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Lower-Back Pain

Journal Article

Journal Article

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

Chronic pain is prevalent among Veterans in general, but especially among younger Veterans, including participants in Operation Enduring Freedom, Operation Iraqi Freedom and Operation New Dawn. Musculoskeletal pain is the most common type of chronic pain. This pain also often co-occurs with conditions such as anxiety, depression, post-traumatic stress disorder, and substance abuse.

Jun 11, 2019
Journal Article

Journal Article

Use of Complementary and Integrated Health: A Retrospective Analysis of U.S. Veterans with Chronic Musculoskeletal Pain Nationally

This article addresses the use of a variety of nonherbal CIH therapies among any large patient population having chronic pain by exploring the frequency and predictors of CIH therapy use among a national population of VHA users with chronic musculoskeletal pain.

Jun 11, 2019
Journal Article

Journal Article

Characteristics of Chiropractic Patients Being Treated for Chronic Low Back and Neck Pain

This study describes the characteristics of a large sample of chronic low back pain and chronic neck pain patients in the United States who use chiropractic care for their chronic low back pain and chronic neck pain.

Jun 11, 2019
Journal Article

Journal Article

Yoga Versus Education for Veterans with Chronic Low Back Pain: Study Protocol For a Randomized Controlled Trial

This study will help determine if yoga can become an effective treatment for Veterans with chronic low back pain and psychological comorbidities.

Jun 11, 2019
Journal Article

Journal Article

Patient Willingness to Pay for Reductions in Chronic Low Back Pain and Chronic Neck Pain

This study provides estimates of reported WTP for pain reduction from a large sample of patients using chiropractic care to manage their chronic spinal pain and compares these estimates to what these patients do for care over the next 3 months, to inform coverage policies for ongoing care.

Jun 10, 2019
Journal Article

Journal Article

Are Nonpharmacologic Interventions for Chronic Low Back Pain More Cost Effective Than Usual Care? Proof of Concept Results from a Markov Model

This study presents the results of a proof-of-concept modeling effort that utilized individual patient-level data from ten randomized studies and the categorization of these study's participants by chronic pain impact level to estimate the effectiveness and cost-effectiveness of adding recommended nonpharmacologic therapies for CLBP to usual care.

Jun 10, 2019
Journal Article

Journal Article

Clinical Scenarios for Which Spinal Mobilization and Manipulation Are Considered by an Expert Panel to Be Inappropriate (and Appropriate) for Patients With Chronic Low Back Pain

This study used the RUAM to determine the appropriateness of spinal mobilization and manipulation for different types of patients with CLBP, and the key patient characteristics associated with appropriateness.

Jun 10, 2019
Journal Article

Journal Article

Experiences With Chiropractic Care for Patients With Low Back or Neck Pain

This study provides information on the experiences of a national sample of chiropractic patients in the United States with chronic pain.

Jun 10, 2019
Journal Article

Journal Article

Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part I

In this series of articles, we describe how we gathered the varied and detailed data required to achieve the following study objectives: (1) to measure the appropriateness of M/M for CLBP and CCP and (2) to determine whether patient preferences and costs affect appropriateness, and further, whether appropriateness affects outcomes.

Jun 10, 2019
Journal Article

Journal Article

Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 2: What Every Researcher and Practitioner Should Know About the Health Insurance Portability and Accountability Act and Practice-based Research in the United States

In this series of articles, we describe how we gathered the varied and detailed data required to achieve the following study objectives: (1) to measure the appropriateness of M/M for CLBP and CCP and (2) to determine whether patient preferences and costs affect appropriateness, and further, whether appropriateness affects outcomes.

Jun 10, 2019
Report

Determining the Appropriateness of Spinal Manipulation and Mobilization for Chronic Low Back Pain

As part of a larger study, back pain experts discussed and rated the appropriateness of spinal manipulation and mobilization for chronic low back pain. Ratings were higher for mobilization than manipulation, and rates of agreement increased after panelists met to discuss the issues.

Jul 24, 2018
Journal Article

Medical Care Spending and Labor Market Outcomes: Evidence from Workers' Compensation Reforms

Following workers' compensation reforms in California, workers with low back injuries received less medical care, leading to an 8% drop in post-injury earnings relative to other injured workers. These results suggest that medical spending can impact health and that health affects labor outcomes.

May 2, 2018
Journal Article

Journal Article

Cognitive and Mind-Body Therapies for Chronic Low Back Pain and Neck Pain: Effectiveness and Value

A recent Institute for Clinical and Economic Review provides evidence that some cognitive and mind-body therapies are effective for chronic low back pain and also cost-effective.

Apr 18, 2018
Journal Article

Manipulation and Mobilization for Treating Chronic Low Back Pain

While both manipulation and mobilization may reduce pain and improve functioning for patients with chronic low back pain, manipulation appears to have a greater effect.

Mar 2, 2018
Report

Are Advanced Prosthetics Worth the Costs?

Prosthetic knees and feet allow for more-dynamic movements and improve user quality of life, but payers have recently started questioning their value for money. A simulation model can assess the clinical outcomes and costs of microprocessor-controlled knees compared with more traditional ones.

Sep 4, 2017
Periodical

Periodical

RAND Review: September-October 2017

This issue highlights recent RAND research on North Korea; RAND's future workspace pilot project; and insights on the post--Arab Spring experience in the Middle East.

Aug 24, 2017
Journal Article

Journal Article

Yoga, Physical Therapy, or Education for Chronic Low Back Pain: A Randomized Noninferiority Trial

A structured yoga program for patients with chronic lower back pain may be a reasonable alternative to physical therapy, depending on patient preferences, availability, and cost.

Aug 2, 2017
Journal Article

Journal Article

Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain: Systematic Review and Meta-analysis

The use of spinal manipulative therapy to treat acute lower back pain was associated with modest improvement in pain and function in this systematic meta-analysis of randomized controlled trials.

May 19, 2017
News Release

News Release

Cost Savings Possible from Reducing Use of Low-Value Health Services

The first national study to examine spending on a wide array of low-value health services among adults with commercial health insurance finds that while use of such services is modest, there is considerable potential for cost savings.

Aug 29, 2016
Journal Article

Journal Article

Assessment of Chiropractic Treatment for Active Duty, U.S. Military Personnel with Low Back Pain: Study Protocol for a Randomized Controlled Trial

This pragmatic comparative effectiveness trial will enroll 750 active duty service members with low back pain at three military treatment facilities within the United States

Feb 18, 2016

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