THE CHIROPRACTIC PROFESSION: A SCOPING REVIEW OF UTILIZATION RATES, REASONS FOR SEEKING CARE, PATIENT PROFILES, AND CARE PROVIDED
 
   

The Chiropractic Profession: A Scoping Review of Utilization Rates,
Reasons for Seeking Care, Patient Profiles, and Care Provided

This section is compiled by Frank M. Painter, D.C.
Send all comments or additions to:
   Frankp@chiro.org
 
   

FROM:   Chiropractic & Manual Therapies 2017 (Nov 22);   25:   35 ~ FULL TEXT

Peter J. H. Beliveau, Jessica J. Wong, Deborah A. Sutton, Nir Ben Simon, Andr้ E. Bussi่res, Silvano A. Mior and Simon D. French

Department of Public Health Sciences,
Queen's University,
Kingston, Canada.


BACKGROUND:   Previous research has investigated utilization rates, who sees chiropractors, for what reasons, and the type of care that chiropractors provide. However, these studies have not been comprehensively synthesized. We aimed to give a global overview by summarizing the current literature on the utilization of chiropractic services, reasons for seeking care, patient profiles, and assessment and treatment provided.

METHODS:   Systematic searches were conducted in MEDLINE, CINAHL, and Index to Chiropractic Literature using keywords and subject headings (MeSH or ChiroSH terms) from database inception to January 2016. Eligible studies: 1) were published in English or French; 2) were case series, descriptive, cross-sectional, or cohort studies; 3) described patients receiving chiropractic services; and 4) reported on the following theme(s): utilization rates of chiropractic services; reasons for attending chiropractic care; profiles of chiropractic patients; or, types of chiropractic services provided. Paired reviewers independently screened all citations and data were extracted from eligible studies. We provided descriptive numerical analysis, e.g. identifying the median rate and interquartile range (e.g., chiropractic utilization rate) stratified by study population or condition.

RESULTS:   The literature search retrieved 14,149 articles; 328 studies (reported in 337 articles) were relevant and reported on chiropractic utilization (245 studies), reason for attending chiropractic care (85 studies), patient demographics (130 studies), and assessment and treatment provided (34 studies). Globally, the median 12-month utilization of chiropractic services was 9.1% (interquartile range (IQR): 6.7%-13.1%) and remained stable between 1980 and 2015. Most patients consulting chiropractors were female (57.0%, IQR: 53.2%-60.0%) with a median age of 43.4 years (IQR: 39.6-48.0), and were employed (median: 77.3%, IQR: 70.3%-85.0%). The most common reported reasons for people attending chiropractic care were (median) low back pain (49.7%, IQR: 43.0%-60.2%), neck pain (22.5%, IQR: 16.3%-24.5%), and extremity problems (10.0%, IQR: 4.3%-22.0%). The most common treatment provided by chiropractors included (median) spinal manipulation (79.3%, IQR: 55.4%-91.3%), soft-tissue therapy (35.1%, IQR: 16.5%-52.0%), and formal patient education (31.3%, IQR: 22.6%-65.0%).

CONCLUSIONS:   This comprehensive overview on the world-wide state of the chiropractic profession documented trends in the literature over the last four decades. The findings support the diverse nature of chiropractic practice, although common trends emerged.

KEYWORDS:   Chiropractic; assessment; patient demographics; scoping review; statistics; treatment; utilization



From the Full-Text Article:

Background

Chiropractors practice in over 100 countries, in which 90 have established national chiropractic associations. [1] Chiropractic has become one of the most commonly used complementary and alternative medicine (CAM) therapies in the United States and Europe. [2, 3] Chiropractors provide a substantial portion of care for patients with many health conditions including low back and neck pain. [4, 5] They are also a major stakeholder in the health care expenditures of the United States and Denmark [6–8]; for example, in the United States in 2015, chiropractors provided 18.6 million clinical services under Medicare [9] and overall spending for chiropractic services was estimated at USD $12.5 billion. [10]

Very few knowledge syntheses have summarized the results of studies describing the profile of chiropractic services and patients who seek their care. [11-13] Available reviews have only reported partial descriptions of chiropractic services and patients, utilization rates [14, 15] or reasons for attending chiropractic care. [16] Stakeholders of the profession would benefit from a current synthesis of research that comprehensively describes the profile of chiropractic practice and services provided to help inform priorities in education, research and workforce development. These priorities can aim to address the most common presenting conditions, facilitate workforce planning, establish professional norms, and guide curriculum design, quality improvement and guideline initiatives.

The objective of this scoping review was to document the current state of knowledge on the:

1)   utilization of chiropractic services;

2)   reasons for attending chiropractic care;

3)   demographic and health profiles of chiropractic patients; and

4)   types of chiropractic assessment and treatment provided worldwide.



Methods

We used scoping review methodology to collect and organize relevant information to address our broad research question and provide a comprehensive examination of the existing body of literature. [17] We employed rigorous methods based on the recommended framework for scoping reviews by Arksey and O’Malley and Levac et al. [18, 19]

      STEP 1:   Identifying the research question

Our scoping review was guided by the following broad research question: What is known about the utilization rate of chiropractic services, reasons for seeking care, patient profiles, and assessment and treatment provided?

      STEP 2:   Identifying relevant studies

We searched MEDLINE, CINAHL, and the Index of Chiropractic Literature (ICL) from database inception to January 14, 2016 using a combination of keywords and subject headings (MeSH or ChiroSH terms) relevant to four themes; utilization rate of chiropractic services, reasons for seeking care, patient profiles, and assessment and treatment provided. These themes were selected by the author team a priori with each representing an essential element of chiropractic practice. We first developed the search strategy in MEDLINE and subsequently adapted it to the other databases (Additional file 1: Appendix A). We used the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) [20] flow chart to track the number of studies at each stage of the review.

      STEP 3:   Study selection

Inclusion and Exclusion Criteria   We included studies:

1) published in the peer-reviewed literature in English or French;

2) were case series, descriptive, cross-sectional, or cohort studies;

3) described patients who received chiropractic services; and

4) reported at least one of the following: utilization rates of chiropractic services; reasons for attending chiropractic care; profiles of chiropractic patients; and types of chiropractic assessment and treatment provided.

Studies were excluded if the methodology was not reported, if they were cadaveric or animal studies, or if they solely assessed profiles of chiropractors and did not report patient data, or clinical outcomes related to chiropractic care.

Screening and Agreement   Pairs of independent review authors screened the search results in two phases. All studies were screened using titles and abstracts during the first phase (phase I) to identify relevant, possibly relevant, and irrelevant citations. In the second phase of screening (phase II), possibly relevant articles were screened in full text to determine eligibility. For both phase I and II, a third review author was available to resolve discrepancies when forming consensus.


      STEP 4:   Data Charting

We extracted the following data from relevant studies (when available):

1) description of the study (study design, number of patients, country of origin, and study population);

2) description of the patient population (demographic information including age, sex, and occupation);

3) reasons for attending chiropractic services (clinical condition);

4) utilization rate of chiropractic services;

5) diagnosis or assessment procedures used by chiropractors; and

6) chiropractic treatment provided. One review author (PB) extracted the data, which were checked by a second review author to minimize error.


      STEP 5:   Collating, summarizing, and reporting the results

Analyzing the Data   We descriptively summarized the charted data to include the following:

  1. Descriptive numerical analysis:   The nature and distribution of the studies were analyzed with regards to the total number of studies, year of publication, study design, country where studies were conducted, and study population.

  2. Summary of included study findings:   We analysed the studies by categorising them into four themes: utilization rates; reasons for attending chiropractic care; profiles of chiropractic patients; and, types of chiropractic assessment and treatment provided. Across all studies within each theme, we identified the median rate and interquartile range (e.g., chiropractic utilization rate), percentage of patients, stratified by study population or condition.

  3. Implication of the results:   We report the review findings according to the four themes to ensure that the results would have practical implications for future clinical chiropractic practice, research, and policy.



Results

      Descriptive numerical analysis

Figure 1

Figure 2

The search conducted on January 14th, 2016 yielded 14,149 publications, of which 12,000 were screened after removal of duplicates (Figure 1). Phase I screening excluded 11,064 studies and a further 599 studies were excluded following phase II full text screening. A total of 337 articles (reported on 328 studies) were deemed relevant and were included in this review.[11, 21–358] Additional file 2: Appendix B summarizes the key aspects of each study into the four primary themes. Of the 328 relevant studies, 245 (74.7%) reported utilization rates of chiropractic services, 85 (25.9%) reported reasons for attending chiropractic care, 130 (39.6%) reported patient demographic information, 17 (5.2%) described assessment procedures provided, and 34 (11.0%) described types of chiropractic treatments provided.

We observed an increasing trend in the number of studies published between 1977 and January 2016, with 189 of the 328 studies (57.6%) published between 2005 and 2016 (Figure 2). Most studies (291 of 328) were cross-sectional, 22 were retrospective cohort, 13 were prospective cohort, one was a chart review, and one was a descriptive study. The studies were most commonly conducted in the United States (n = 183), Canada (n = 47), Australia (n = 41), United Kingdom (n = 17), and Denmark (n = 13).

      Review findings

      Utilization rate of chiropractic services

Figure 3

Table 1

Table 2

Table 3

Table 4

Table 5

Table 6

The utilization rate of chiropractic services at the regional or national levels over a 12-month period was reported in 52 studies (Figure 3). The reported use of chiropractic services generally decreased over time in in Australia from 18.0% to 14.5% and increased over time in Canada and the United States from 10% to 11.7% and from 7.2% to 10.7% respectively. However, no clear worldwide trend of either increased or decreased chiropractic use was observed between 1980 and 2015.

Globally across all 52 studies at the regional/national level that reported utilization, the median 12-month use of chiropractic services was 9.1% (IQR: 6.7%-13.1%) and lifetime utilization was 22.2% (IQR: 12.8%-40.0%) (Table 1). Active military members and veterans used chiropractic services at a similar rate to the general population. Women, patients with chronic pain, and those with back pain (13.0%, 16.1%, and 31.0% respectively), utilized chiropractic services more often than the general population, whereas the pediatric (≤18 years) and older population (≥55 years) used chiropractic services less than the general population. In addition, 40 studies reported chiropractic utilization among unique populations related to specific age groups or health conditions, including psychiatric conditions, multiple sclerosis, stroke, HIV, diabetes, and gastrointestinal conditions. Twelve-month utilisation rates among these populations varied from 0% to 29%

      Reasons for attending chiropractic care

In the general population, musculoskeletal conditions were the predominant reason for attending chiropractic care. The most common reasons were low back or back conditions (median of 49.7% patients (IQR: 43.0%-60.2%)) and neck conditions (22.5% (IQR: 16.3%-24.5%)). In the paediatric population (aged ≤18 years), the most common reason for attending chiropractic care was musculoskeletal conditions, with a median of 44.0% (IQR: 34.7%-57.0%) (Table 2). Only 3.1% (IQR: 1.6%-6.1%) of the general population sought chiropractic care for visceral/non-musculoskeletal conditions (Table 3).

      Profiles of chiropractic patients

People who sought chiropractic care were more likely to be female (median 57.0%, IQR: 53.2%-60.0%) with a median age of 43.4 years (IQR: 39.6-48.0) (Table 4). In general, 77.3% (IQR: 70.3%-85.0%) of the chiropractic patient population were employed, and a smaller proportion were either retired (median 10.7% (IQR: 7.5%-16.0%)), unemployed (median 9.0% (IQR: 2.4%-16.5%)), or students (median 4.0% (IQR: 2.6%-10.6%)). People with disabilities constituted only 1.4% (median IQR: 1.4%-3.0%) of chiropractic patients.

      Types of chiropractic services (assessment and treatment)

For diagnosis or assessment, static palpation was the most commonly used assessment procedure, reportedly used by 89.3% (IQR: 88.4%-95.0%) of chiropractors (Table 5). Other commonly used assessment procedures included motion palpation (86.5%, IQR: 78.0%-88.5%), spinal examination (79.5%, IQR: 79.0%-80.0%), orthopedic tests (71.8%, IQR: 35.5%-85.2%), and neurological examination (64.6%, IQR: 54.0%-77.0%). A third of chiropractors reported using x-rays as an assessment tool (median 35.0% (IQR: 26.5%-59.0%)), while magnetic resonance imaging and computerized tomography were used by only 1.3% (IQR: 1.0%-2.2%) and 1.9% (IQR: 0.3%-1.9%) of chiropractors, respectively.

Nearly four out of every five people (79.3%, IQR: 55.4%-91.3%) who sought chiropractic care received spinal manipulation, which was the most common treatment provided by chiropractors (Table 6). Other common treatments provided by chiropractors included soft-tissue therapy (35.1%, IQR: 16.5%-52.0%), and formal patient education (31.3%, IQR: 22.6%-65.6%).



Discussion

This scoping review of the chiropractic literature, the most comprehensive that we are aware of, identified 328 discrete studies from 337 articles related to the utilization rate of chiropractic services, reasons for attending chiropractic care, demographic and health profiles of chiropractic patients, and types of chiropractic assessment and treatment provided. The majority of these studies were published in the last decade (between 2005 and 2015), used a cross-sectional design, and were conducted in the United States, Canada, and Australia.

Our review’s finding of a regional/national 12-month utilization rate of chiropractic services (median of 9.1% across studies) was comparable to that of previous systematic reviews by Lawrence and Meeker (2007) and Cooper et al. (2013), who reported chiropractic utilization rates ranging between 6% and 12%. [14, 15] However, the variability among reported utilization rates between studies makes interpretation of our findings difficult. Relatively high use of chiropractic services among middle-aged women has also been noted by several prior investigations. [359–361] Patients who had chronic pain and back pain reported higher chiropractic utilization (16.1% and 31.0% respectively), when compared to that of the general population. Higher reported chiropractic utilization was also found by two previous systematic reviews that assessed chiropractic utilization of those who experienced chronic pain and back pain. [362, 363] As most studies assessed chiropractic utilization in the United States, Canada, or Australia, further research is needed to assess utilization in other countries.

Reasons for attending chiropractic care varied between studies. Hestbaek and Stochkendahl (2010) conducted a systematic review of the literature pertaining to the reasons why patients aged between 2-18 years attended chiropractic care. The authors concluded that musculoskeletal conditions, specifically spinal pain, were the main reasons for pediatric patients attending a chiropractor. [16] Our review findings show that musculoskeletal conditions, specifically those of the back and neck regions, are the main reasons for patients of all ages to consult chiropractors.

