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Musculoskeletal Disorders

Journal Article
Patient Use of Cost and Quality Data When Choosing a Joint Replacement Provider in the Context of Reference Pricing
Despite growing availability of cost and quality information, hip and knee replacement patients almost always focus on the choice of a surgeon, primarily based on reputation, as opposed to a hospital.
Jun 12, 2017
Journal Article
Engaging Patients and Caregivers Managing Rare Diseases to Improve the Methods of Clinical Guideline Development: A Research Protocol
A new, online method to engage more patients and caregivers in developing clinical guidelines will be created and then tested, using Duchenne muscular dystrophy as an example.
Jun 2, 2017
Journal Article
Association Between Hospitals' Engagement in Value-Based Reforms and Readmission Reduction in the Hospital Readmission Reduction Program
Hospitals participating in one or more voluntary Medicare value-based reform programs were less likely to readmit patients within 30 days of discharge than non-participating hospitals.
May 23, 2017
Journal Article
Does a Quality Improvement Campaign Accelerate Take-Up of New Evidence? A Ten-State Cluster-Randomized Controlled Trial of the IHI's Project JOINTS
States participating in Project JOINTS, a six-month quality improvement campaign to reduce infection risk after joint replacement surgery, adhered to three new evidence-based practices significantly more than non-participants.
May 23, 2017
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
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

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