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Table of results for back pain papers. |
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| Author |
Reference |
Design |
N/Np |
Main Results |
|
|
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| Hurwitz |
5 |
Random sample of chiropractors from 6 sites |
185/131 (70%) |
68% of charts documented care for LBP; SMT was documented in 83% of charts. Chiropractic use rate has doubled in the past 15 years. |
| Shekelle |
6 |
Analysis of insurance claims forms from 6 sites |
5279 |
Visit rate for chiropractic was 41 per 100 person-years and rate of use of 7.5% |
| Cote |
8 |
Mail survey |
2184/1131 (55%) |
People seeking care for back pain have worse health care status than those who do not. |
| Kelner |
9 |
Interviews |
300 |
87% of chiropractic patients sought care for LBP, with 77% believing their health care problem was serious in nature. |
| Walker |
10 |
Mail survey |
1768/1913 (69.1%) |
55.5% of respondents with LBP in past 6 months did not seek care for it. Increased care seeking was associated with greater pain and disability, fear of pain impacting future activities, and female sex. |
| Sherman |
11 |
Telephone interviews |
249 |
Chiropractic was used the highest percentage of patients (54%); chiropractic patients had the highest rate of treatment-related discomfort of all groups. |
| Caswell |
12 |
Self-reporting questionnaires |
150 |
36% of the conventional therapy group had used at least 1 CAM therapy, while 62 of people in the CAM group had used conventional care. The higher the sociodemographic group, the likelier you were to use CAM. |
| Sundararajan |
13 |
Prospective cohort study |
1580 |
Factors associated with seeing multiple providers included presence of sciatica, higher Roland-Morris score, days to functional recovery and duration of pain prior to first visit. |
| Scheumier |
14 |
Retrospective/prospective observational study |
194 retrospective; 344 prospective |
There was a substantial shift of referrals to manipulation practitioners under the scheme. Prospective patients had fewer referrals to secondary care, less drug use, and fewer certififed sickness days. Chiropractors used more x-ray than other practitioners. |
| Jamison |
15 |
Mail survey |
820/230 (27%) |
Referral for visceral conditions met with little support; referral for LBP with frequent support |
| Leboeuf-Yde |
16 |
Patient interviews by chiropractors |
96/66 (66%) |
82% of patients sought care for LBP; few sought care for visceral problems; most patients had short-term problems. |
| Cherkin |
17 |
Random sample survey |
Acu: 217/133 (61%) Chiro: 205/130 (63%) MT: 226/126 (56%) Naturo:170/99 (58%) |
For chiropractic: woman made up 60% of visits; children 4%; older folks 20%; African American and Hispanic <10%; 80% of visits were by self referral; DCs provided equal amounts of chronic and acute care; back symptoms most common reason for seeking care. |
| Feuerstein |
19 |
Analysis of National Medical Expenditure Studies |
Percentage of people receiving chiropractic care was lower in 1997 compared to 1987, while percent of those receiving physical therapy grew. |
|
| Mayer |
22 |
Mail survey |
450/158 (35%) |
~75% of chiropractors use 6 or more exercises for treating patients with LBP |
| Whitman |
23 |
Interviews |
131 |
There was a significant interaction between time and specialty certification status, but this disappeared on regression analysis. |
| Smith |
24 |
Claims data analysis |
9314 care episodes |
Total payments within and across episodes were much greater for medically initiated episodes compared to chiropractic ones. |
Lawrence and Meeker Chiropractic & Osteopathy 2007 15:2 doi:10.1186/1746-1340-15-2 |
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