Our review found that chiropractors offer many types of treatments to their patients, but spinal manipulation was the most common treatment provided. The United States National Center for Health Statistics found that manipulation was the most commonly used provider-based CAM therapy among adults and children. [364] While spinal manipulative therapy (SMT) is an effective strategy for managing back pain [365], recent clinical practice guidelines [366–368] recommend clinicians use multimodal care including patient education and advice, manual therapy (including SMT and mobilisation), supervised and home exercise to increase the likelihood of favourable health outcomes. Our findings suggest that many chiropractors do provide multimodal care, consistent with clinical practice guidelines. Such multimodal care includes SMT, formal patient education, soft-tissue therapy, mechanically-assisted manipulative therapy, nutritional supplements, exercise instruction, ice, heat, mobilization/manual traction, orthopedic supports, electrical stimulation, therapeutic ultrasound, and acupuncture. Therefore, chiropractic care should not be considered consisting exclusively of spinal manipulation.

Stakeholders of the chiropractic profession need to be aware of the current state of knowledge to help inform their decision-making processes, promote evidence-based research informed practice, and to best serve those who seek chiropractic care. This review presents a comprehensive overview on the state of the chiropractic profession and has documented trends in the literature over time.

Strengths and Limitations

A strength of our study was the systematic process used to collect and summarize the available evidence from a large and diverse body of literature. A scoping review is the most appropriate method to collect and organize diverse information and to develop a picture of the existing evidence base. [17] Rigorous scoping review methodology can be used to bring theory to practice, and to reduce bias when informing stakeholders. [369, 370] We employed rigorous methods based on the recommended framework for scoping reviews by Arksey and O’Malley and Levac et al. [18, 19] Moreover, we conducted systematic searches of the literature using multiple databases, a combination of key words and subject headings, and without date restrictions. Study selection was based on a set of clear inclusion and exclusion criteria to ensure that consensus between review authors was transparent and reproducible. Finally, we ensured that the charted data from each relevant study was accurate through a second check of the data.

Our scoping review has limitations. While a robust methodology was used, scoping reviews are a relatively new approach for which there is not yet a universal study definition or established methods. [371] However, the framework for scoping reviews published by Arksey and O’Malley in 2005 and expanded by Levac et al. in 2010 is being increasingly used across many disciplines and fields of study. [372] Despite conducting independent screening of systematic searches of multiple databases to identify relevant studies, our review did not review reference lists of included studies or employ hand searching nor were searches conducted in EmBase or AMED. This may have resulted in relevant studies being missed. Studies were excluded if not published in English or French, which may have resulted in missing relevant studies. However, it has been noted that chiropractic journals publish in English, which is recognized as the standard language of science, thereby reducing this risk. [373] Finally, the lack of critical appraisal of the methodology of the included studies may limit this review’s ability to report accurate results due to the inclusion of lower quality research. The implied systematic bias of these individual lower quality studies, and lower overall confidence in our results when summarizing findings, may have resulted in larger/faulty associations and imprecision around the estimates. However, several authors of scoping reviews have argued that by not addressing the issue of quality appraisal, scoping reviews are able to deal with a greater range of study designs and methodologies. [374, 375]The emphasis of a scoping review is on comprehensive coverage rather than on a particular standard of evidence. [374, 375]



Conclusion

We employed rigorous scoping review methodology to document the current state of knowledge on the utilization rate of chiropractic services, demographic and health profiles of people receiving chiropractic care, and the assessment undertaken and treatment provided by chiropractors. Our findings reaffirm that the profile of chiropractic services and patients are diverse, yet common trends emerged. Across different countries and regions, the average 12-month utilization rate of chiropractic services was 9.1% with little change between 1980 and 2015. Musculoskeletal conditions, such as back and neck pain, were the predominant reason for people attending chiropractic care. Typically, chiropractic patients were female, aged 43.4 years, and employed. Four out of five patients who consulted a chiropractor received spinal manipulation; however, chiropractors also commonly provided other treatments including soft-tissue therapy and formal patient education.



Additional files

Additional file 1: Appendix A. The chiropractic profession a scoping review (DOCX 13 kb)

Additional file 2: Appendix B. The chiropractic profession a scoping review (DOCX 472 kb)


Acknowledgements

The authors acknowledge the contributions of Kent Murnaghan at the Canadian Memorial Chiropractic College for his assistance with the search strategy. PJHB completed this review as part of his Master’s of Science degree in epidemiology, for which he received funding from the Queen’s University Department of Public Health Science and the Canadian Chiropractic Guideline Initiative. NBS was supported by a Canadian Institutes of Health Research Health Professional Student Research Award while undertaking this study. SDF and AEB are supported by Canadian Chiropractic Research Foundation Professorships.


Funding

PJHB, AEB, SAM and SDF have received research funding from the Canadian national and provincial chiropractic organizations, either as salary support or for research project funding. JJW received research project funding from the Ontario Chiropractic Association, outside the submitted work. SDF is Deputy Editor-in-Chief for Chiropractic and Manual Therapies; however, he did not have any involvement in the editorial process for this manuscript and was blinded from the editorial system for this paper from submission to decision.


Authors’ contributions

PJHB contributed to the study conception and design, acquisition of data, and analysis and interpretation of data. In addition, PJHB wrote and edited the article. JJW, DAS, NBS, AEB, SAM, and SDF contributed to study conception and design, acquisition of data, and participated in revising the article. All authors give final approval for publication of the article.


Competing interests

PJHB, AEB, SAM and SDF have received research funding from the Canadian national and provincial chiropractic organizations, either as salary support or for research project funding. JJW received research project funding from the Ontario Chiropractic Association, outside the submitted work. SDF is Deputy Editor-in-Chief for Chiropractic and Manual Therapies; however, he did not have any involvement in the editorial process for this manuscript and was blinded from the editorial system for this paper from submission to decision.



References:

  1. World Federation of Chiropractic:
    The Current Status of the Chiropractic Profession:
    Report to the World Health Organization from
    the World Federation of Chiropractic. 2012.

  2. Lester M.
    Chiropractic : An Introduction. 2012.

  3. Alliance CAMDOC.
    The Regulatory Status of Complementary and Alternative Medicine for Medical Doctors in Europe. 2010.

  4. Druss BG, Rosenheck RA.
    Association between use of unconventional therapies and conventional medical services.
    JAMA. 1999;282:651–656. doi: 10.1001/jama.282.7.651

  5. Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, et al.
    Trends in Alternative Medicine Use in the United States,
    from 1990 to 1997: Results of a Follow-up National Survey

    JAMA 1998 (Nov 11); 280 (18): 1569–1575

  6. Nielsen OL, Kongsted A, Christensen HW.
    The chiropractic profession in Denmark 2010–2014: a descriptive report.
    Chiropr Man Therap. 2015;23:27. doi: 10.1186/s12998-015-0072-9

  7. Legorreta, AP, Metz, RD, Nelson, CF, Ray, S, Chernicoff, HO, and Dinubile, NA.
    Comparative Analysis of Individuals With and Without Chiropractic Coverage:
    Patient Characteristics, Utilization, and Costs

    Archives of Internal Medicine 2004 (Oct 11); 164 (18): 1985–1892

  8. Haas M, Sharma R, Stano M.
    Cost-effectiveness of Medical and Chiropractic Care for Acute and Chronic Low Back Pain
    J Manipulative Physiol Ther 2005 (Oct); 28 (8): 555–563

  9. Whedon JM, Song Y, Davis MA.
    Trends in the Use and Cost of Chiropractic Spinal Manipulation Under Medicare Part B
    Spine J. 2013 (Nov); 13 (11): 1449-1454

  10. Association AC: American Chiropractic Association:
    2015 Media Kit. Arlington, VA; 2015(October 2014).

  11. Rupert RL, Manello D, Sandefur R.
    Maintenance Care: Health Promotion Services Administered to US Chiropractic
    Patients Aged 65 and Older, Part II

    J Manipulative Physiol Ther 2000 (Jan); 23 (1): 10–19

  12. Dunn, AS and Passmore, SR.
    Consultation Request Patterns, Patient Characteristics, and Utilization of Services
    within a Veterans Affairs Medical Center Chiropractic Clinic

    Mil Med. 2008 (Jun);   173 (6):   599–603

  13. Gleberzon BJ.
    A narrative review of the published chiropractic literature regarding older patients from 2001-2010.
    J Can Chiropr Assoc. 2011;55:76–95

  14. Lawrence DJ, Meeker WC
    Chiropractic and CAM Utilization: A Descriptive Review
    Chiropractic & Osteopathy 2007 (Jan 22);   15:   2

  15. Cooper KL, Harris PE, Relton C, Thomas KJ.
    Prevalence of visits to five types of complementary and alternative medicine practitioners by the general population: A systematic review.
    Complement Ther Clin Pract. 2013;19:214–220. doi: 10.1016/j.ctcp.2013.06.006

  16. Hestbaek L, Stochkendahl MJ.
    The Evidence Base for Chiropractic Treatment of Musculoskeletal Conditions in Children
    and Adolescents: The Emperor's New Suit?
    .
    Chiropractic & Osteopathy 2010 (Jun 2); 18: 15

  17. Armstrong R, Hall BJ, Doyle J, Waters E.
    “Scoping the scope” of a cochrane review.
    J Public Health (Bangkok) 2011;33:147–150. doi: 10.1093/pubmed/fdr015

  18. Arksey H, O’Malley L.
    Scoping studies: Towards a methodological framework.
    Int J Soc Res Methodol. 2005;8:19–32. doi: 10.1080/1364557032000119616

  19. Levac D, Colquhoun H, O’Brien KK.
    Scoping studies: advancing the methodology.
    Implement Sci. 2010;5:1–9. doi: 10.1186/1748-5908-5-69

  20. Moher D, Liberati A, Tetzlaff J, Altman DG, Grp P.
    Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
    (Reprinted from Annals of Internal Medicine) Phys Ther. 2009;89:873–880

  21. Adams D, Whidden A, Honkanen M, Dagenais S, Clifford T, Baydala L, King WJ, Vohra S.
    Complementary and alternative medicine: a survey of its use in pediatric cardiology.
    C Open. 2014;2:E217–E224. doi: 10.9778/cmajo.20130075

  22. Adams D, Schiffgen M, Kundu A, Dagenais S, Clifford T, Baydala L, King WJ, Vohra S.
    Patterns of Utilization of Complementary and Alternative Medicine in 2 Pediatric Gastroenterology Clinics.
    J Pediatr Gastroenterol Nutr. 2014;59:334–339. doi: 10.1097/MPG.0000000000000439

  23. Adams J, Sibbritt D, Broom A, Loxton D, Pirotta M, Humphreys J, Lui C-W.
    A comparison of complementary and alternative medicine users and use across geographical areas: A national survey of 1427 women.
    BMC Complement Altern Med. 2011;11:85. doi: 10.1186/1472-6882-11-85

  24. Adams J, Sibbritt D, Broom A, Loxton D, Wardle J, Pirotta M, Lui CW.
    Complementary and alternative medicine consultations in urban and nonurban areas: A national survey of 1427 Australian women.
    J Manipulative Physiol Ther. 2013;36:12–19. doi: 10.1016/j.jmpt.2012.12.010

  25. Adams J, Sibbritt D, Lui C-W.
    The use of complementary and alternative medicine during pregnancy: a longitudinal study of Australian women.
    Birth. 2011;38:200–206. doi: 10.1111/j.1523-536X.2011.00480.x

  26. Aickin M, McCaffery A, Pugh G, Tick H, Ritenbaugh C, Hicks P, Pelletier KR.
    Description of a clinical stream of back-pain patients based on electronic medical records.
    Complement Ther Clin Pract. 2013;19:158–176. doi: 10.1016/j.ctcp.2013.02.002

  27. Ailliet L, Rubinstein SM, De Vet HCW.
    Characteristics of chiropractors and their patients in Belgium.
    J Manipulative Physiol Ther. 2010;33:618–625. doi: 10.1016/j.jmpt.2010.08.011

  28. Alcantara J.
    The Presenting Complaints of Pediatric Patients for Chiropractic Care:
    Results From a Practice-based Research Network

    Clinical Chiropractic 2008 (Dec); 11 (4): 193–198

  29. Alcantara J, Ohm J, Kunz K, Alcantara JD.
    The Characterisation and Response to Care of Pregnant Patients Receiving Chiropractic Care within a Practice-based Research Network.
    Chiropr J Aust. 2012;42:60–67.

  30. Al-Windi A.
    Determinants of complementary alternative medicine (CAM) use.
    Complement Ther Med. 2004;12:99–111. doi: 10.1016/j.ctim.2004.09.007

  31. Astin JA, Pelletier KR, Marie A, Haskell WL:
    Complementary and Alternative Medicine Use Among Elderly Persons : One-Year Analysis of a Blue Shield Medicare Supplement.
    J Gerontol A Biol Sci Med Sci. 2000 Jan; 55(1):M4-9.

  32. Ayers SL, Kronenfeld JJ.
    Using factor analysis to create complementary and alternative medicine domains: an examination of patterns of use.
    Heal. 2010;14:234–252. doi: 10.1177/1363459309347491

  33. Bartlett E.
    Benchmarking the Clinical and Financial Characteristics of Chiropractic Offices.
    Top Clin Chiropr. 2001;8:13–19.

