The Appropriateness of Spinal Manipulation for Low-Back Pain
Indications and Ratings by a Multidisciplinary Expert Panel
This report contains the indications and ratings for appropriateness for spinal manipulation that reflect the findings of a nine-member panel of back-pain experts. The panel members rated the appropriateness of indications twice, using a nine-point scale. The initial ratings of appropriateness were done individually and without group discussion. The second-round ratings used a structured method based on consensus procedures. The results showed that these physicians were able to formulate detailed lists of indications for spinal manipulation for low-back pain and rate their appropriateness. There was an increase in agreement and a decrease in disagreement between the initial round and the final round. The final round rated 1,550 indications, and there was agreement on 36 percent and disagreement on 12 percent of the indications. The level of disagreement was somewhat less than in previous ratings of medical procedures by all-medical panels.
Download eBook for Free
|PDF file||3.6 MB||
Use Adobe Acrobat Reader version 7.0 or higher for the best experience.
- Copyright: RAND Corporation
- Availability: Available
- Print Format: Paperback
- Paperback Pages: 110
- List Price: $30.00
- Paperback Price: $24.00
- Paperback ISBN/EAN: 0-8330-1145-6
- Document Number: R-4025/2-CCR/FCER
- Year: 1991
- Series: Reports
This report is part of the RAND Corporation report series. The report was a product of the RAND Corporation from 1948 to 1993 that represented the principal publication documenting and transmitting RAND's major research findings and final research.
Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.
The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.