Chiro.org - Chiropractic Resource Organization.     Support Chiropractic Research!

Chiro Org BLOG

Chiro Org BLOG

The Use of Complementary and Integrative Health Approaches for Chronic Musculoskeletal Pain in Younger US Veterans: An Economic Evaluation

By |March 25, 2020|Categories: Alternative Medicine, Cost-Effectiveness of Chiropractic|

The Use of Complementary and Integrative Health Approaches for Chronic Musculoskeletal Pain in Younger US Veterans: An Economic Evaluation

The Chiro.Org Blog


SOURCE:   PLoS One. 2019 (Jun 5); 14 (6): e0217831

Valerie F. Williams, MA, MS; Leslie L. Clark, PhD, MS; Mark G. McNellis, PhD

RAND Corporation,
Santa Monica, California,
United States of America.



OBJECTIVES:   To estimate the cost-effectiveness to the US Veterans Health Administration (VA) of the use of complementary and integrative health (CIH) approaches by younger Veterans with chronic musculoskeletal disorder (MSD) pain.

PERSPECTIVE:   VA healthcare system.

METHODS:   We used a propensity score-adjusted hierarchical linear modeling (HLM), and 2010-2013 VA administrative data to estimate differences in VA healthcare costs, pain intensity (0-10 numerical rating scale), and opioid use between CIH users and nonusers. We identified CIH use in Veterans’ medical records through Current Procedural Terminology, VA workload tracking, and provider-type codes.

There are more articles like this @ our:

Chiropractic Care For Veterans Page

(more…)

Documentation Supporting Chiropractic Maintenance Care

By |March 20, 2020|Categories: Maintenance Care|

Documentation Supporting Chiropractic Maintenance Care

The Chiro.Org Blog


SOURCE:   Our Maintenance Care Page

Anthony L. Rosner, Ph.D., LL.D.[Hon.], LLC



As part of a comprehensive geriatric assessment program, the RAND Corporation studied a subpopulation of patients who were under chiropractic care compared to those who were not and found that the individuals under continuing chiropractic care were:

  • Free from the use of a nursing home   [95.7% vs 80.8%];
  • Free from hospitalizations for the past 23 years   [73.9% vs 52.4%];
  • More likely to report a better health status;
  • More likely to exercise vigorously;
  • More likely to be mobile in the community   [69.6% vs 46.8%].

Recipients of chiropractic care reported better overall health, spent fewer days in hospitals and nursing homes, used fewer prescription drugs, and were more active than the nonchiropractic patients.

Although it is impossible to clearly establish causality, it is clear that continuing chiropractic care is among the attributes of the cohort of patients experiencing substantially fewer costly healthcare interventions. [1]


A second review of a larger cohort of elderly patients across the United States compared direct expenditures [hospital care, physicians’ services, nursing home] between groups of patients who were under maintenance chiropractic care and those who were not.

Nearly a threefold savings of mean annual expenditures was reported as follows:

  • $ 3,105 : Maintenance care
  • $10,041 : No maintenance care [2]

One study involving elderly populations reviewed the consequences of implementing an on-site industrial chiropractic program which included the early detection, treatment, prevention and occupational management of musculoskeletal injuries 2 days per week.

There are more articles like this @ our:

MAINTENANCE CARE Page

(more…)

Impact of Chiropractic Care on Use of Prescription Opioids in Patients with Spinal Pain

By |March 14, 2020|Categories: Spinal Pain|

Impact of Chiropractic Care on Use of Prescription Opioids in Patients with Spinal Pain

The Chiro.Org Blog


SOURCE:   Pain Med. 2020 (Mar 6) [Epub]

James M. Whedon, DC, MS, Andrew W. J. Toler, MS, Louis A. Kazal, MD, Serena Bezdjian, PhD, Justin M. Goehl, DC, MS et al.

Southern California University of Health Sciences,
Whittier, California.


OBJECTIVE:   Utilization of nonpharmacological pain management may prevent unnecessary use of opioids. Our objective was to evaluate the impact of chiropractic utilization upon use of prescription opioids among patients with spinal pain.

DESIGN AND SETTING:   We employed a retrospective cohort design for analysis of health claims data from three contiguous states for the years 2012-2017.

SUBJECTS:   We included adults aged 18-84 years enrolled in a health plan and with office visits to a primary care physician or chiropractor for spinal pain. We identified two cohorts of subjects: Recipients received both primary care and chiropractic care, and nonrecipients received primary care but not chiropractic care.

METHODS:   We performed adjusted time-to-event analyses to compare recipients and nonrecipients with regard to the risk of filling an opioid prescription. We stratified the recipient populations as: acute (first chiropractic encounter within 30 days of diagnosis) and nonacute (all other patients).