  34. Berecki-Gisolf J, Collie A, McClure R.
    Reduction in health service use for whiplash injury after motor vehicle accidents in 2000-2009: Results from a defined population.
    J Rehabil Med. 2014;45:1034–1041. doi: 10.2340/16501977-1206

  35. Blum C, Globe G, Terre L, Mirtz TA, Greene L, Globe D.
    Multinational survey of chiropractic patients: reasons for seeking care.
    J Can Chiropr Assoc. 2008;52:175–184

  36. Boon H, Stewart M, Kennard MA, Gray R, Sawka C, Brown JB, Mcwilliam C, Gavin A.
    Use of Complementary/Alternative Medicine by Breast Cancer Survivors in Ontario : Prevalence and Perceptions.
    Am Soc Clin Oncol. 2000;18:2515–2521. doi: 10.1200/JCO.2000.18.13.2515

  37. Branson RA.
    Hospital-Based Chiropractic Integration Within a Large Private Hospital System
    in Minnesota: A 10-Year Example

    J Manipulative Physiol Ther. 2009 (Nov); 32 (9): 740–748

  38. Breen AC.
    Chiropractors and the Treatment of Back Pain.
    Rheumatol Rehabil. 1977;16:46–53. doi: 10.1093/rheumatology/16.1.46

  39. Bringsli M, Berntzen A, Olsen DB, Leboeuf-Yde C, Hestbaek L:
    The Nordic Maintenance Care Program: Maintenance Care - What Happens During
    the Consultation? Observations and Patient Questionnaires

    Chiropractic & Manual Therapies 2012 (Aug 10); 20 (1): 25

  40. Broom AF, Kirby ER, Sibbritt DW, Adams J, Refshauge KM.
    Back pain amongst mid-age Australian women: A longitudinal analysis of provider use and self-prescribed treatments.
    Complement Ther Med. 2012;20:275–282. doi: 10.1016/j.ctim.2012.05.003

  41. Broom AF, Kirby ER, Sibbritt DW, Adams J, Refshauge KM.
    Use of complementary and alternative medicine by mid-age women with back pain: a national cross-sectional survey.
    BMC Complement Altern Med. 2012;12:1114. doi: 10.1186/1472-6882-12-98

  42. Brown BT, Bonello R, Fernandez-Caamano R, Eaton S, Graham PL, Green H.
    Consumer characteristics and perceptions of chiropractic and chiropractic services in Australia: Results from a cross-sectional survey.
    J Manipulative Physiol Ther. 2014;37:219–229. doi: 10.1016/j.jmpt.2014.01.001

  43. Brown BT, Bonello ROD, Fernandez-caamano R, Petra L, Eaton S, Green H.
    Chiropractic in Australia: A Survey of the General Public.
    2013;43

  44. Brunelli B, Gorson KC.
    The use of complementary and alternative medicines by patients with peripheral neuropathy.
    J Neurol Sci. 2004;218:59–66. doi: 10.1016/j.jns.2003.10.013

  45. Bryant S, Atkins B, Bull P.
    Demographics and Diagnostic Profile of Patients Presenting to a University Chiropractic Outpatient Clinic.
    Chiropr J Aust. 2003;33:89–92.

  46. Bryner P, Staeker P.
    Indigestion and Heartburn: A Descriptive Study of Prevalence in Persons Seeking Care from Chiropractors.
    J Manipulative Physiol Ther. 1996;19:317–323

  47. Cambron JA, Cramer GD, Winterstein J.
    Patient Perceptions of Chiropractic Treatment for Primary Care Disorders.
    J Manipulative Physiol Ther. 2007;30:11–16. doi: 10.1016/j.jmpt.2006.11.007

  48. Carey TS, Garrett J, Jackman A, et al.
    The Outcomes and Costs of Care for Acute Low Back Pain Among Patients
    Seen by Primary Care Practitioners, Chiropractors, and Orthopedic Surgeons

    New England J Medicine 1995 (Oct 5); 333 (14): 913–917

  49. Carey T, Garrett JM, Jackman A.
    Recurrence and Care Seeking after Acute Back Pain : Results of a Long-Term Follow-Up Stud.
    Med Care. 1999;37:157–164. doi: 10.1097/00005650-199902000-00006

  50. Carey TS, Evans AT, Hadler NM, Kalsbeek WD, McLaughlin C, Fryer JG.
    Care-Seeking Among Individuals With Chronic Low Back Pain.
    Spine (Phila Pa 1976) 1995;20:312–317. doi: 10.1097/00007632-199502000-00009

  51. Carey TS, Evans AT, Hadler NM, Lieberman G, Kalsbeek WD, Jackman AM.
    Acute Severe Low Back Pain: A Population-based Study of Prevalence and Care-seeking.
    Spine. 1996;

  52. Chao M, Wade C, Kronenberg F.
    Disclosure of Complementary and Alternative Medicine to Conventional Medical Providers: Variation by Race/Ethnicity and Type of CAM.
    J Natl Med Assoc. 2008;100:1341–1349. doi: 10.1016/S0027-9684(15)31514-5

  53. Cherkin DC, Deyo RA, Sherman KJ, Hart LG, Street JH, Hrbek A, Davis RB.
    Characteristics of Visits to Licensed Acupuncturists, Chiropractors,
    Massage Therapists, and Naturopathic Physicians

    J Am Board Fam Pract 2002; 15 (6): 463-480

  54. Cheung CK, Wyman JF, Halcon LL.
    Use of Complementary and Alternative Therapies in Community-dwelling Older Adults
    J Altern Complement Med 2007 (Nov); 13 (9): 997-1006

  55. Cleary PD. Chiropractic Use:
    A Test of Several Hypotheses.
    Am J Public Health. 1982;72:727–730. doi: 10.2105/AJPH.72.7.727

  56. Conboy L, Patel S, Kaptchuk TJ, Gottlieb B, Eisenberg D, Acevedo-Garcia D.
    Sociodemographic determinants of the utilization of specific types of complementary and alternative medicine: an analysis based on a nationally representative survey sample.
    J Altern Complement Med. 2005;11:977–994. doi: 10.1089/acm.2005.11.977

  57. Cote P, Cassidy JD, Carroll L.
    The Treatment of Neck and Low Back Pain: Seeks Care? Who Goes Where?
    Med Care. 2001 (Sep); 39 (9): 956–967

  58. Coulter ID, Hurwitz EL, Adams AH, Genovese BJ, Hays R, Shekelle PG.
    Patients Using Chiropractors in North America:
    Who Are They, and Why Are They in Chiropractic Care?

    Spine (Phila Pa 1976) 2002 (Feb 1); 27 (3): 291–298

  59. Coulter ID, Shekelle PG.
    Chiropractic in North America: A Descriptive Analysis.
    J Manipulative Physiol Ther. 2005;28:83–89. doi: 10.1016/j.jmpt.2005.01.002

  60. Coulter ID, Hurwitz EL, Aronow HU, Cassata DM, Beck JC.
    Chiropractic Patients in a Comprehensive Home-Based Geriatric Assessment,
    Follow-up and Health Promotion Program

    Topics In Clinical Chiropractic 1996 (Jun): 3 (2): 46–55

  61. Davis MA, Sirovich BE, Weeks WB.
    Utilization and expenditures on chiropractic care in the United States from 1997 to 2006.
    Health Serv Res. 2010;45:748–761. doi: 10.1111/j.1475-6773.2009.01067.x

  62. Deyo RA, Tsui-Wu YJ.
    Descriptive epidemiology of low-back pain and its related medical care in the United States.
    Spine. 1987:264–8

  63. Dimmock S, Troughton PR, Bird HA.
    Factors predisposing to the resort of complementary therapies in patients with fibromyalgia.
    Clin Rheumatol. 1996;15:478–482. doi: 10.1007/BF02229645

  64. Doering JH, Reuner G, Kadish NE, Pietz J, Schubert-Bast S.
    Pattern and predictors of complementary and alternative medicine (CAM) use among pediatric patients with epilepsy.
    Epilepsy Behav. 2013;29:41–46. doi: 10.1016/j.yebeh.2013.06.025

  65. D’Onise K, Haren MT, Misan GMH, McDermott RA.
    Who uses complementary and alternative therapies in regional South Australia? Evidence from the Whyalla Intergenerational Study of Health.
    Aust Heal Rev. 2013;37:104–111. doi: 10.1071/AH11130

  66. Drivdahl CE, Miser WF.
    The use of alternative health care by a family practice population.
    J Am Board Fam Pract. 1998;11:193–199. doi: 10.3122/15572625-11-3-193

  67. Druss BG, Marcus SC, Olfson M, Tanielian T, Pincus HA.
    Trends in care by nonphysician clinicians in the United States.
    N Engl J Med. 2003;348:130–137. doi: 10.1056/NEJMsa020993

  68. Dunn AS, Passmore SR.
    Consultation request patterns, patient characteristics, and utilization of services within a Veterans Affairs medical center chiropractic clinic.
    Mil Med. 2008;173:599–603. doi: 10.7205/MILMED.173.6.599

  69. Dunn AS, Towle JJ, McBrearty P, Fleeson SM.
    Chiropractic Consultation Requests in the Veterans Affairs Health Care System: Demographic Characteristics of the Initial 100 Patients at the Western New York Medical Center.
    J Manipulative Physiol Ther. 2006;29:448–454. doi: 10.1016/j.jmpt.2006.06.002

  70. Eaves ER, Sherman KJ, Ritenbaugh C, Hsu C, Nichter M, Turner JA, Cherkin DC.
    A Qualitative Study of Changes in Expectations Over Time Among Patients with
    Chronic Low Back Pain Seeking Four CAM Therapies

    BMC Complement Altern Med. 2015 (Feb 5); 15: 12

  71. Ebrall P.
    A Descriptive Report of the Case-Mix within Australian Chiropractic Practice, 1992.
    Chiropr J Aust. 1993;23:92–97.

  72. Eirikstoft H, Kongsted A.
    Patient characteristics in low back pain subgroups based on an existing classification system. A descriptive cohort study in chiropractic practice.
    Man Ther. 2014;19:65–71. doi: 10.1016/j.math.2013.07.007

  73. Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, et al.
    Trends in Alternative Medicine Use in the United States,
    from 1990 to 1997: Results of a Follow-up National Survey

    JAMA 1998 (Nov 11); 280 (18): 1569–1575

  74. Eisenberg DM, Kessler RC, Foster C, Morlock FE, Calkins DR, Delbanco TL.
    Unconventional Medicine in the United States: Prevalence, Costs, and Patterns of Use
    New England Journal of Medicine 1993 (Jan 28); 328 (4): 246–252

  75. Elder C, DeBar L, Ritenbaugh C, Vollmer W, Deyo RA, Dickerson J, Kindler L.
    Acupuncture and Chiropractic Care:
    Utilization and Electronic Medical Record Capture

    American J Managed Care 2015 (Jul 1); 21 (7): e414–421

  76. Elder NC, Gillcrist A, Minz R.
    Use of Alternative Health Care by Family Practice Patients.
    Arch Fam Med. 1997;6:181–184. doi: 10.1001/archfami.6.2.181

  77. Elkins G, Rajab MH, Marcus J.
    Complementary and alternative medicine use by psychiatric inpatients.
    Psychol Rep. 2005;96:163–166. doi: 10.2466/pr0.96.1.163-166

  78. Ellis WB, Bonello RP.
    A Comparison of the Patient Demographics of Victorian Chiropractic and Osteopathic Clinics: A Pilot Study.
    COMSIG Rev. 1994;3:48–53.

  79. Emslie MJ, Campbell MK, Walker KA.
    Changes in public awareness of, attitudes to, and use of complementary therapy in North East Scotland: Surveys in 1993 and 1999.
    Complement Ther Med. 2002;10:148–153. doi: 10.1016/S0965229902000663

  80. Engel R, Brown B, Swain M, Lystad R.
    The Provision of Chiropractic, Physiotherapy and Osteopathic Services
    Within the Australian Private Health-care System: A Report of Recent Trends

    Chiropractic & Manual Therapies 2014 (Jan 15);   22 (1):   3

  81. Enyinnaya EI, Anderson JG, Merwin EI, Taylor AG.
    Chiropractic use, health care expenditures, and health outcomes for rural and nonrural individuals with arthritis.
    J Manipulative Physiol Ther. 2012;35:515–524. doi: 10.1016/j.jmpt.2012.07.010

  82. Ernst E, White A.
    The BBC survey of complementary medicine use in the UK.
    Complement Ther Med. 2000;8:32–36. doi: 10.1016/S0965-2299(00)90833-1

  83. Evans A, Duncan B, McHugh P, Shaw J, Wilson C.
    Impatients’ use, understanding, and attitudes towards traditional, complementary and alternative therapies at a provincial
    New Zealand hospital. N Z Med J. 2008;121:21–34

  84. Factor-Litvak P, Cushman L, Kronenberg F, Wade C, Kalmuss D.
    Use of complementary and alternative medicine among women in New York City: a pilot study.
    J Altern Complement Med. 2001;7:659–666. doi: 10.1089/10755530152755216

  85. Fadanelli G, Vittadello F, Martini G, Zannin ME, Zanon G, Zulian F.
    Complementary and Alternative Medicine (CAM) in paediatric rheumatology: a European perspective.
    Clin Exp Rheumatol. 2012;30:132–136

  86. Fautrel B, Adam V, St-Pierre Y, Joseph L, Clarke AE, Penrod JR.
    Use of complementary and alternative therapies by patients self-reporting arthritis or rheumatism: Results from a nationwide Canadian survey.
    J Rheumatol. 2002;29:2435–2441

  87. Fawcett J, Sidney JS, Hanson MJ, Riley-Lawless K.
    Use of alternative health therapies by people with multiple sclerosis: an exploratory study.
    Holistic nursing practice. 1994:36–42

  88. Featherstone C, Godden D, Selvaraj S, Emslie M, Took-Zozaya M.
    Characteristics associated with reported CAM use in patients attending six GP practices in the Tayside and Grampian regions of Scotland: A survey.
    Complement Ther Med. 2003;11:168–176. doi: 10.1016/S0965-2299(03)00067-0

  89. Feinglass J, Lee C, Rogers M, Temple LM, Nelson C, Chang RW.
    Complementary and Alternative Medicine Use for Arthritis Pain in 2 Chicago Community Areas.
    Clin J Pain. 2007;23:744–749. doi: 10.1097/AJP.0b013e31815349d4

  90. Feldman DE, Duffy C, De Civita M, Malleson P, Philibert L, Gibbon M.
    Factors associated with the use of complementary and alternative medicine in juvenile idiopathic arthritis.
    Arthritis Rheum. 2004;51:527–532. doi: 10.1002/art.20536

  91. Feldman RH.
    The Use of Complementary and Alternative Medicine Practices Among Australian University Students.
    Complement Health Pract Rev. 2004;9:173–179. doi: 10.1177/1533210104272356

  92. Fernandez CV, Stutzer CA, MacWilliam L, Fryer C.
    Alternative and complementary therapy use in pediatric oncology patients in British Columbia: prevalence and reasons for use and nonuse.
    J Clin Oncol. 1998;16:1279–1286. doi: 10.1200/JCO.1998.16.4.1279

