive and negative perceptions of doctors of chiropractic (DCs) and chiropractic care. METHODS: From a 2015 nationally representative survey of 5422 adults (response rate, 29%), we used respondents' answers to identify those with positive and negative perceptions of DCs or chiropractic care. We used the χ(2) test to compare other survey responses for these groups...
March 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/26928221/effects-of-expanded-coverage-for-chiropractic-services-on-medicare-costs-in-a-cms-demonstration
#16
William B Stason, Grant A Ritter, Timothy Martin, Jeffrey Prottas, Christopher Tompkins, Donald S Shepard
BACKGROUND: Moderately convincing evidence supports the benefits of chiropractic manipulations for low back pain. Its effectiveness in other applications is less well documented, and its cost-effectiveness is not known. These questions led the Centers for Medicaid and Medicare Services (CMS) to conduct a two-year demonstration of expanded Medicare coverage for chiropractic services in the treatment of beneficiaries with neuromusculoskeletal (NMS) conditions affecting the back, limbs, neck, or head...
2016: PloS One
https://www.readbyqxmd.com/read/26907615/the-association-between-use-of-chiropractic-care-and-costs-of-care-among-older-medicare-patients-with-chronic-low-back-pain-and-multiple-comorbidities
#17
William B Weeks, Brent Leininger, James M Whedon, Jon D Lurie, Tor D Tosteson, Rand Swenson, Alistair J O'Malley, Christine M Goertz
OBJECTIVE: The purpose of this study was to determine whether use of chiropractic manipulative treatment (CMT) was associated with lower healthcare costs among multiply-comorbid Medicare beneficiaries with an episode of chronic low back pain (cLBP). METHODS: We conducted an observational, retrospective study of 2006 to 2012 Medicare fee-for-service reimbursements for 72326 multiply-comorbid patients aged 66 and older with cLBP episodes and 1 of 4 treatment exposures: chiropractic manipulative treatment (CMT) alone, CMT followed or preceded by conventional medical care, or conventional medical care alone...
February 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/26855444/orthotics-compared-to-conventional-therapy-and-other-non-surgical-treatments-for-plantar-fasciitis
#18
REVIEW
Rebecca D Lewis, Paul Wright, Laine H McCarthy
CLINICAL QUESTION: In adults with acute plantar fasciitis whose symptoms have not been relieved with the conventional regimen of NSAIDS, stretching and lifestyle modification, do the addition of orthotics (prefabricated or custom fitted) reduce pain and improve function compared with other non-surgical treatments (manipulative chiropractic, physical therapy and/or heel steroid injections)? ANSWER: Yes. Studies have shown that orthotics, both prefabricated and custom fitted, reduce pain and improve function in adults with acute plantar fasciitis with few risks or side effects...
December 2015: Journal of the Oklahoma State Medical Association
https://www.readbyqxmd.com/read/26837230/an-electronic-patient-reported-outcome-measures-system-in-uk-chiropractic-practices-a-feasibility-study-of-routine-collection-of-outcomes-and-costs
#19
MULTICENTER STUDY
Dave Newell, Emily Diment, Jenni E Bolton
OBJECTIVE: The purpose of this study was to test the feasibility of collecting valid and widely used health outcomes, including information concerning cost of care, using a Web-based patient-driven patient-reported outcome measure (PROM) collection process within a cohort of UK chiropractic practices. METHODS: A Web-based PROM system (Care Response) was used. Patients with low back and neck pain were recruited from a group of chiropractic practices located in the United Kingdom...
January 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/26697289/chiropractic-spinal-manipulative-therapy-for-cervicogenic-headache-a-study-protocol-of-a-single-blinded-placebo-controlled-randomized-clinical-trial
#20
Aleksander Chaibi, Jūratė Šaltytė Benth, Peter J Tuchin, Michael Bjørn Russell
Cervicogenic headache (CEH) is a secondary headache which affects 1.0-4.6 % of the population. Although the costs are unknown, the health consequences are substantial for the individual; especially considering that they often suffers chronicity. Pharmacological management has no or only minor effect on CEH. Thus, we aim to assess the efficacy of chiropractic spinal manipulative therapy (CSMT) for CEH in a single-blinded placebo-controlled randomized clinical trial (RCT). According to the power calculations, we aim to recruit 120 participants to the RCT...
2015: SpringerPlus
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