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Musculoskeletal Disorders

Journal Article
Association Between Disease Progression and Depression Onset in Persons with Radiographic Knee Osteoarthritis
In summary, study findings indicate that greater structural disease severity and decreased physical performance increase the risk of depression onset among individuals with radiographic knee osteoarthritis.
Jun 25, 2020
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 5: Selection, Protection, and Abstraction
Of the records abstracted, many revealed incomplete provider documentation regarding the details of and rationale for care. Better documentation and more standardized record keeping would facilitate future research using patient records.
Jun 11, 2020
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 4: Putting Practice Back Into Evidence-based Practice by Recruiting Clinics and Patients
This study found that clinics can be successfully recruited for practice-based studies, and patients can be recruited using iPads. Obtaining patient records presents considerable challenges, and clinics varied in whether they had electronic files, nonelectronic records, or a mixture.
Jun 10, 2020
Journal Article
Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 3: Designing Instruments With Patient Input
This article documents the challenges and the efforts involved in designing data collection tools to facilitate the inclusion of patient data into appropriateness decisions.
Jun 10, 2020
Journal Article
Coping and Management Techniques Used by Chronic Low Back Pain Patients Receiving Treatment From Chiropractors
Persons with chronic back pain were proactive in their coping strategies and frequently used self-care coping strategies like those provided by chiropractors in patient education. In alignment with patients' beliefs that their condition was chronic and lifelong, many patients attempted a wide range of coping strategies to relieve their pain.
Jun 9, 2020
Journal Article
Group and Individual-level Change on Health-related Quality of Life in Chiropractic Patients With Chronic Low Back or Neck Pain
This study suggests some benefits of chiropractic on functioning and well-being of patients with low back pain or neck pain.
Mar 31, 2020
Journal Article
Patient and Caregiver Perspectives on Guideline Adherence: The Case of Endocrine and Bone Health Recommendations for Duchenne Muscular Dystrophy
The purpose of this study is to explore factors that are likely to affect patient/caregiver adherence to endocrine and bone health recommendations for Duchenne Muscular Dystrophy (DMD).
Feb 14, 2020
Report
The Frequency and Economic Impact of Musculoskeletal Disorders for California Firefighters: Trends and Outcomes over the Past Decade
The authors update analyses from a 2010 study on firefighters in California and consider the impacts of the 2013 workers' compensation reforms and the economic shocks of the late 2000s on outcomes for firefighters with musculoskeletal disorders.
Jan 31, 2020
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
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
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
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
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
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
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
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
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
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
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
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

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RAND Health Care