  93. Feuerstein M, Marcus SC, Huang GD.
    National trends in nonoperative care for nonspecific back pain.
    Spine J. 2004;4:56–63. doi: 10.1016/j.spinee.2003.08.003

  94. Fitzcharles M-A, Esdaile JM.
    Nonphysician Practitioner Treatments and Fibromyalgia Syndrome.
    J Rheumatol. 1997;24:937–940

  95. Flaherty JH, Takahashi R, Teoh J, Kim JI, Habib S, Ito M, Matsushita S.
    Use of alternative therapies in older outpatients in the United States and Japan: prevalence, reporting patterns, and perceived effectiveness.
    J Gerontol A Biol Sci Med Sci. 2001;56:M650–M655. doi: 10.1093/gerona/56.10.M650

  96. Fleming S, Rabago DP, Mundt MP, Fleming MF.
    CAM therapies among primary care patients using opioid therapy for chronic pain.
    BMC Complement Altern Med. 2007;7:15. doi: 10.1186/1472-6882-7-15

  97. Fong DPS, Fong LKS.
    Usage of complementary medicine among children.
    Aust Fam Physician. 2002;31:388–391

  98. Fortier MA, Gillis S, Gomez SH, Wang S-M, Tan ET, Kain ZN.
    Attitudes toward and use of complementary and alternative medicine among Hispanic and white mothers.
    Altern Ther Health Med. 2014;20:13–19

  99. Foster DF, Phillips RF, Hamel B, Eisenberg D.
    Alternative Medicine Use in Older Americans
    J American Geriatrics Society 2000 (Dec); 48 (12): 1560–1565

  100. Fouladbakhsh J, Stommel M.
    Comparative analysis of complementary and alternative medicine (CAM) use in the US cancer and noncancer populations.
    Eur J Integr Med. 2008;1S:S9–41. doi: 10.1016/j.eujim.2008.08.014

  101. Fouladbakhsh JM, Stommel M, Given BA, Given CW.
    Predictors of Use of Complementary and Alternative Therapies Among Patients With Cancer.
    Oncol Nurs Forum. 2005;32:1115–1122. doi: 10.1188/05.ONF.1115-1122

  102. Fox P, Butler M, Coughlan B, Murray M, Boland N, Hanan T, Murphy H.
    Using a mixed methods research design to investigate complementary alternative medicine (CAM) use among women with breast cancer in Ireland.
    Eur J Oncol Nurs. 2013;17:490–497. doi: 10.1016/j.ejon.2012.10.008

  103. Frawley J, Adams J, Sibbritt D, Steel A, Broom A, Gallois C.
    Prevalence and determinants of complementary and alternative medicine use during pregnancy: Results from a nationally representative sample of Australian pregnant women.
    Aust New Zeal J Obstet Gynaecol. 2013;53:347–352. doi: 10.1111/ajo.12056

  104. French SD, Charity MJ, Forsdike K, Gunn JM, Polus BI, Walker BF, Chondros P.
    Chiropractic Observation and Analysis Study (COAST): providing an understanding of current chiropractic practice.
    Med J Aust. 2012;199:687–691

  105. French SD, Densley K, Charity MJ, Gunn J.
    Who uses Australian chiropractic services?
    Chiropr Man Therap. 2013;21:31. doi: 10.1186/2045-709X-21-31

  106. Frenkel M, Ben Arye E, Carlson C, Sierpina V.
    Integrating Complementary and Alternative Medicine Into Conventional Primary Care: The Patient Perspective.
    Explor J Sci Heal. 2008;4:178–186. doi: 10.1016/j.explore.2008.02.001

  107. Friedman T, Slayton WB, Allen LS, Pollock BH, Dumont-Driscoll M, Mehta P.
    Use of alternative therapies for children with cancer.
    Pediatrics. 1997;100:E1. doi: 10.1542/peds.100.6.e1

  108. Furler MD, Einarson TR, Walmsley S, Millson M, Bendayan R.
    Use of complementary and alternative medicine by HIV-infected outpatients in Ontario, Canada.
    AIDS Patient Care STDS. 2003;17:155–168. doi: 10.1089/108729103321619764

  109. Furlow ML, Patel DA, Sen A, Liu JR.
    Physician and patient attitudes towards complementary and alternative medicine in obstetrics and gynecology.
    BMC Complement Altern Med. 2008;8:35. doi: 10.1186/1472-6882-8-35

  110. Gaedeke RM, Tootelian DH, Holst C.
    Alternative medicine among college students.
    J Hosp Mark. 1999;13:107–118. doi: 10.1300/J043v13n01_08

  111. Gaffney L, Smith C.
    The Views of Pregnant Women Towards the Use of Complementary Therapies and Medicines.
    Birth Issues. 2004;13:43–50.

  112. Ganguli SC, Cawdron R, Irvine EJ.
    Alternative Medicine Use by Canadian Ambulatory Gastroenterology Patients: Secular Trend or Epidemic?
    Am J Gastroenterol. 2004;99:319–326. doi: 10.1111/j.1572-0241.2004.04046.x

  113. Garrow D, Egede LE.
    National patterns and correlates of complementary and alternative medicine use in adults with diabetes.
    J Altern Complement Med. 2006;12:895–902. doi: 10.1089/acm.2006.12.895

  114. Gaumer G, Gemmen E.
    Chiropractic Users and Nonusers: Differences in Use, Attitudes, and Willingness to Use Nonmedical Doctors for Primary Care.
    J Manipulative Physiol Ther. 2006;29:529–539. doi: 10.1016/j.jmpt.2006.06.018

  115. George S, Jackson JL, Passamonti M.
    Complementary and Alternative Medicine in a Military Primary Care Clinic: A 5-year Cohort Study
    Military Medicine 2011 (Jun);   176 (6):   685–688

  116. Gerasimidis K, Mcgrogan P, Hassan K, Edwards CA.
    Dietary modifications, nutritional supplements and alternative medicine in paediatric patients with inflammatory bowel disease.
    Aliment Pharmacol Ther. 2008;27:155–165. doi: 10.1111/j.1365-2036.2007.03552.x

  117. Geva H, Bar-Sela G, Dashkowsky Z, Mashiach T, Robinson E.
    The use of complementary and alternative therapies by cancer patients in northern Israel.
    Isr Med Assoc J. 2005;7:243–247

  118. Gkolfinopoulos V, Byfield D, Phil M, McCarthy PW.
    A survey of low back pain patients in chiropractic practices in South Wales.
    Eur J Chiropr. 2003;49:289–294.

  119. Goertz C, Marriott BP, Finch MD, Bray RM, Williams TV, Hourani LL.
    Military Report More Complementary and Alternative Medicine Use Than Civilians
    J Altern Complement Med. 2013 (Jun); 19 (6): 509–517

  120. Goldman AW, Cornwell B.
    Social network bridging potential and the use of complementary and alternative medicine in later life.
    Soc Sci Med. 2015;140:69–80. doi: 10.1016/j.socscimed.2015.07.003

  121. Goldstein MS, Brown ER, Ballard-Barbash R, Morgenstern H, Bastani R, Lee J.
    The use of complementary and alternative medicine among California adults with and without cancer.
    Evidence-based Complement Altern Med. 2005;2:557–565. doi: 10.1093/ecam/neh138

  122. Goldstein MS, Lee JH, Ballard-barbash R, Brown ER.
    The use and perceived benefit of complementary and alternative medicine among Californians with cancer.
    Psychooncology. 2008;17:19–25. doi: 10.1002/pon.1193

  123. Gore M, Tai KS, Sadosky A, Leslie D, Stacey BR.
    Use and Costs of Prescription Medications and Alternative Treatments in Patients with Osteoarthritis and Chronic Low Back Pain in Community-Based Settings.
    Pain Pract. 2012;12:550–560. doi: 10.1111/j.1533-2500.2012.00532.x

  124. Gore-felton C, Vosvick M, Power R, Koopman C, Ashton E, Bachmann MH, Israelski D, Spiegel D.
    Alternative Therapies: A Common Practice Among Men and Women Living With HIV.
    AIDS Care. 2003;14:17–27

  125. Graham ME, Brake MK, Taylor SM, Flowerdew G, Hong P.
    Complementary and alternative medicine use among patients presenting to a pediatric otolaryngology clinic.
    Int J Pediatr Otorhinolaryngol. 2013;77:721–725. doi: 10.1016/j.ijporl.2013.01.026

  126. Graham RE, Ahn AC, Davis RB, O’Connor BB, Eisenberg DM, Phillips RS.
    Use of complementary and alternative medical therapies among racial and ethnic minority adults: results from the 2002 National Health Interview Survey.
    J Natl Med Assoc. 2005;97:535–545

  127. Gray CM, Tan AW, Pronk NP.
    Complementary and alternative medicine use among health plan members. A cross-sectional survey.
    Eff Clin Pract. 2002;5:17–22

  128. Gray RE, Fitch M, Goel V, Franssen E, Labrecque M.
    Utilization of Complementary/Alternative Services by Women with Breast Cancer.
    J Health Soc Policy. 2003;16:75–84. doi: 10.1300/J045v16n04_04

  129. Greenfield SM, Innes MA, Allan TF, Wearn AM.
    First year medical students’ perceptions and use of complementary and alternative medicine.
    Complement Ther Med. 2002;10:27–32. doi: 10.1054/ctim.2002.0501

  130. Grossoehme DH, Cotton S, McPhail G.
    Use and Sanctification of Complementary and Alternative Medicine by Parents of Children with Cystic Fibrosis.
    J Health Care Chaplain. 2013;19:22–32. doi: 10.1080/08854726.2013.761007

  131. Grzywacz JG, Suerken CK, Quandt SA, Bell RA, Lang W, Arcury TA.
    Older Adults’ Use of Complementary and Alternative Medicine for Mental Health: Findings from the 2002 National Health Interview Survey.
    J Altern Complement Med. 2006;12:467–473. doi: 10.1089/acm.2006.12.467

  132. Gulla J, Singer AJ.
    Use of alternative therapies among emergency department patients.
    Ann Emerg Med. 2000;35:226–228. doi: 10.1016/S0196-0644(00)70072-2

  133. Habermann TM, Thompson CA, Laplant BR, Brent A, Janney CA, Clark MM, Rummans TA.
    Complementary and alternative medicine use among long-term survivors: a pilot study.
    Am J Hematol. 2009;84:795–798. doi: 10.1002/ajh.21554

  134. Hagen LEM, Schneider R, Stephens D, Modrusan D, Feldman BM.
    Use of complementary and alternative medicine by pediatric rheumatology patients.
    Arthritis Rheum. 2003;49:3–6. doi: 10.1002/art.10931

  135. Hall HR, Jolly K.
    Women’s use of complementary and alternative medicines during pregnancy: A cross-sectional study.
    Midwifery. 2014;30:499–505. doi: 10.1016/j.midw.2013.06.001

  136. Hamm E, Muramoto M, Howerter A, Floden L, Govindarajan L.
    Use of Provider-Based Complementary and Alternative Medicine by Adult Smokers in the United States: Comparison From the 2002 and 2007 NHIS Survey.
    Am J Heal Promot. 2014;29:127–131. doi: 10.4278/ajhp.121116-QUAN-559

  137. Hanley MA, Ehde DM, Campbell KM, Osborn B, Smith DG.
    Self-reported treatments used for lower-limb phantom pain: Descriptive findings.
    Arch Phys Med Rehabil. 2006;87:270–277. doi: 10.1016/j.apmr.2005.04.025

  138. Hann DM, Baker F, Roberts CS, Witt C, McDonald J, Livingston M, Ruiterman J.
    Use of Complementary Therapies Among Breast and Prostate Cancer Patients During Treatment: A Multisite Study.
    Integr Cancer Ther. 2005;4:294–300. doi: 10.1177/1534735405282109

  139. Hann D.
    Long-term Breast Cancer Survivors’ Use of Complementary Therapies: Perceived Impact on Recovery and Prevention of Recurrence.
    Integr Cancer Ther. 2005;4:14–20. doi: 10.1177/1534735404273723

  140. Hansen JP, Futch DB.
    Chiropractic Services in a Staff Model HMO: Utilization and Satisfaction.
    HMO Pract. 1997;11:39–42

  141. Hanssen B, Grimsgaard S, Launs๘ L, F๘nneb๘ V, Falkenberg T, Rasmussen NK.
    Use of complementary and alternative medicine in the scandinavian countries.
    Scand J Prim Health Care. 2005;23:57–62. doi: 10.1080/02813430510018419

  142. Harding S, Swait G, Johnson I, Cunliffe C.
    Utilisation of CAM by runners in the UK: A retrospective survey among non-elite marathon runners.
    Clin Chiropr. 2009;12:61–66. doi: 10.1016/j.clch.2009.08.004

  143. Harrigan R, Mbabuike N.
    Use of Provider Delivered Complementary and Alternative Therapies in Hawai โ€TM i : Results of the Hawai โ€TM i Health Survey.
    Hawaii Med J. 2006;65:130–151

  144. Harrington JW, Rosen L, Garnecho ANA, Patrick PA.
    Parental perceptions and use of complementary and alternative medicine practices for children with autistic spectrum disorders in private practice.
    J Dev Behav Pediatr. 2006;27(2 Suppl):S156–S161. doi: 10.1097/00004703-200604002-00014

  145. Hartmann N, Neininger MP, Bernhard MK, Syrbe S, Nickel P, Merkenschlager A.
    Use of complementary and alternative medicine (CAM) by parents in their children and adolescents with epilepsy - Prevelance, predictors and parents’ assessment.
    Eur J Paediatr Neurol. 2016;20:11–19. doi: 10.1016/j.ejpn.2015.11.003

  146. Hartvigsen J, Bolding-Jensen O, Hviid H, Grunnet-Nilsson N.
    Danish chiropractic patients then and now - A comparison between 1962 and 1999.
    J Manipulative Physiol Ther. 2003;26:65–69. doi: 10.1067/mmt.2003.14

  147. Hartvigsen J, Sorensen LP, Graesborg K, Grunnet-Nilsson N.
    Chiropractic patients in Denmark: A short description of basic characteristics.
    J Manipulative Physiol Ther. 2002;25:162–167. doi: 10.1067/mmt.2002.122325

  148. Hawk C, Long CR, Boulanger KT.
    Prevalence of Nonmusculoskeletal Complaints in Chiropractic Practice:
    Report From a Practice-based Research Program

    J Manipulative Physiol Ther 2001 (Mar); 24 (3): 157–169

  149. Hawk C, Byrd L, Jansen RD, Long CR.
    Use of complementary healthcare practices among chiropractors in the United States: A survey.
    Altern Ther Health Med. 1999;5:56–62

  150. Hawk C, Dusio M.
    A Survey of 492 U.S. Chiropractors on Primary Care and Prevention-Related Issues.
    J Manipulative Physiol Ther. 1995;18:57–64

  151. Hawk C, Long CR.
    Factors Affecting Use of Chiropractic Services in Seven Midwestern States of the United States.
    J Rural Heal. 1999;15:233–239. doi: 10.1111/j.1748-0361.1999.tb00744.x

  152. Hawk C, Long CR, Boulanger KT, Morschhauser E, Fuhr AW.
    Chiropractic Care for Patients Aged 55 Years and Older: Report from a Practice-Based Research Program.
    JAGS. 2000;48:534–545. doi: 10.1111/j.1532-5415.2000.tb05000.x

  153. Hayden J, Mior S, Verhoef M.
    Evaluation of Chiropractic Management of Pediatric Patients with Low Back Pain:
    A Prospective Cohort Study

    J Manipulative Physiol Ther 2003 (Jan); 26 (1): 1–8

  154. Hazra M, Noh S, Boon H, Taylor A, Moss K, Mamo DC.
    Complementary and alternative medicine in psychotic disorders.
    J Complement Integr Med. 2010;7:1–15.

