A compilation of chiropractic and complementary/alternative medicine (CAM) data from public-use national surveys: Report on a health-services research resource for the chiropractic and CAM scientific community

Smith, Monica; Carber, Lynne

doi:10.1067/mmt.2002.128366

Cited by 2 publications

(2 citation statements)

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“…Smith and Carber [57] discuss the use of public-use survey databases that contain CAM information. This project helped to identify readily available public-use databases and datasets that can be tapped by health services researchers or others seeking utilization data.…”

Section: Resultsmentioning

confidence: 99%

Chiropractic and CAM Utilization: A Descriptive Review

Lawrence

Meeker

2007

Chiropr Man Therap

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Objective: To conduct a descriptive review of the scientific literature examining use rates of modalities and procedures used by CAM clinicians to manage chronic LBP and other conditions Data Selection: A total of 137 papers were selected, based upon including information about chiropractic utilization, CAM utilization and low back pain and other conditions. Data Synthesis: Information was extracted from each paper addressing use of chiropractic and CAM, and is summarized in tabular form.Results: Thematic analysis of the paper topics indicated that there were 5 functional areas covered by the literature: back pain papers, general chiropractic papers, insurance-related papers, general CAM-related papers; and worker's compensation papers. Conclusion:Studies looking at chiropractic utilization demonstrate that the rates vary, but generally fall into a range from around 6% to 12% of the population, most of whom seek chiropractic care for low back pain and not for organic disease or visceral dysfunction. CAM is itself used by people suffering from a variety of conditions, though it is often used not as a primary intervention, but rather as an additional form of care. CAM and chiropractic often offer lower costs for comparable results compared to conventional medicine.

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Section: Resultsmentioning

confidence: 99%

Chiropractic and CAM Utilization: A Descriptive Review

Lawrence

Meeker

2007

Chiropr Man Therap

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“…As a recent report on RCTs that studied the clinical effectiveness of SMT for neck and low back pain found a median sample size of 95, and an interquartile range of 47-199, 8 research efforts searching for medical care cost offsets might need to use large databases or nationally weighted surveys 9 to conduct observational comparative effectiveness studies with adequate sample sizes.…”

Section: Introductionmentioning

confidence: 99%

Comparing Propensity Score Methods for Creating Comparable Cohorts of Chiropractic Users and Nonusers in Older, Multiply Comorbid Medicare Patients With Chronic Low Back Pain

Weeks

Tosteson

Whedon

et al. 2015

Journal of Manipulative and Physiological Therapeutics

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Objective Patients who use complementary and integrative health services like chiropractic manipulative treatment (CMT) often have different characteristics than patients who do not, and these differences can confound attempts to compare outcomes across treatment groups, particularly in observational studies when selection bias may occur. The purposes of this study were to provide an overview on how propensity scoring methods can be used address selection bias by balancing treatment groups on key variables and to use Medicare data to compare different methods for doing so. Methods We described 2 propensity score methods (matching and weighting). Then we used Medicare data from 2006-2012 on older, multiply comorbid patients who had a chronic low back pain episode to demonstrate the impact of applying methods on the balance of demographics of patients between 2 treatment groups (those who received only CMT and those who received no CMT during their episodes). Results Before application of propensity score methods, patients who used only CMT had different characteristics from those who did not. Propensity score matching diminished observed differences across the treatment groups at the expense of reduced sample size. However, propensity score weighting achieved balance in patient characteristics between the groups and allowed us to keep the entire sample. Conclusions While propensity score matching and weighting have similar effects in terms of balancing covariates, weighting has the advantage of maintaining sample size, preserving external validity, and generalizing more naturally to comparisons of 3 or more treatment groups. Researchers should carefully consider which propensity score method to use, as using different methods can generate different results.

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A compilation of chiropractic and complementary/alternative medicine (CAM) data from public-use national surveys: Report on a health-services research resource for the chiropractic and CAM scientific community

Cited by 2 publications

References 1 publication

Chiropractic and CAM Utilization: A Descriptive Review

Chiropractic and CAM Utilization: A Descriptive Review

Comparing Propensity Score Methods for Creating Comparable Cohorts of Chiropractic Users and Nonusers in Older, Multiply Comorbid Medicare Patients With Chronic Low Back Pain

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