Complementary and Alternative Medicine Use in the US Adult Low Back Pain Population

Ghildayal, Neha; Johnson, Pamela Jo; Evans, Roni; Kreitzer, Mary Jo

doi:10.7453/gahmj.2015.104

Cited by 61 publications

(55 citation statements)

References 20 publications

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“…CIH recipients were younger and more likely to be female, which is consistent with findings in outpatient settings, 26,32 and in other inpatient populations such as cardiology. 33 It appears that CIH might be appealing to inpatients with certain demographic factors (e.g., middle-aged and female), or it is possible that those patients are more likely to receive CIH referrals from clinical providers.…”

Section: Discussionsupporting

confidence: 87%

“…Our study found that 14.2% of 8,095 inpatients with mechanical LBP in one Midwestern hospital received some form of CIH. As expected, the utilization of CIH for mechanical LBP within a hospital setting (14.2%) is lower than in the general LBP population (42.2% 26 or 47.6% 27 ). While the general LBP population estimates provide context, they are not comparable to the inpatient estimates for several reasons.…”

Section: Discussionsupporting

confidence: 71%

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Complementary and integrative healthcare for patients with mechanical low back pain in a U.S. hospital setting

Rhee

Leininger

Ghildayal

et al. 2016

Complementary Therapies in Medicine

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Objectives Complementary and integrative healthcare (CIH) is commonly used to treat low back pain (LBP). While the use of CIH within hospitals is increasing, little is known regarding the delivery of these services within inpatient settings. We examine the patterns of CIH services among inpatients with mechanical LBP in a hospital setting. Methods This is a retrospective, practice-based study conducted at Abbot Northwestern hospital in Minnesota. Using electronic health record data from July 2009 to December 2012, 8,095 inpatients with mechanical LBP were identified using ICD-9 codes. We classified patients by reason for hospitalization. We examined demographic and clinical characteristics by receipt of CIH services. Then, we estimated the prevalence of types of CIH delivered and clinical foci for CIH visits among inpatients with mechanical LBP. Results Most inpatients with mechanical LBP (>90%) were hospitalized for surgical procedures. Overall, 14.2% received inpatient CIH services. All demographic and clinical characteristics differed by receipt of CIH (P<0.001), except race/ethnicity. CIH recipients were in poorer health than those who did not. Most commonly delivered CIH services were massage (62.1%), relaxation techniques (42.0%) and acupuncture (25.7%). Pain (45.1%), relaxation (17.5%), and comfort (8.2%) were the top three reasons for CIH visits. Conclusion There are important differences between CIH recipients and non-CIH recipients among patients with mechanical LBP within a hospital setting. The reasons documented for CIH visits included addressing physical, emotional and/or mental conditions of patients. Future studies are needed to determine the effectiveness of CIH services health and wellbeing outcomes in this population.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 71%

Complementary and integrative healthcare for patients with mechanical low back pain in a U.S. hospital setting

Rhee

Leininger

Ghildayal

et al. 2016

Complementary Therapies in Medicine

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“…12 Acupuncture plays an important role in Traditional East Asian Medicine (TEAM) treatment of pain. 13 Several systematic reviews on the effectiveness and safety of acupuncture treatment in lower back pain patients have been published.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and safety of moxibustion treatment for non-specific lower back pain: protocol for a systematic review

et al. 2017

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IntroductionMany patients experience acute lower back pain that becomes chronic pain. The proportion of patients using complementary and alternative medicine to treat lower back is increasing. Even though several moxibustion clinical trials for lower back pain have been conducted, the effectiveness and safety of moxibustion intervention is controversial. The purpose of this study protocol for a systematic review is to evaluate the effectiveness and safety of moxibustion treatment for non-specific lower back pain patients.Methods and analysisWe will conduct an electronic search of several databases from their inception to May 2017, including Embase, PubMed, Cochrane Central Register of Controlled Trial, Allied and Complementary Medicine Database, Wanfang Database, Chongqing VIP Chinese Science and Technology Periodical Database, China National Knowledge Infrastructure Database, Korean Medical Database, Korean Studies Information Service System, National Discovery for Science Leaders, Oriental Medicine Advanced Searching Integrated System, the Korea Institute of Science and Technology, and KoreaMed. Randomised controlled trials investigating any type of moxibustion treatment will be included. The primary outcome will be pain intensity and functional status/disability due to lower back pain. The secondary outcome will be a global measurement of recovery or improvement, work-related outcomes, radiographic improvement of structure, quality of life, and adverse events (presence or absence). Risk ratio or mean differences with a 95% confidence interval will be used to show the effect of moxibustion therapy when it is possible to conduct a meta-analysis.Ethics and disseminationThis review will be published in a peer-reviewed journal and will be presented at an international academic conference for dissemination. Our results will provide current evidence of the effectiveness and safety of moxibustion treatment in non-specific lower back pain patients, and thus will be beneficial to patients, practitioners, and policymakers.Trial registration numberCRD42016047468 in PROSPERO 2016