  155. Heathcote JD, West JH, Cougar Hall P, Trinidad DR.
    Religiosity and Utilization of Complementary and Alternative Medicine Among Foreign-Born Hispanics in the United States.
    Hisp J Behav Sci. 2011;33:398–408. doi: 10.1177/0739986311410019

  156. Helyer LK, Chin S, Chui BK, Fitzgerald B, Verma S, Rakovitch E, Dranitsaris G.
    The use of complementary and alternative medicines among patients with locally advanced breast cancer--a descriptive study.
    BMC Cancer. 2006;6:1–25. doi: 10.1186/1471-2407-6-39

  157. Henderson JW, Donatelle RJ.
    Complementary and alternative medicine use by women after completion of allopathic treatment for breast cancer.
    Altern Ther Heal Med. 2004;10(Jan):52–57

  158. Hestbaek L, J๘rgensen A, Hartvigsen J.
    A Description of Children and Adolescents in Danish Chiropractic Practice:
    Results from a Nationwide Survey

    J Manipulative Physiol Ther. 2009 (Oct); 32 (8): 607–615

  159. Hestbaek L, Munck A, Hartvigsen L, Jarbol DE, Sondergaard J, Kongsted A.
    Low Back Pain in Primary Care: A Description of 1250 Patients with Low Back Pain
    in Danish General and Chiropractic Practice

    Int J Family Med. 2014 (Nov 4); 2014: 106102

  160. Hilsden R.
    Complementary and alternative medicine use by Canadian patients with inflammatory bowel disease: results from a national survey.
    Am J Gastroenterol. 2003;98:1563–1568. doi: 10.1111/j.1572-0241.2003.07519.x

  161. Hirsh AT, Kratz AL, Engel JM, Jensen MP.
    Survey Results of Pain Treatments in Adults with Cerebral Palsy.
    Am J Phys Med Rehabil. 2011;90:207–216. doi: 10.1097/PHM.0b013e3182063bc9

  162. Ho DV, Nguyen J, Liu MA, Nguyen AL, Kilgore DB.
    Use of and Interests in Complementary and Alternative Medicine by Hispanic Patients of a Community Health Center.
    J Am Board Fam Med. 2015;28:175–183. doi: 10.3122/jabfm.2015.02.140210

  163. Ho KY, Jones L, Gan TJ.
    The effect of cultural background on the usage of complementary and alternative medicine for chronic pain management.
    Pain Physician. 2009;12:685–688

  164. Hodges BR, Cambron JA, Klein RM, Madigan DM.
    Prevalence of nonmusculoskeletal versus musculoskeletal cases in a chiropractic student clinic.
    J Chiropr Educ. 2013;27:130611135952007. doi: 10.7899/JCE-D-13-101

  165. Hollyer T, Boon H, Georgousis A, Smith M, Einarson A.
    The use of CAM by women suffering from nausea and vomiting during pregnancy.
    BMC Complement Altern Med. 2002;2:5. doi: 10.1186/1472-6882-2-5

  166. Holt K, Beck R.
    Chiropractic Patients Presenting to the New Zealand College of Chiropractic Teaching Clinic: A Short Description of Patients and Patient Complaints.
    Chiropr J Aust. 2005;35:122–124.

  167. Honda K, Jacobson JS.
    Use of complementary and alternative medicine among United States adults: The influences of personality, coping strategies, and social support.
    Prev Med (Baltim) 2005;40:46–53. doi: 10.1016/j.ypmed.2004.05.001

  168. Hori S, Mihaylov I, Vasconcelos JC, McCoubrie M.
    Patterns of complementary and alternative medicine use amongst outpatients in Tokyo. Japan.
    BMC Complement Altern Med. 2008;8:14. doi: 10.1186/1472-6882-8-14

  169. Hsiao A-F, Wong MD, Kanouse DE, Collins RL, Liu H, Andersen RM, Gifford AL, McCutchan A.
    Complementary and Alternative Medicine Use and Substitiution for Conventional Therapy by HIV-Infected Patients.
    J Acquir Immune Defic Syndr. 2003;33:157–165. doi: 10.1097/00126334-200306010-00007

  170. Hsu MC, Creedy D, Moyle W, Venturato L, Tsay SL, Ouyang WC.
    Use of Complementary and Alternative Medicine among adult patients for depression in Taiwan.
    J Affect Disord. 2008;111:360–365. doi: 10.1016/j.jad.2008.03.010

  171. Hughes SC, Wingard DL.
    Children’s Visits to Providers of Complementary and Alternative Medicine in San Diego.
    Ambul Pediatr. 2006;6:293–296. doi: 10.1016/j.ambp.2005.11.007

  172. Humpel N, Jones SC.
    Development of a Comprehensive Questionnaire of Complementary and Alternative Medicine Use Among Cancer Patients and Survivors.
    Complement Health Pract Rev. 2005;10:163–174. doi: 10.1177/1533210105283386

  173. Humphreys BK, Peterson CK, Muehlemann D, Haueter P.
    Are Swiss Chiropractors Different Than Other Chiropractors?
    Results of the Job Analysis Survey 2009

    J Manipulative Physiol Ther 2010 (Sep);   33 (7):   519–535

  174. Hung A, Kang N, Bollom A, Wolf JL, Lembo A.
    Complementary and Alternative Medicine Use Is Prevalent Among Patients with Gastrointestinal Diseases.
    Dig Dis Sci. 2015;60:1883–1888. doi: 10.1007/s10620-014-3498-3

  175. Hunt KJ, Coelho HF, Wider B, Perry R, Hung SK, Terry R, Ernst E.
    Complementary and alternative medicine use in England: Results from a national survey.
    Int J Clin Pract. 2010;64:1496–1502. doi: 10.1111/j.1742-1241.2010.02484.x

  176. Hunter D, Oates R, Gawthrop J, Bishop M, Gill S.
    Complementary and alternative medicine use and disclosure amongst Australian radiotherapy patients.
    Support Care Cancer. 2014;22:1571–1578. doi: 10.1007/s00520-014-2120-8

  177. Hurvitz EA, Leonard C, Ayyangar R, Nelson VS.
    Complementary and alternative medicine use in families of children with cerebral palsy.
    Dev Med Child Neurol. 2003;45:364–370. doi: 10.1111/j.1469-8749.2003.tb00414.x

  178. Hurwitz EL, Coulter ID, Adams AH, Genovese BJ, Shekelle PG.
    Use of chiropractic services from 1985 through 1991 in the United States and Canada.
    Am J Public Health. 1998;88:771–776. doi: 10.2105/AJPH.88.5.771

  179. Hurwitz EL, Chiang L-M.
    A comparative analysis of chiropractic and general practitioner patients in North America: findings from the joint Canada/United States Survey of Health, 2002-03.
    BMC Health Serv Res. 2006;6:49. doi: 10.1186/1472-6963-6-49

  180. Ivanova JI, Birnbaum HG, Schiller M, Kantor E, Johnstone BM, Swindle RW.
    Real-world practice patterns, health-care utilization, and costs in patients with low back pain: the long road to guideline-concordant care.
    Spine J. 2011;11:622–632. doi: 10.1016/j.spinee.2011.03.017

  181. Jacob T, Zeev A, Epstein L.
    Low back pain--a community-based study of care-seeking and therapeutic effectiveness.
    Disabil Rehabil. 2003;25:67. doi: 10.1080/0963828021000007905

  182. Jacobs P, Schopflocher D, Klarenbach S, Golmohammadi K, Ohinmaa A.
    A health production function for persons with back problems: results from the Canadian Community Health Survey of 2000.
    Spine (Phila Pa 1976) 2004;29:2304–2308. doi: 10.1097/01.brs.0000142228.10239.f8

  183. Jacobson BH, Gemmell HA.
    A Survey of Chiropractors in Oklahoma.
    J Chiropr Educ. 1999;13:137–142.

  184. Jacobson IG, White MR, Smith TC, Smith B, Wells TS, Gackstetter GD, Boyko EJ.
    Self-Reported Health Symptoms and Conditions Among Complementary and Alternative Medicine Users in a Large Military Cohort.
    Ann Epidemiol. 2009;19:613–622. doi: 10.1016/j.annepidem.2009.05.001

  185. James FR, Large RG.
    Chronic pain and the use of health services.
    N Z Med J. 1992;105:196–198

  186. Jamison JR.
    Dietary diversity: A case study of fruit and vegetable consumption by chiropractic patients.
    J Manipulative Physiol Ther. 2003;26:383–389. doi: 10.1016/S0161-4754(03)00071-X

  187. Jamison JR.
    Self-care: An Australian case study of chiropractic patients.
    J Chiropr Med. 2002;1:49–53. doi: 10.1016/S0899-3467(07)60002-0

  188. Jamison JR, Davies N.
    Paediatric Patients Seeking Chiropractic Care: An Australian Case Study.
    Chiropr J Aust. 2005;35:143–146.

  189. Jawahar R, Yang S, Eaton CB, McAlindon T, Lapane KL.
    Gender-Specific Correlates of Complementary and Alternative Medicine Use for Knee Osteoarthritis.
    J Women’s Heal. 2012;21:1091–1099. doi: 10.1089/jwh.2011.3434

  190. Jean D, Cyr C.
    Use of Complementary and Alternative Medicine in a General Pediatric Clinic.
    Pediatrics. 2007;120:e138–e141. doi: 10.1542/peds.2006-3105

  191. Jensen KM, Rasmussen LR.
    Children in Danish chiropractic clinics: a descriptive questionnaire study.
    Eur J Chiropr. 1989;37:117–124.

  192. Jordan JM, Bernard SL, Callahan LF, Kincade JE, Konrad TR, DeFriese GH.
    Self-reported arthritis-related disruptions in sleep and daily life and the use of medical, complementary, and self-care strategies for arthritis: the National Survey of Self-care and Aging.
    Arch Fam Med. 2000;9:143–149. doi: 10.1001/archfami.9.2.143

  193. Jordan KM, Sawyer S, Coakley P, Smith HE, Cooper C, Arden NK.
    The use of conventional and complementary treatments for knee osteoarthritis in the community.
    Rheumatology. 2004;43:381–384. doi: 10.1093/rheumatology/keh045

  194. Kaboli PJ, Doebbeling BN, Saag KG, Rosenthal GE.
    Use of complementary and alternative medicine by older patients with arthritis: a population-based study.
    Arthritis Rheum. 2001;45:398–403

  195. Kaeser M, Hawk C, Anderson M.
    Patient characteristics upon initial presentation to chiropractic teaching clinics: A descriptive study conducted at one university.
    J Chiropr Educ. 2014;28:146–151. doi: 10.7899/JCE-14-6

  196. Kalaaji AN, Wahner-Roedler DL, Sood A, Chon TY, Loehrer LL, Cha SS, Bauer BA.
    Use of complementary and alternative medicine by patients seen at the dermatology department of a tertiary care center.
    Complement Ther Clin Pract. 2012;18:49–53. doi: 10.1016/j.ctcp.2011.05.003

  197. Karakurum G๖ksel B, Co?kun O, Ucler S, Karatas M, Ozge A, Ozkan S.
    Use of complementary and alternative medicine by a sample of Turkish primary headache patients. A?r? A?r? Derne?i’nin Yay?n organ?d?r =
    J Turkish Soc Algol. 2014;26:1–7. doi: 10.5505/agri.2014.04909

  198. Kassak K.
    The Pracitce of Chiropractic in South Dakota: A Survey of Chiropractors.
    J Manipulative Physiol Ther. 1994;17:523–529

  199. Katz P, Lee F.
    Racial/ethnic differences in the use of complementary and alternative medicine in patients with arthritis.
    J Clin Rheumatol. 2007;13:3–11. doi: 10.1097/01.rhu.0000255579.59597.d2

  200. Keegan L.
    Use of Alternative Therapies Among Mexican Americans in the Texas Rio Grande Valley.
    J Holist Nurs. 1996;14:277–294. doi: 10.1177/089801019601400402

  201. Keenan NL, Mark S, Fugh-Berman A, Browne D, Kaczmarczyk J, Hunter C.
    Severity of menopausal symptoms and use of both conventional and complementary/alternative therapies.
    Menopause. 2003;10:507–515. doi: 10.1097/01.GME.0000064865.58809.3E

  202. Kelner M, Wellman B.
    Who Seeks Alternative Health Care? A Profile of the Users of Five Modes of Treatment.
    J Altern Complement Med. 1997;3:127–140. doi: 10.1089/acm.1997.3.127

  203. Kessler RC, Soukup J, Davis RB, Foster DF. Wilkey S a, Van Rompay MI, Eisenberg DM:
    The use of complementary and alternative therapies to treat anxiety and depression in the United States.
    Am J Psychiatry. 2001;158:289–294. doi: 10.1176/appi.ajp.158.2.289

