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>Lower-Back Pain

Lower-Back Pain

Lower-Back Pain

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Musculoskeletal Disorders

Report

Quality and Safety of Pain Care in the Military Health System

Mar 16, 2022
Research Brief

Spinal Manipulation for Chronic Lower Back or Neck Pain

Mar 12, 2021

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Journal Article

Apr 12, 2024

Predictors of Pain Management Strategies in Adults with Low-Back Pain: A Secondary Analysis of Amazon Mechanical Turk Survey Data

To evaluate the associations between demographics, health conditions, pain management strategies, and health-related quality-of-life measures with pain management strategies at 3-month follow-up in respondents reporting current low-back pain.
Journal Article

Apr 12, 2024

Dosing of Lumbar Spinal Manipulative Therapy and Its Association with Escalated Spine Care: A Cohort Study of Insurance Claims

The objective of this study was to evaluate the relationship between three distinct spinal manipulative therapy dose groups and escalated spine care by analyzing insurance claims from a cohort of patients with low back pain.
Research Brief

Jul 26, 2023

Delivering Exceptional Pain Care to Service Members

The Military Health System provides high-quality care to its service members with pain conditions, offering opioids and nonpharmacologic treatment in a manner largely consistent with recommended guidance. However, there opportunities for improvement.
Report

Mar 16, 2022

Assessing the Quality of Outpatient Pain Care and Opioid Prescribing in the Military Health System

Pain conditions are the leading cause of disability among active-duty service members. RAND conducted a comprehensive assessment of outpatient care for acute and chronic pain, including opioid prescribing, delivered by the Military Health System.
Journal Article

Feb 25, 2022

Measuring the Appropriateness of Spinal Manipulation for Chronic Low Back and Chronic Neck Pain in Chiropractic Patients

The RAND/UCLA Appropriateness Method is applied to chiropractic manipulation for patients with chronic low-back pain and chronic neck pain, to determine the rate of appropriate care provided by U.S. chiropractors.
Journal Article

Feb 25, 2022

Income as a Predictor of Self-Efficacy for Managing Pain and for Coping With Symptoms Among Patients With Chronic Low Back Pain

The purpose of this study was to evaluate pain self-efficacy (PSE) and coping self-efficacy (CSE) for people with chronic low back pain, and to assess whether lower income may be associated with less PSE and CSE in the U.S.
Journal Article

Feb 25, 2022

Predictors of Visit Frequency for Patients Using Ongoing Chiropractic Care for Chronic Low Back and Chronic Neck Pain: Analysis of Observational Data

An observational longitudinal study looking at visit frequency and outcomes for patients using ongoing chiropractic care for chronic low-back and neck pain.
Journal Article

Nov 19, 2021

Longitudinal Associations of PROMIS-29 Anxiety and Depression Symptoms With Low Back Pain Impact in a Sample of U.S. Military Service Members

This study examines longitudinal associations between psychological symptoms and the Impact Stratification Score among military service members.
Journal Article

Nov 19, 2021

Crosswalking the Patient-Reported Outcomes Measurement Information System Physical Function, Pain Interference, and Pain Intensity Scores to the Roland-Morris Disability Questionnaire and the Oswestry Disability Index

Using data from three large samples of adults with chronic low back pain, we examined associations of the three PROMIS scores with the Oswestry Disability Index and the Roland-Morris Disability Questionnaire.
Journal Article

Nov 19, 2021

Support for the Reliability and Validity of the National Institutes of Health Impact Stratification Score in a Sample of Active-Duty U.S. Military Personnel with Low Back Pain

This study provides support for the reliability and validity of the Impact Stratification Score as a patient-reported summary measure for acute, subacute, and chronic low back pain.
Research Brief

Mar 12, 2021

Chiropractors in the United States Rarely Perform Spinal Manipulation for Chronic Lower Back or Neck Pain When It Is Inappropriate

Across a sample of patients seen by chiropractors, spinal manipulation was rated by experts as appropriate for most patients with chronic lower back pain and as equivocal (uncertain) for most patients with chronic neck pain.
Journal Article

Dec 16, 2020

Update of Markov Model on the Cost-effectiveness of Nonpharmacologic Interventions for Chronic Low Back Pain Compared to Usual Care

Markov modeling facilitates comparisons across interventions for lower back pain not directly compared in trials.

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