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“…Amerika'da sırt ağrısı yaşayan hastaların %41.2'si TİSU yöntemlerini kullanmaktadır [9]. Türkiye'de de ağrı nedeniyle TİSU kullanım sıklığı benzerdir [10].…”

Section: Introductionunclassified

The Use of Complementary and Integrative Health Practices in Disc Herniation Patients

Çürük¹,

Sürme²,

Kaçmaz³

2017

Spatula DD

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ÖZETAmaç: Bu çalışma disk herni nedeniyle ağrı yaşayan bireylerin tamamlayıcı ve integratif sağlık uygulamalarını (TİSU) kullanma durumlarını belirlemek amacı ile tanımlayıcı olarak yapılmıştır. Gereç-Yöntem: Araştırma Ocak 2014-Haziran 2014 tarihleri arasında toplam 185 hasta ile yürütülmüştür. Çalışmada etik kurul onayı ile bireylerden yazılı bilgilendirilmiş olur alınmıştır. Veriler araştırmacılar tarafından hazırlanan anket formu ile toplanmıştır. Bulgular: Hastaların yaş ortalaması 50.6±14.3 olup, %68.6'sı bel, %24.9'u boyun, %13.5'i sırt ve %35.3'ü bacak ağrısından şikayetçidir. Hastaların %74.1'i mevcut ağrıları için TİSU yöntemi kullandığını, TİSU kullananların %78.1'i TİSU kullanmadan önce sağlık personeline danışmadığını, %88.6'sı kullandığı TİSU yönteminin sağlık personeli tarafından sorgulanmadığını ve %73.0'ı TİSU kullandığını sağlık personeline söylemediğini ifade etmiştir. En sık kullanılan üç yöntemin sırasıyla; masaj uygulaması %57.4, dua etme %52.2 ve sıcak uygulama %28.7 olduğu tespit edilmiştir. Sonuç: Disk herni tanılı hastaların TİSU yöntemlerini sıklıkla kullandığı ve bu durumu sağlık personeli ile paylaşmadığı saptanmıştır. Sağlık personeli hastaların TİSU yöntemlerine olan eğilimlerinin farkında olmalı ve hastaları TİSU yöntemlerinin fayda ve riskleri açısından bilgilendirmelidir. The use of complementary and integrative health practices in disc herniation patientsABSTRACT Aim: This descriptive study was conducted to determine complementary and alternative medicines (CIHP) used by patients with disc herniation to relieve low back pain. Methods: A demographic questionnaire was completed with 185 patients between January 2014 and June 2014. Data has been collected from a face-to-face interview performed by a researchers. results: The mean age of patients 50.6±14.3. The most common types of CIHP used were respectively messages (57.4%), pray (52.2%) and hot application (%28.7). Majority of the patients using CIHP (73.0%) did not discuss the use of these therapies with health care providers. Conclusion: Study showed that patients with disc herniation had higher rates of CIHP use. Majority of the patients did not share the use of these therapies with health care providers. Health care providers should be aware of the tendency to use CIHP methods of patients and should be informed about the benefits and risks of CIHP methods.

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Complementary and Alternative Medicine Use in the US Adult Low Back Pain Population

Cited by 61 publications

References 20 publications

Complementary and integrative healthcare for patients with mechanical low back pain in a U.S. hospital setting

Complementary and integrative healthcare for patients with mechanical low back pain in a U.S. hospital setting

Effectiveness and safety of moxibustion treatment for non-specific lower back pain: protocol for a systematic review

The Use of Complementary and Integrative Health Practices in Disc Herniation Patients

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