  204. Kilbourne A, Copeland L, Zeber J, Bauer M, Lasky E, Good C.
    Determinants of Complementary and Alternative Medicine Use by Patients with Bipolar Disorder.
    Gen Psychiatry. 2007;40:104–115

  205. Kim HA, Seo Y. Il:
    Use of complementary and alternative medicine by arthritis patients in a university hospital clinic serving rheumatology patients in Korea.
    Rheumatol Int. 2003;23:277–281. doi: 10.1007/s00296-003-0311-6

  206. Kim J, Chan MM.
    Factors Influencing Preferences for Alternative Medicine by Korean Americans.
    Am J Chin Med. 2004;32:321–329. doi: 10.1142/S0192415X04001977

  207. King MO, Pettigrew AC.
    Complementary and alternative therapy use by older adults in three ethnically diverse populations: a pilot study.
    Geriatr Nurs. 2004;25:30–37. doi: 10.1016/j.gerinurse.2003.11.013

  208. Kinge JM, Knudsen AK, Skirbekk V, Vollset SE.
    Musculoskeletal disorders in Norway: prevalence of chronicity and use of primary and specialist health care services.
    BMC Musculoskelet Disord. 2015;16:75. doi: 10.1186/s12891-015-0536-z

  209. Kirby E, Broom A, Sibbritt D, Adams J, Refshauge K.
    A national cross-sectional survey of back pain care amongst Australian women aged 60-65.
    Eur J Integr Med. 2012;5:36–43. doi: 10.1016/j.eujim.2012.08.005

  210. Kirby ER, Broom AF, Sibbritt DW, Refshauge KM, Adams J.
    Health care utilisation and out-of-pocket expenditure associated with back pain: A nationally representative survey of Australian women.
    PLoS One. 2013;8 [PMC free article]

  211. Kleiman MB, Francis RG, Moore HA.
    Chiropractic utilisation in the United States.
    N Z Med J. 1981;93:43–45

  212. Kopansky-giles D, Fccs C, Papadopoulos C:
    a profile of Canadian chiropractors.
    Practice 1997, 41(C).

  213. Kozma CM, Provenzano D, Slaton T, Patel A, Benson C.
    Complexity of Pain Management Among Patients with Nociceptive.
    J Manag Care Pharm. 2014;20:455–466

  214. Krauss HH, Godfrey C, Kirk J, Eisenberg DM.
    Alternative health care: its use by individuals with physical disabilities.
    Arch Phys Med Rehabil. 1998;79(November):1440–1447. doi: 10.1016/S0003-9993(98)90241-6

  215. Kronenberg F, Cushman LF, Wade CM, Kalmuss D, Chao MT.
    Race/ethnicity and women’s use of complementary and alternative medicine in the United States: Results of a national survey.
    Am J Public Health. 2006;96:1236–1242. doi: 10.2105/AJPH.2004.047688

  216. Lafferty WE, Bellas A, Baden AC, Tyree PT, Standish LJ, Patterson R.
    The Use of Complementary and Alternative Medical Providers by Insured Cancer Patients in Washington State.
    Cancer. 2004;100:1522–1530. doi: 10.1002/cncr.20105

  217. Leboeuf-Yde C, Gronstvedt A, Borge JA, Lothe J, Magnesen E, Nilsson O, et al.
    The Nordic Back Pain Subpopulation Program: Demographic and Clinical Predictors for Outcome
    in Patients Receiving Chiropractic Treatment for Persistent Low–Back Pain

    J Manipulative Physiol Ther. 2004 (Oct); 27 (8): 493–502

  218. Leboeuf-Yde, C., Pedersen, E.N., Bryner, P., Cosman, D., Hayek, R., 2005.
    Self-reported Nonmusculoskeletal Responses to Chiropractic Intervention: A Multination Survey
    J Manipulative Physiol Ther 2005 (Jun); 28 (5): 294–302

  219. Lee A, Li D, Kemper K.
    Chiropractic Care for Children
    Arch Pediatr Adolesc Med 2000 (Apr); 154 (4): 401–407

  220. Lee P, Helewa A, Smythe HA, Bombardier C, Goldsmith CH.
    Epidemiology of Musculoskeletal Disorders (Complaints) and Related Disability in Canada.
    J Rheumatol. 1985;12:1169–1173

  221. Legorreta AP, Metz DR, Nelson CF, Ray S, Chermicoff HO, DiNubile NA.
    Comparative Analysis of Individuals With and Without Chiropractic Coverage:
    Patient Characteristics, Utilization, and Costs

    Arch Intern Med 2004 (Oct 11); 164 (18): 1985–1892

  222. Lewis D, Paterson M, Beckerman S, Sandilands C.
    Attitudes toward integration of complementary and alternative medicine with hospital-based care.
    J Altern Complement Med. 2001;7:681–688. doi: 10.1089/10755530152755234

  223. Lim A, Cranswick N, Skull S, South M.
    Survey of complementary and alternative medicine use at a tertiary children’s hospital.
    J Paediatr Child Heal. 2005;41:424–427. doi: 10.1111/j.1440-1754.2005.00659.x

  224. Lim KL, Jacobs P, Klarenbach S.
    A population-based analysis of healthcare utilization of persons with back disorders - Results from the Canadian Community Health Survey 2000-2001.
    Spine (Phila Pa 1976) 2006;31:212–218. doi: 10.1097/01.brs.0000194773.10461.9f

  225. Lind BK, Diehr PK, Grembowski DE, Lafferty WE.
    Chiropractic use by urban and rural residents with insurance coverage.
    J Rural Heal. 2009;25:253–258. doi: 10.1111/j.1748-0361.2009.00227.x

  226. Lind B, Lafferty W, Tyree P, Diehr P, Grembowski D.
    Use of Complementary and Alternative Medicine Providers by Fibromyalgia Patients Under Insurance Coverage.
    Arthritis Rheum. 2007;57:71–76. doi: 10.1002/art.22471

  227. Lind BK, Lafferty WE, Grembowski DE, Diehr PK.
    Complementary and alternative provider use by insured patients with diabetes in Washington State.
    J Altern Complement Med. 2006;12:71–77. doi: 10.1089/acm.2006.12.71

  228. Lind BK, Lafferty WE, Tyree PT, Sherman KJ, Deyo RA, Cherkin DC.
    The role of alternative medical providers for the outpatient treatment of insured patients with back pain.
    Spine (Phila Pa 1976) 2005;30:1454–1459. doi: 10.1097/01.brs.0000166527.18442.10

  229. Liow K, Ablah E, Nguyen JC, Sadler T, Wolfe D, Tran KD, Guo L, Hoang T.
    Pattern and frequency of use of complementary and alternative medicine among patients with epilepsy in the midwestern United States.
    Epilepsy Behav. 2007;10:576–582. doi: 10.1016/j.yebeh.2007.02.017

  230. Lishchyna N, Mior S.
    Demographic and Clinical Characteristics of New Patients Presenting to a Community Teaching Clinic.
    J Chiropr Educ. 2012;26:161–168. doi: 10.7899/JCE-12-002

  231. Loera J, Reyes-Ortiz C, Kuo Y.
    Predictors of complementary and alternative medicine use among older Mexican Americans.
    Complement Ther Clin Pract. 2007;13:224–231. doi: 10.1016/j.ctcp.2007.03.002

  232. Mackenzie ER, Taylor L, Bloom BS, Hufford DJ, Johnson JC.
    Ethnic minority use of complementary and alternative medicine (CAM): A national probability survey of CAM users.
    Altern Ther Health Med. 2003;9:50–56

  233. MacLennan AH, Myers SP, Taylor AW.
    The continuing use of complementary and alternative medicine in South Australia: Costs and beliefs in 2004.
    Med J Aust. 2006;184:27–31

  234. MacPherson H, Newbronner E, Chamberlain R, Hopton A.
    Patients’ experiences and expectations of chiropractic care: a national cross-sectional survey.
    Chiropr Man Therap. 2015;23:3. doi: 10.1186/s12998-014-0049-0

  235. Madsen H, Andersen S, Nielsen RG, Dolmer BS, H๘st A, Damkier A.
    Use of complementary/alternative medicine among paediatric patients.
    Eur J Pediatr. 2003;162:334–341

  236. Malmqvist S, Leboeuf-Yde C.
    Chiropractors in Finland - a demographic survey.
    Chiropr Osteopat. 2008;16:9. doi: 10.1186/1746-1340-16-9

  237. Marchand AM.
    Chiropractic Care of Children from Birth to Adolescence and Classification of
    Reported Conditions: An Internet Cross-Sectional Survey of 956 European Chiropractors

    J Manipulative Physiol Ther. 2012 (Jun); 35 (5): 372–380

  238. Marrie RA, Hadjimichael O, Vollmer T.
    Predictors of alternative medicine use by multiple sclerosis patients.
    Mult Scler. 2003;9:461–466. doi: 10.1191/1352458503ms953oa

  239. Marsh J, Hager C, Havey T, Sprague S, Bhandari M, Bryant D.
    Use of alternative medicines by patients with oa that adversely interact with commonly prescribed medications.
    Clin Orthop Relat Res. 2009;467:2705–2722. doi: 10.1007/s11999-009-0764-3

  240. Martel D, Bussi่res J-F, Th้or๊t Y, Lebel D, Kish S, Moghrabi A, Laurier C.
    Use of alternative and complementary therapies in children with cancer.
    Pediatr Blood Cancer. 2005;44:660–668. doi: 10.1002/pbc.20205

  241. Martin BI, Gerkovich MM, Deyo RA, et al.
    The Association of Complementary and Alternative Medicine Use
    Health Care Expenditures for Back and Neck Problems

    Med Care. 2012 (Dec); 50 (12): 1029–1036

  242. Martinez DA, Rupert RL, Ndetan HT.
    A demographic and epidemiological study of a Mexican chiropractic college public clinic.
    Chiropr Osteopat. 2009;17:4. doi: 10.1186/1746-1340-17-4

  243. McEachrane-Gross FP, Liebschutz JM, Berlowitz D.
    Use of Selected Complementary and Alternative Medicine (CAM) Treatments in Veterans with
    Cancer or Chronic Pain: A Cross-sectional Survey

    BMC Complement Altern Med 2006 (Oct 6); 6: 34

  244. McHardy AJ, Pollard HP, Luo K.
    Golf-related lower back injuries: an epidemiological survey.
    J Chiropr Med. 2007;6:20–26. doi: 10.1016/j.jcme.2007.02.010

  245. Metcalfe A, Williams J, McChesney J, Patten SB, Jett้ N.
    Use of complementary and alternative medicine by those with a chronic disease and the general population--results of a national population based survey.
    BMC Complement Altern Med. 2010;10:58. doi: 10.1186/1472-6882-10-58

  246. Millar WJ.
    Use of alternative health care practitioners by Canadians.
    Can J Public Heal. 1997;88:154–158

  247. Millar WJ.
    Patterns of Use - Alternative Health Care Practitioners.
    Heal Reports/Statistics Canada. 2001;13:9–21

  248. Miller J.
    Demographic Survey of Pediatric Patients Presenting to a Chiropractic Teaching Clinic
    Chiropractic & Osteopathy 2010 (Dec 15); 18: 33

  249. Mior SA, Laporte A.
    Economic and Resource Status of the Chiropractic Profession in Ontario, Canada: A Challenge or an Opportunity.
    J Manipulative Physiol Ther. 2008;31:104–114. doi: 10.1016/j.jmpt.2007.12.007

  250. Montalto CP.
    Use of Complementary and Alternative Medicine by Older Adults: An Exploratory Study.
    Complement Health Pract Rev. 2006;11:27–46. doi: 10.1177/1533210106288823

  251. Montgomery M, Huang S, Cox CL, Leisenring WM, Oeffinger KC, Hudson MM, Ginsberg J.
    Physical therapy and chiropractic use among childhood cancer survivors with chronic disease: Impact on health-related quality of life.
    J Cancer Surviv. 2011;5:73–81. doi: 10.1007/s11764-010-0151-9

  252. Mootz RD, Cherkin DC, Odegard CE, Eisenberg DM, Barassi JP, Deyo R a.
    Characteristics of Chiropractic Practitioners, Patients, and Encounters
    in Massachusetts and Arizona

    J Manipulative Physiol Ther. 2005 (Nov); 28 (9): 645–653

  253. Murthy V, Sibbritt D, Adams J, Broom A, Kirby E, Refshauge KM.
    Consultations with complementary and alternative medicine practitioners amongst wider care options for back pain: A study of a nationally representative sample of 1,310 Australian women aged 60-65 years.
    Clin Rheumatol. 2014;33:253–262. doi: 10.1007/s10067-013-2357-5

  254. Najm W, Reinsch S, Hoehler F, Tobis J.
    Use of Complementary and Alternative Medicine among the Ethnic Elderly.
    Altern Ther Health Med. 2003;9:50–57

  255. National Center for Complementary and Alternative Medicine National
    Institutes of Health American Adult Use of Complementary and Alternative Medicine.
    J Altern Complement Med. 2005;18:111–114.