There are more articles like this @ our:

SPINAL PAIN MANAGEMENT Page

(more…)

Diagnostic Accuracy of Videofluoroscopy for Symptomatic Cervical Spine Injury Following Whiplash Trauma

By |March 12, 2020|Categories: Videofluoroscopy, Whiplash|

Diagnostic Accuracy of Videofluoroscopy for Symptomatic Cervical Spine Injury Following Whiplash Trauma

The Chiro.Org Blog


SOURCE:   Int J Environ Res Public Health. 2020 (Mar 5); 17 (5): E1693

Michael D. Freeman, Evan A. Katz, Scott L. Rosa, Bryan G. Gatterman, Ellen M. F. Strömmer, and Wendy M. Leith

CAPHRI School for Public Health and Primary Care,
Faculty of Health, Medicine, and Life Sciences,
Maastricht University, 6211 LM
Maastricht, The Netherlands.


BACKGROUND:   Intervertebral instability is a relatively common finding among patients with chronic neck pain after whiplash trauma. Videofluoroscopy (VF) of the cervical spine is a potentially sensitive diagnostic tool for evaluating instability, as it offers the ability to examine relative intervertebral movement over time, and across the entire continuum of voluntary movement of the patient. At the present time, there are no studies of the diagnostic accuracy of VF for discriminating between injured and uninjured populations.

METHODS:   Symptomatic (injured) study subjects were recruited from consecutive patients with chronic (>6 weeks) post-whiplash pain presenting to medical and chiropractic offices equipped with VF facilities. Asymptomatic (uninjured) volunteers were recruited from family and friends of patients. An ethical review and oversight were provided by the Spinal Injury Foundation, Broomfield, CO.

There are more articles like this @ our:

Radiology Page and the:

Whiplash Page

(more…)

Our Blog is Just a Tool. Learn How To Use It Now

By |March 6, 2020|Categories: Announcement|

Our Blog is Just a Tool.
Learn How To Use It Now.

The Chiro.Org Blog


SOURCE:   A Chiro.Org Editorrial


Every Blog post is an announcement of new material that was just added to one of our many Sections.

I have been compiling (and archiving) peer-reviewed articles since early 1996, and to date we have almost 6,000 Abstracts, and hundreds of Full-Text articles on a wide variety of subjects.

When enough material, relating to a particular topic was collected, it was gathered into a new Topical Page in one of our many Sections.

Each Topical page is located in the Section most associated with that topic. Thus, our Attention Deficit Page is located (is a part of) our Pediatrics Section   You get the idea.

Almost ALL of our Sections contain some, or many Topical collections. The LINKS Section is the most extreme example, because it contains 93 different topical pages.

All of the following are “active” Sections that are constantly adding new (and important) materials:

Acupuncture
Alternative Healing Abstracts
Case Studies
Chiropractic Assistants
Chiropractic Research
Documentation
The LINKS
Medicare Info
Nutrition
Pediatrics
Radiology
Stroke and Chiropractic Page
What is the Chiropractic Subluxation?

These other valuable Sections are “archival” in nature, and contain valuable tools for you to use freely:

Chiropractic History
Free Images
New DC’s
Office Forms
R.C. Schafer’s Rehab Monographs
Search Section


How Blog Posts Work

The following is a Graphic “screen grab” of a Blog Post from our Home Page.


(more…)

Treatment of Patients with Low Back Pain: A Comparison of Physical Therapy and Chiropractic Manipulation

By |March 5, 2020|Categories: Cost-Effectiveness of Chiropractic|

Treatment of Patients with Low Back Pain: A Comparison of Physical Therapy and Chiropractic Manipulation

The Chiro.Org Blog


SOURCE:   Healthcare (Basel). 2020 (Feb 24); 8 (1): E44

Nima Khodakarami

Department of Health Policy and Management,
Texas A&M University,
College Station, TX 77843, USA.



Low back pain (LBP) is a pandemic and costly musculoskeletal condition in the United States (U.S.). Patients with LBP may endure surgery, injections, and expensive visits to emergency departments. Some suggest that using physical therapy (PT) or chiropractic in the earlier stage of LBP reduces the utilization of expensive health services and lowers the treatment costs. Given that there are costs and benefits with each of these treatments, the remaining question is in a short period of time which of these treatments is optimal. The purpose of this study was to investigate the cost-effectiveness of chiropractic versus PT in the U.S. A decision tree analytic model was used for estimating the economic outcomes. The findings showed that the total average cost in the chiropractic group was $48.56 lower than the PT group. The findings also showed that the daily adjusted life years (DALY) in the chiropractic group was 0.0043 higher than the PT group. Chiropractic care was shown to be a cost-effective alternative compared with PT for adults with at least three weeks of LBP over six months.

KEYWORDS:   Keywords: chiropractic; physical therapy; treatment outcome; low back pain; therapy; economics; patient satisfaction; recurrence; health care costs; illness

There are more articles like this @ our:

Cost-Effectiveness of Chiropractic Page

(more…)