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Musculoskeletal Disorders

Essay

Giving Patients a Voice in Medical Guidelines

Clinical guidelines are the user manuals of modern medicine. They can dictate insurance coverage and help hospitals set quality standards. Yet they often lack the perspective of those who care the most about good treatment: patients and their caregivers. Researchers are working to change that.

Dec 31, 2019
Journal Article

Journal Article

Depression Subtypes in Persons with or at Risk for Symptomatic Knee Osteoarthritis

Among persons with or at-risk for symptomatic knee OA, there is evidence of depression subtypes characterized by distinct clusters of depressive symptoms that have differential effects on reports of pain and disability overtime.

Jun 14, 2019
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

Manipulation and Mobilization for Treating Chronic Nonspecific Neck Pain: A Systematic Review and Meta-Analysis for an Appropriateness Panel

The purpose of this systematic review was to evaluate the randomized controlled trials published from January 2000 through September 2017 on chronic nonspecific neck pain, comparing the effects of manipulation and/or mobilization as therapies to those of other active therapies (such as acupuncture, massage therapy, exercise, etc.) to sham or no treatment, and when combined with other therapies such as exercise or advice commonly seen in practice.

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
Journal Article

Journal Article

Pain Severity as a Mediator of the Association Between Depressive Symptoms and Physical Performance in Knee Osteoarthritis

This study examined whether pain severity mediates the association between depressive symptoms and physical performance in persons with radiographic knee osteoarthritis.

Feb 7, 2019
Journal Article

Journal Article

Estimating the Returns to United Kingdom Publicly Funded Musculoskeletal Disease Research in Terms of Net Value of Improved Health Outcomes

Building on an approach applied to cardiovascular and cancer research, we estimated the economic returns from UK public and charitable-funded musculoskeletal disease research that arise from the net value of the improved health outcomes in the UK.

Nov 8, 2018
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

How Does Sagittal Imbalance Affect the Appropriateness of Surgical Indications and Selection of Procedure in the Treatment of Degenerative Scoliosis? Findings from the RAND/UCLA Appropriate Use Criteria Study

Sagittal imbalance -- an imbalance in the spine causing forward displacement of the head -- is a major factor affecting both whether surgery is appropriate and which procedure is preferred among patients with degenerative lumbar scoliosis.

Apr 26, 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

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Research conducted by

RAND Health Care