  256. Nayak S, Matheis RJ, Agostinellie S, Shiflett SC.
    The Use of Complementary and Alternative Therapies for Chronic Pain Following Spinal Cord Injury: A Pilot Survey.
    J Spinal Cord Meicine. 2001;24:54–62. doi: 10.1080/10790268.2001.11753556

  257. Nayak S, Matheis RJ, Schoenberger NE, Shiflett SC.
    Use of unconventional therapies by individuals with multiple sclerosis.
    Clin Rehabil. 2003;17:181–191. doi: 10.1191/0269215503cr604oa

  258. Ndetan H, Evans MW, Bae S, Felini M, Rupert R, Singh KP.
    The health care provider’s role and patient compliance to health promotion advice from the user’s perspective: Analysis of the 2006 national health interview survey data.
    J Manipulative Physiol Ther. 2010;33:413–418. doi: 10.1016/j.jmpt.2010.06.009

  259. Newton KM, Buist DS, Keenan NL, Anderson L a, Lacroix a Z.
    Use of Alternative Therapies for Menopause Symptoms: Results of a Population-Based Survey
    Obstet Gynecol. 2002;100:18–25

  260. Nichols AW, Harrigan R.
    Complementary and Alternative Medicine Usage by Intercollegiate Athletes.
    Clin J Sport Med. 2006;16:232–237. doi: 10.1097/00042752-200605000-00008

  261. Nyiendo J, Haldeman S.
    A prospective study of 2,000 patients attending a chiropractic college teaching clinic.
    Med Care. 1987;25:516–527. doi: 10.1097/00005650-198706000-00006

  262. Nyiendo J, Phillips R, Meeker W, Konsler G, Jansen R, Menon M.
    A Comparison of Patients and Patient Complaints at Six Chiropractic College Teaching Clinics.
    J Manipulative Physiol Ther. 1989;12:79–85

  263. Nyiendo J, Haas M, Goldberg B, Sexton G.
    Patient characteristics and physicians’ practice activities for patients with chronic low back pain: A practice-based study of primary care and chiropractic physicians.
    J Manipulative Physiol Ther. 2001;24:92–100. doi: 10.1067/mmt.2001.112565

  264. Nyiendo J, Olsen E.
    Visit Characteristics of 217 Children Attending a Chiroprctic College Teaching Clinic.
    J Manipulative Physiol Ther. 1988;11:78–84

  265. Opheim R, Bernklev T, Fagermoen MS, Cvancarova M, Moum B.
    Use of complementary and alternative medicine in patients with inflammatory bowel disease: results of a cross-sectional study in Norway.
    Scand J Gastroenterol. 2012;47:1436–1447. doi: 10.3109/00365521.2012.725092

  266. Paramore LC:
    Use of alternative therapies: Estimates from the 1994 Robert Wood Johnson Foundation National Access to Care Survey.
    J Pain Symptom Manage 1997, 13:83–89

  267. Pedersen P, Kleberg PK, Walker K.
    A pilot survey of patients and chiropractors in European chiropractic practices: sociodemographic, anamnestic and management procedures.
    Eur J Chiropr. 1993;41:5–19.

  268. Pedersen P.
    A survey of chiropractic practice in Europe.
    Eur J Chiropr. 1994;42:3–28.

  269. Pedersen P, Breen AC.
    An Overview of European Chiropractic Practice.
    J Manipulative Physiol Ther. 1994;17:228–237

  270. Phillips RB, Mootz RD, Nyiendo J, Cooperstein R, Konsler J, Mennon M.
    The Descriptive Profile of Low Back Pain Patients of Field Practicing Chiropractors Contrasted with Those Treated in the Clinics of West Coast Chiropractic Colleges.
    J Manipulative Physiol Ther. 1992;15:512–517

  271. Pi้rard E.
    Substitutes or complements? An exploration of the effect of wait times and availability of conventional care on the use of alternative health therapies in Canada.
    Complement Ther Med. 2012;20:323–333. doi: 10.1016/j.ctim.2012.06.001

  272. Pledger MJ, Cumming J, Burnette M. THE NEW ZEALAND MEDICAL JOURNAL
    Health service use amongst users of complementary and alternative medicine.
    J New Zeal Med Assoc NZMJ. 2010;123:26–35

  273. Post-White J, Fitzgerald M, Hageness S, Sencer SF.
    Complementary and Alternative Medicine Use in Children With Cancer and General and Specialty Pediatrics.
    J Pediatr Oncol Nurs. 2008;26:7–15. doi: 10.1177/1043454208323914

  274. Poulsen E, Christensen HW, Overgaard S, Hartvigsen J.
    Prevalence of hip osteoarthritis in chiropractic practice in Denmark: A descriptive cross-sectional and prospective study.
    J Manipulative Physiol Ther. 2012;35:263–271. doi: 10.1016/j.jmpt.2012.01.010

  275. Quan H, Lai D, Johnson D, Verhoef M, Musto R.
    Complementary and alternative medicine use among Chinese and white Canadians.
    Can Fam Physician. 2008;54:1563–1569

  276. Reinhard MJ, Nassif TH, Bloeser K, Dursa EK, Barth SK, Benetato B.
    CAM Utilization Among OEF / OIF Veterans of US Veterans.
    Med Care. 2014;52:45–49. doi: 10.1097/MLR.0000000000000229

  277. Rivera JO, Ortiz M, Lawson ME, Verma KM.
    Evaluation of the Use of Complementary and Alternative Medicine in the Largest United States-Mexico Border City.
    Pharmacotherapy. 2002;22:256–264. doi: 10.1592/phco.22.3.256.33543

  278. Robinson A, Chesters J, Cooper S.
    Beyond a Generic Complementary and Alternative Medicine: The Holistic Health Care-Conventional Medicine Continuum.
    Complement Health Pract Rev. 2009;14:153–163. doi: 10.1177/1533210109360016

  279. Robinson A, Chesters J, Cooper S.
    People’s choice: complementary and alternative medicine modalities.
    Complement Health Pract Rev. 2007;12:99–119. doi: 10.1177/1533210107302436

  280. Rosen JE, Gardiner P, Saper RB, Filippelli AC, White LF, Pearce EN.
    Complementary and alternative medicine use among patients with thyroid cancer.
    Thyroid. 2013;23:1238–1246. doi: 10.1089/thy.2012.0495

  281. Rosenfeld L.
    Chiropractic Versus Nonchiropractic Patients in North Carolina: A Comparison of Demographic Characteristics and Perceptions of Health Care Providers.
    Dig Chiropr Econ. 1987:22–5.

  282. Ross LE, Fletcher A, Anderson MC, Meade SA, Powe BD, Howard D.
    Complementary and alternative medicine (CAM) use among men with a history of prostate cancer.
    J Cult Divers. 2012;19:143–150

  283. Rubinstein S, Pfeifle CE, Van Tulder MW, Assendelft WJJ.
    Chiropractic patients in the Netherlands: A descriptive study.
    J Manipulative Physiol Ther. 2000;23:557–563. doi: 10.1067/mmt.2000.109675

  284. Ryder PT, Wolpert B, Orwig D, Carter-Pokras O, Black SA.
    Complementary and Alternative Medicine Use among Older Urban African Americans: Individual and Neighborhood Associations.
    J Natl Med Assoc. 2008;100(Oct):1186–1192. doi: 10.1016/S0027-9684(15)31475-9

  285. Sandnes KF, Bj๘rnstad C, Leboeuf-Yde C, Hestbaek L.
    The Nordic Maintenance Care Program - Time Intervals Between Treatments of
    Patients With Low Back Pain: How Close and Who Decides?

    Chiropractic & Osteopathy 2010 (Mar 8); 18: 5

  286. Sarris J, Robins Wahlin T-B, Goncalves DC, Byrne GJ.
    Comparative use of complementary medicine, allied health, and manual therapies by middle-aged and older Australian women.
    J Women Aging. 2010;22:273–282. doi: 10.1080/08952841.2010.518876

  287. Sawni-Sikand A, Schubiner H, Thomas RL.
    Use of Complementary/Alternative Therapies Among Children in Primary Care Pediatrics.
    Ambul Pediatr. 2002;2:99–103. doi: 10.1367/1539-4409(2002)002<0099:UOCATA>2.0.CO;2

  288. Sawyer C, Stewart L.
    Demographic, Clinical, and Utilization Characteristics of Chiropractic Teaching Clinic Patients: Implications for Clinical and Epidemiological Investigation.
    ACA J Chiropr. 1984;18:59–66.

  289. Sawyer C, Ramlow J.
    Attitudes of Chiropractic Patients: A Preliminary Survey of Patients Receiving Care in a Chiropractic Teaching Clinic.
    J Manipulative Physiol Ther. 1984;7:157–163

  290. Saxe G A, Madlensky L, Kealey S, Wu DPH, Freeman KL, Pierce JP:
    Disclosure to physicians of CAM use by breast cancer patients: findings from the Women’s Healthy Eating and Living Study.
    Integr Cancer Ther 2008, 7:122–129

  291. Schwarz S, Messerschmidt H, V๖lzke H, Hoffmann W, Lucht M, D๖ren M.
    Use of complementary medicinal therapies in West Pomerania: a population-based study.
    Climacteric. 2008;11(June):124–134. doi: 10.1080/13697130801930674

  292. Scott JA, Kearney N, Hummerston S, Molassiotis A.
    Use of complementary and alternative medicine in patients with cancer: A UK survey.
    Eur J Oncol Nurs. 2005;9:131–137. doi: 10.1016/j.ejon.2005.03.012

  293. Shah SH, Engelhardt R, Ovbiagele B.
    Patterns of complementary and alternative medicine use among United States stroke survivors.
    J Neurol Sci. 2008;271:180–185. doi: 10.1016/j.jns.2008.04.014

  294. Shakeel M, Newton J, Wong Ah-See K.
    Complementary and Alternative Medicine Use among Patients Undergoing Otolaryngologic Surgery.
    J Otolaryngol. 2009;38:355–361

  295. Shakeel M, Trinidade A, Ah-See KW.
    Complementary and alternative medicine use by otolaryngology patients: A paradigm for practitioners in all surgical specialties.
    Eur Arch Oto-Rhino-Laryngology. 2010;267:961–971. doi: 10.1007/s00405-009-1098-1

  296. Sharma R, Haas M, Stano M.
    Patient Attitudes, Insurance, and Other Determinants of Self-Referral to Medical and Chiropractic Physicians.
    Am J Public Health. 2003;93:2111–2117. doi: 10.2105/AJPH.93.12.2111

  297. Shekelle PG, Brook RH.
    A community-based study of the use of chiropractic services.
    Am J Public Health. 1991;81:439–442. doi: 10.2105/AJPH.81.4.439

  298. Sherman, KJ, Cherkin, DC, Connelly, MT, Erro, J, Savetsky, JB, Davis, RB et al.
    Complementary and Alternative Medical Therapies for Chronic Low Back Pain:
    What Treatments Are Patients Willing To Try?

    BMC Complement Altern Med. 2004 (Jul 19); 4: 9

  299. Sherwood P.
    Patterns of use of complementary medicines in health services in the south-west of Western Australia.
    Aust J Rural Heal. 2000;8:194–200. doi: 10.1046/j.1440-1584.2000.00283.x

  300. Simon GE, Cherkin DC, Sherman KJ, Eisenberg DM, Deyo RA, Davis RB.
    Mental health visits to complementary and alternative medicine providers.
    Gen Hosp Psychiatry. 2004;26:171–177. doi: 10.1016/j.genhosppsych.2004.01.002

  301. Sinha D, Efron D.
    Complementary and alternative medicine use in children with attention deficit hyperactivity disorder.
    J Paediatr Child Heal. 2005;41:23–26. doi: 10.1111/j.1440-1754.2005.00530.x

  302. Smith C, Eckert K.
    Prevalence of complementary and alternative medicine and use among children in South Australia.
    J Paediatr Child Health. 2006;42:538–543. doi: 10.1111/j.1440-1754.2006.00918.x

  303. Soo I, Mah JK, Barlow K. Hamiwka L. Wirrell E:
    Use of Complementary and Alternative Medical Therapies in a Pediatric Neurology Clinic.
    2005:524–8

  304. Sorensen LP, Stochkendahl MJ, Hartvigsen J, Nilsson NG.
    Chiropractic Patients in Denmark 2002: An Expanded Description and Comparison With 1999 Survey.
    J Manipulative Physiol Ther. 2006;29:419–424. doi: 10.1016/j.jmpt.2006.06.001

  305. Spector ML, Fischer M, Dawson DV, Holmes DC, Kummet C, Nisly NL, Baker KAK.
    Complementary and alternative medicine usage by patients of a dental school clinic.
    Spec Care Dent. 2012;32:177–183. doi: 10.1111/j.1754-4505.2012.00273.x

  306. Spigelblatt L, Laine-Ammara G, Pless B, Guyver A.
    The Use of Alternative Medicine by Children.
    Pediatr Blood Cancer. 1994;94:811–814

  307. Stano M. A
    Comparison of Health Care Costs for Chiropractic and Medical Patients.
    J Manipulative Physiol Ther. 1993;16:291–299

  308. Stano M, Haas M, Goldberg B, Traub PM, Nyiendo J.
    Chiropractic and medical care costs of low back care: Results from a practice-based observational study.
    Am J Manag Care. 2002;8:802–809

  309. Steinsbekk A.
    Families’ visits to practitioners of complementary and alternative medicine in a total population (the HUNT studies)
    Scand J Public Health. 2010;38:96. doi: 10.1177/1403494810382813

  310. Stevans JM, Zodet MW.
    Clinical, Demographic, and Geographic Determinants of Variation in Chiropractic Episodes of Care for Adults Using the 2005-2008 Medical Expenditure Panel Survey.
    J Manipulative Physiol Ther. 2012;35:589–599. doi: 10.1016/j.jmpt.2012.09.009

  311. Stevens GL.
    Demographic and Referral Analysis of a Free Chiropractic Clinic Servicing Ethnic Minorities in the Buffalo, NY Area.
    J Manipulative Physiol Ther. 2007;30:573–577. doi: 10.1016/j.jmpt.2007.07.016

  312. Stevens GL.
    Behavioral and Access Barriers to Seeking Chiropractic Care: A Study of 3 New York Clinics.
    J Manipulative Physiol Ther. 2007;30:566–572. doi: 10.1016/j.jmpt.2007.07.015

  313. Stevens R, Mansfield P, Loudon D.
    The Public’s Image of Chiropractic Services: A Pilot Study.
    Serv Mark Q. 2005;26:39–56. doi: 10.1300/J396v26n04_03

  314. Stude DE, Hulbert J, Schoepp D.
    Practice Behaviors, Attitudes, Musculoskeletal Complaints, and Previous Exposure to Chiropractic Care in a Group of Recreational Golfers.
    J Manipulative Physiol Ther. 2008;31:313–318. doi: 10.1016/j.jmpt.2008.03.009

  315. Stump JL, Redwood D.
    The use and role of sport chiropractors in the national football league: a short report.
    J Manipulative Physiol Ther. 2002;25:E2. doi: 10.1067/mmt.2002.122326

  316. Suleman Z.
    A retrospective demographic study at the Calgary Urban Project Society : chiropractic service delivery beyond “upper-middle class”
    JCCA. 2001;45:241–247.

  317. Sullivan A, Gilbar P, Curtain C.
    Complementary and Alternative Medicine Use in Cancer Patients in Rural Australia.
    Integr Cancer Ther. 2015;14:350–358. doi: 10.1177/1534735415580679

  318. Thorburn S, Faith J, Keon KL, Tippens KM.
    Discrimination in health care and CAM use in a representative sample of U.S. adults.
    J Altern Complement Med. 2013;19:577–581. doi: 10.1089/acm.2012.0586

  319. Till H, Till G.
    Experience in a Hospital-Based Clinic as Part of Chiropractic Undergraduate Training.
    J Chiropr Educ. 1999;13:1–7.

