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Musculoskeletal Disorders

Journal Article
Hyaluronic Acid Injection Therapy for Osteoarthritis of the Knee: Concordant Efficacy and Conflicting Serious Adverse Events in Two Systematic Reviews
A lack of standards for reporting and synthesizing adverse events associated with common treatments can lead to conflicting conclusions about the balance of their benefits and harms.
Nov 28, 2016
Journal Article
Cost-effectiveness of Combined Oral Bisphosphonate Therapy and Falls Prevention Exercise for Fracture Prevention in the USA
For white women aged 75-80, 1 year of exercise and 5 years of bisphosphonate therapy are effective at preventing osteoporitic fractures.
Oct 27, 2016
Journal Article
Mindfulness Meditation for Chronic Pain: Systematic Review and Meta-Analysis
Chronic pain patients increasingly seek treatment through mindfulness meditation. This study aims to synthesize evidence on efficacy and safety of mindfulness meditation interventions for the treatment of chronic pain in adults.
Oct 7, 2016
Report
Mindfulness Meditation for Chronic Pain: A Systematic Review
RAND researchers conducted a systematic review that synthesized evidence from trials of mindfulness meditation interventions to provide estimates of their efficacy and safety in alleviating chronic pain.
Oct 4, 2016
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
Essay
Science and the Healing Arts
Americans spend billions of dollars out of pocket seeking relief from chronic conditions in alternative schools of health, such as acupuncture or chiropractic. What would it take to more fully integrate such practices into the mainstream?
Apr 29, 2016
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
Research Brief
Advancing Complementary and Alternative Medicine Professions: Practitioners Face Many Policy Hurdles to Finding Their Place in Mainstream Medicine
The policy challenges associated with coverage, licensure, scope of practice, institutional privileges, and research may prevent complementary and alternative medicine professionals from practicing to the full extent of their capabilities.
Feb 8, 2016
Journal Article
Development of System-Level Performance Measures for Evaluation of Models of Care for Inflammatory Arthritis in Canada
This study aims to develop system-level performance measures for evaluating the care of patients with inflammatory arthritis (IA), including rheumatoid arthritis (RA), psoriatic arthritis, ankylosing spondylitis, and juvenile idiopathic arthritis.
Jan 25, 2016
Commentary
More Research Is Needed on Artificial Joints and Patients Can Play a Key Role
Safety problems with artificial knees and hips, including product recalls, highlight the need for more patient-centered research. RAND has partnered with CreakyJoints in a project intended to train a group of patients to get involved in research on this topic.
Jan 22, 2016
Journal Article
Development of Key Performance Indicators to Evaluate Centralized Intake for Patients with Osteoarthritis and Rheumatoid Arthritis
The aim of this study was to develop key performance indicators (KPIs) to evaluate centralized intake systems for patients with osteoarthritis (OA) and rheumatoid arthritis (RA).
Nov 30, 2015
Report
Policy Implications of Complementary and Alternative Medicine Definitions
Complementary and alternative medicine (CAM) treats the whole person, but political definitions of CAM have focused only on treatment methods. Policies that impact patient access and care need to consider the full scope of CAM professions.
Oct 2, 2015
Journal Article
Out-of-pocket Expenditures on Complementary Health Approaches Associated with Painful Health Conditions in a Nationally Representative Adult Sample
National surveys suggest that millions of adults in the United States use complementary health approaches such as acupuncture, chiropractic manipulation, and herbal medicines to manage painful conditions such as arthritis, back pain and fibromyalgia.
Sep 14, 2015
Journal Article
Development of Cardiovascular Quality Indicators for Rheumatoid Arthritis: Results from an International Expert Panel Using a Novel Online Process
Patients with rheumatoid arthritis (RA) have a high risk of premature cardiovascular disease (CVD).
Jul 24, 2015
Journal Article
Urological Surveillance and Medical Complications After Spinal Cord Injury in the United States
Urological complications are common in SCI who receive Medicare. Most of these patients with SCI are not receiving even the minimum recommended surveillance for these urological complications.
Jul 15, 2015
Journal Article
Bundled Payments Fall Short in California
Despite widespread interest in bundled payments as a strategy to control health care costs, implementation efforts continue to disappoint. A pilot program in California failed to meet its goals, succumbing to recruitment challenges, regulatory uncertainty, administrative burden, and concerns about financial risk.
Aug 4, 2014
Journal Article
Comparison of Complementary and Alternative Medicine with Conventional Mind–body Therapies for Chronic Back Pain: Protocol for the Mind–body Approaches to Pain (MAP) Randomized Controlled Trial
Cognitive-behavioral therapy (CBT), which addresses psychosocial factors, has been found to be effective for back pain, but access to qualified therapists is limited. Another treatment option with potential for addressing psychosocial issues, mindfulness-based stress reduction (MBSR), is increasingly available.
Jun 1, 2014
Journal Article
Variation in the Spillover Effects of Illness on Parents, Spouses, and Children of the Chronically Ill
Given the broad scope of the spillover effects of illness, it is important to characterize the variability in these outcomes to identify relationship types in which secondary impacts of illness are particularly important to include in health economic evaluations.
Apr 1, 2014
Journal Article
Yoga Vs. Physical Therapy Vs. Education for Chronic Low Back Pain in Predominantly Minority Populations: Study Protocol for a Randomized Controlled Trial
Several randomized controlled trials show yoga is an effective treatment. However, the comparative effectiveness of yoga and physical therapy, a common mainstream treatment for chronic low back pain, is unknown.
Feb 1, 2014
Journal Article
Patients with Multiple Health Conditions Have Lower Health-Related Quality of Life
Patients with multi-morbid diabetes, arthritis, neurological, or long-term mental health problems have significantly lower health-related quality of life (HRQoL) than other people. The associations of physical health with HRQoL were stronger in the presence of long-term mental health problems.
Jan 1, 2014

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