  320. Topol EJ.
    The New England Journal of Medicine as published by New England Journal of Medicine. Downloaded from www.nejm.org on August 16, 2010. For personal use only. No other uses without permission. Copyright ฉ 1993 Massachusetts Medical Society. All rights reser.
    N Engl J Med. 1993;329:673–682. doi: 10.1056/NEJM199307223290401

  321. Torres-Llenza V, Bhogal S, Davis M, Ducharme F.
    Use of complementary and alternative medicine in children with asthma.
    Can Respir J. 2010;17:183–187. doi: 10.1155/2010/682142

  322. Upchurch D, Chyu L.
    Use of Complementary and Alternative Medicine Among American Women.
    Women’s Heal. 2005:5–13

  323. Valji R, Adams D, Dagenais S, Clifford T, Baydala L, King WJ, Vohra S.
    Complementary and alternative medicine: a survey of its use in pediatric oncology. vEvid Based Complement Alternat Med. 2013;2013:527163. doi: 10.1155/2013/527163

  324. Votova K, Wister AV.
    Self-care dimensions of complementary and alternative medicine use among older adults.
    Gerontology. 2006;53:21–27. doi: 10.1159/000095681

  325. Waalen DP, White TP, Waalen JK:
    Demographic and clinical characteristics of chiropractic patients : a five year study of patients treated at the Canadian Memorial Chiropractic College.
    1994, 38:75–82.

  326. Waalen JK, Mior SA.
    Practice patterns of 692 Ontario chiropractors ( 2000 – 2001 )
    J Can Chiropr Assoc. 2005;49:21–31

  327. Wahner-Roedler DL, Elkin PL, Vincent A, Thompson JM, TH O, Loehrer LL.
    CAM THERAPIES FOR PATIENTS WITH FIBROMYALGIA Use of Complementary and Alternative Medical Therapies by Patients Referred to a Fibromyalgia Treatment Program at a Tertiary Care Center.
    Mayo Clin Proc. 2005;80:55–60. doi: 10.1016/S0025-6196(11)62958-3

  328. Walker BF, Muller R, Grant WD.
    Low Back Pain in Australian Adults. Health Provider Utilization and Care Seeking.
    J Manipulative Physiol Ther. 2004;27:327–335. doi: 10.1016/j.jmpt.2004.04.006

  329. Wall GC, Krypel LL, Miller MJ, Rees DM.
    A pilot study of complementary and alternative medicine use in patients with fibromyalgia syndrome.
    Pharm Pract (Granada) 2007;5:185–190. doi: 10.4321/S1886-36552007000400008

  330. Walsh M. A
    Study of Patients and Patient Complaints at Chiropractic Teaching Clinics.
    Chiropr J Aust. 1992;22:61–64.

  331. Walsh M, Jamison JR.
    A Comparison of Patients and Patient Complaints at Chiropractic Teaching Clinics and Private Clinics.
    Chiropr J Aust. 1992;22:87–91.

  332. Wang S-M, Caldwell-Andrews AA, Kain ZN.
    The Use of Complementary and Alternative Medicines by Surgical Patients: A Follow-Up Survey Study.
    Anesth Analg. 2003:1010–5

  333. Wang S-M, De ZP, Fermo L, William K, Caldwell-Andrews AA, Bravemen F, Kain ZN.
    Complementary and Alternative Medicine for Low-Back Pain in Pregnancy: A Cross-Sectional Survey.
    J Altern Complement Med. 2005;11:459–464. doi: 10.1089/acm.2005.11.459

  334. Ward J, Humphries K, Coats J, Whitfield P.
    Attributes of non-hispanic blacks that use chiropractic health care: A survey of patients in texas and louisiana.
    J Chiropr Med. 2015;14:15–23. doi: 10.1016/j.jcm.2015.02.002

  335. Watanabe H, Horiguchi I, Hayasaka S, Hagiwara K, Sugawara R, Inoue H, Takeshita K.
    Determining the general utilization and characteristics of orthopedic complementary and alternative medicine using a self-administered online questionnaire in Japan.
    J Orthop Sci. 2015;20:547–550. doi: 10.1007/s00776-015-0708-6

  336. Weeks WB, Goertz CM, Meeker WC, Marchiori DM.
    Public Perceptions of Doctors of Chiropractic: Results of a National Survey and Examination of Variation According to Respondents’ Likelihood to Use Chiropractic, Experience With Chiropractic, and Chiropractic Supply in Local Health Care Markets.
    J Manipulative Physiol Ther. 2015;38:533–544. doi: 10.1016/j.jmpt.2015.08.001

  337. Weigel PA, Hockenberry J, Bentler SE, Wolinsky FD.
    The comparative effect of episodes of chiropractic and medical treatment on the health of older adults.
    J Manipulative Physiol Ther. 2014;37:143–154. doi: 10.1016/j.jmpt.2013.12.009

  338. Weigel PA, Hockenberry J, Bentler S, Wolinsky FD.
    Chiropractic use and changes in health among older medicare beneficiaries: A comparative effectiveness observational study.
    J Manipulative Physiol Ther. 2013;36:572–584. doi: 10.1016/j.jmpt.2013.08.008

  339. Weigel PA, Hockenberry JM, Wolinsky FD.
    Chiropractic Use in the Medicare Population: Prevalence, Patterns, and Associations
    With 1-year Changes in Health and Satisfaction With Care

    J Manipulative Physiol Ther 2014 (Mar); 37 (8): 542-551

  340. Weigel P, et al.
    A Longitudinal Study of Chiropractic Use Among Older Adults in the United States
    Chiropractic & Osteopathy 2010 (Dec 21);   18:   34

  341. Whedon JM, Song Y.
    Geographic variations in availability and use of chiropractic under medicare.
    J Manipulative Physiol Ther. 2012;35:101–109. doi: 10.1016/j.jmpt.2011.12.004

  342. Whedon JM, Song Y, Davis MA, Lurie JD.
    Use of Chiropractic Spinal Manipulation in Older Adults is Strongly Correlated with Supply
    Spine (Phila Pa 1976). 2012 (Sep 15);   37 (20):   1771–1777

  343. Whedon JM, Kimura MN, Phillips RB.
    Racial Disparities in Use of Chiropractic Services by Medicare Beneficiaries Aged 65 to 99 in Los Angeles County, California.
    J Evid Based Complementary Altern Med. 2015;21:131–137. doi: 10.1177/2156587215604784

  344. Whedon J, Song Y.
    Racial Disparities in the Use of Chiropractic Care Under Medicare.
    Altern Ther Health Med. 2012;18:20–26

  345. White MR, Jacobson IG, Smith B, Wells TS, Gackstetter GD, Boyko EJ, Smith TC.
    Health care utilization among complementary and alternative medicine users in a large military cohort.
    BMC Complement Altern Med. 2011;11:27. doi: 10.1186/1472-6882-11-27

  346. Whitlock E.
    Use of Complementary and Alternative Medical Services by HMO Members, 1995-1996.
    Complement Health Pract Rev. 2001;7:85–98. doi: 10.1177/153321010100700202

  347. Wilkinson JM, Simpson MD.
    High use of complementary therapies in a New South Wales rural community.
    Aust J Rural Heal. 2001;9:166–171. doi: 10.1046/j.1038-5282.2001.00351.x

  348. Wilson FA, Licciardone JC, Kearns CM, Akuoko M.
    Analysis of provider specialties in the treatment of patients with clinically diagnosed back and joint problems.
    J Eval Clin Pract. 2015;21:952–957. doi: 10.1111/jep.12411

  349. Wolinsky FD, Liu L, Miller TR, Geweke JF, Cook EA, Greene BR, Wright KB.
    The use of chiropractors by older adults in the United States.
    Chiropr Osteopat. 2007;15:12. doi: 10.1186/1746-1340-15-12

  350. Xu K, Farrell T.
    The complementarity and substitution between unconventional and mainstream medicine among racial and ethnic groups in the United States.
    Health Serv Res. 2007;42:811–826. doi: 10.1111/j.1475-6773.2006.00628.x

  351. Xue CCL, Zhang AL, Lin V, Myers R, Polus B, Story DF.
    Acupuncture, chiropractic and osteopathy use in Australia: a national population survey.
    BMC Public Health. 2008;8:105. doi: 10.1186/1471-2458-8-105

  352. Yakirevitch A, Bedrin L, Migirov L, Wolf M, Talmi Y.
    Use of Alternative Medicine in Israeli Chronic Rhinosinusitis Patients.
    J Otolaryngol. 2009;38:517–520

  353. Yang ZC, Yang SH, Yang SS, Chen DS.
    A hospital-based study on the use of alternative medicine in patients with chronic liver and gastrointestinal diseases.
    Am J Chin Med. 2002;30:637–643. doi: 10.1142/S0192415X02000569

  354. Yussman SM, Ryan SA, Auinger P, Weitzman M.
    Visits to Complementary and Alternative Medicine Providers by Children and Adolescents in the United States.
    Ambul Pediatr. 2004;4:429–435. doi: 10.1367/A03-091R1.1

  355. Zhang AL, Xue CCL, Lin V, Story DF.
    Complementary and alternative medicine use by older Australians.
    Ann N Y Acad Sci. 2007;1114:204–215. doi: 10.1196/annals.1396.032

  356. Zhang Y, Jones B, Ragain M, Spalding M, Mannschreck D, Young R.
    Complementary and alternative medicine use among primary care patients in west texas.
    South Med J. 2008;101:1232–1237. doi: 10.1097/SMJ.0b013e3181840bc5

  357. Zodet M, Stevans J.
    The 2008 Prevalence of Chiropractic Use in the US Adult Population.
    J Manipulative Physiol Ther. 2012;35:580–588. doi: 10.1016/j.jmpt.2012.10.001

  358. Zun LS, Gossman W, Lilienstein D, Downey L.
    Patients’ self-treatment with alternative treatment before presenting to the ED.
    Am J Emerg Med. 2002;20:473–475. doi: 10.1053/ajem.2002.34963

  359. Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, et al.
    Trends in Alternative Medicine Use in the United States,
    from 1990 to 1997: Results of a Follow-up National Survey

    JAMA 1998 (Nov 11); 280 (18): 1569–1575

  360. Woolton J, Sparber A.
    Surveys of complementary and alternative medicine: part I. General trends and demographic groups.
    J Altern Complement Med. 2001;7:195–208. doi: 10.1089/107555301750164307

  361. K?tle H, Tamamlayici B:
    Complementary and Alternative Medicine.
    Fraser Inst 2017(April):1–87.

  362. Elder C, DeBar L, Ritenbaugh C, Aickin M, Deyo R, Meenan R, Dickerson J, Webster J, Yarborough B:
    Acupuncture and chiropractic utilization among chronic musculoskeletal pain patients at a health maintenance organization.
    BMC Complement Altern Med 2012, 12(Suppl 1):P279.

  363. Zheng Z, Xue CCL.
    Pain Research in Complementary and Alternative Medicine in Australia: A Critical Review.
    J Altern Complement Med. 2013;19:81–91. doi: 10.1089/acm.2011.0233

  364. Barnes, PM and Bloom, BS.
    Complementary and Alternative Medicine Use Among Adults and Children: United States, 2007
    US Department of Health and Human Services,
    Centers for Disease Control and Prevention,
    National Center for Health Statistics, Hyattsville, MD, 2008.

  365. Paige NM, Myiake-Lye IM, Booth MS, et al.
    Association of Spinal Manipulative Therapy With Clinical Benefit and Harm
    for Acute Low Back Pain: Systematic Review and Meta-analysis

    JAMA. 2017 (Apr 11); 317 (14): 1451–1460

  366. Bussieres A, Stewart G, Al Zoubi F, Decina P, Descarreaux M, Hayden J.
    The treatment of whiplash and neck pain associated disorders: Canadian Chiropractic Guideline Initiative clinical practice guidelines.
    J Manip Physiol Ther. 2016;39:523–604. doi: 10.1016/j.jmpt.2016.08.007

  367. Chou R, Qaseem A, Snow V, Casey D, Cross JT Jr., Shekelle P, Owens DK:
    Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline
    from the American College of Physicians and the American Pain Society

    Annals of Internal Medicine 2007 (Oct 2); 147 (7): 478–491

  368. Wong JJ, Cote P, Sutton DA, et al.
    Clinical Practice Guidelines for the Noninvasive Management of Low Back Pain: A Systematic Review
    by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration

    European J Pain 2017 (Feb); 21 (2): 201–216

  369. Harris SP, Gould R, Fujiura G.
    Enhancing rigor and practice of scoping reviews in social policy research : Considerations from a worked example on the Americans with Disabilities Act.
    Work. 2015;50:323–334

  370. Rumrill PD, Fitzgerald SM, Merchant WR.
    Using scoping literature reviews as a means of understanding and interpreting existing literature.
    Work. 2010;35:399–404

  371. Pham MT, Raji? A, Greig JD, Sargeant JM, Papadopoulos A, McEwen S A.:
    A scoping review of scoping reviews: advancing the approach and enhancing the consistency.
    Res Synth Methods 2014(January):p 15+

  372. Anderson S, Allen P, Peckham S, Goodwin N.
    Asking the right questions: scoping studies in the commissioning of research on the organisation and delivery of health services.
    Health Res Policy Syst. 2008;6:7. doi: 10.1186/1478-4505-6-7

  373. Green BN.
    Improvements in The Journal of Chiropractic Education for 2013.
    J Chiropr Educ. 2013;27:1–4. doi: 10.7899/JCE-13-100

  374. Njelesani J, Couto S, Cameron D.
    Disability and rehabilitation in Tanzania: a review of the literature.
    Disabil Rehabil. 2011;33:2196–2207. doi: 10.3109/09638288.2011.563817

  375. McColl MA, Shortt S, Godwin M, Smith K, Rowe K, O’Brien P, Donnelly C.
    Models for Integrating Rehabilitation and Primary Care: A Scoping Study.
    Arch Phys Med Rehabil. 2009;90:1523–1531. doi: 10.1016/j.apmr.2009.03.017



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