Cost Savings from Reducing Pain Through the Delivery of Integrative Medicine Program to Hospitalized Patients

Dusek, Jeffery A.; Griffin, Kristen H.; Finch, Michael; Rivard, Rachael L.; Watson, David

doi:10.1089/acm.2017.0203

Cited by 58 publications

(49 citation statements)

References 49 publications

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“…25 This level of change is comparable to the 2-point decrease observed in the prior evaluations of pain change after IM in oncologic, 20 cardiovascular, 21 orthopedic, 22 and hospital-wide patient populations. 19 Most importantly, for the first time in the series of the research evaluations, [15][16][17][19][20][21][22][23] the authors were able to explore the role of pain medications at the time of the IM delivery. The authors found that patients' pain medication status did not have a significant impact on their pain change.…”

Section: Discussionmentioning

confidence: 99%

“…In 2018, the authors published a study including 2,370 inpatient admissions, in which the authors again observed a 2-point decrease in pain while documenting cost savings of $898 per admission when pain was reduced by IM. 23 However, one challenge in the prior work of the authors is that due to sample size limitations, they have been unable to compare post-IM with pre-IM pain changes across clinical populations (e.g., oncology vs. orthopedic). It is reasonable to consider that the effects of IM could vary by clinical population, and if true, this variation could inform the implementation of IM services across the hospital.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Significant Pain Reduction in Hospitalized Patients Receiving Integrative Medicine Interventions by Clinical Population and Accounting for Pain Medication

Dusek

Rivard

Griffin

et al. 2021

The Journal of Alternative and Complementary Medicine

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Background: Prior research has reported that integrative medicine (IM) therapies reduce pain in inpatients, but without controlling for important variables. Here, the authors extend prior research by assessing pain reduction while accounting for each patient's pain medication status and clinical population.Methods: The initial data set consisted of 7,106 inpatient admissions, aged ‡18 years, between July 16, 2012, and December 15, 2014. Patients' electronic health records were used to obtain data on demographic, clinical measures, and pain medication status during IM.Results: The final data set included first IM therapies delivered during 3,635 admissions. Unadjusted average pre-IM pain was 5.33 (95% confidence interval [CI]: 5.26 to 5.41) and post-IM pain was 3.31 (95% CI: 3.23 to 3.40) on a 0-10 scale. Pain change adjusted for severity of illness, clinical population, sex, treatment, and pain medication status during IM was significant and clinically meaningful with an average reduction of -1.97 points (95% CI: -2.06 to -1.86) following IM. Adjusted average pain was reduced in all clinical populations, with largest and smallest pain reductions in maternity care (-2.34 points [95% CI: -2.56 to -2.14]) and orthopedic (-1.71 points [95% CI: -1.98 to -1.44]) populations. Pain medication status did not have a statistically significant association on pain change. Decreases were observed regardless of whether patients were taking narcotic medications and/or nonsteroidal anti-inflammatory drugs versus no pain medications.Conclusions: For the first time, inpatients receiving IM reported significant and clinically meaningful pain reductions during a first IM session while accounting for pain medications and across clinical populations. Future implementation research should be conducted to optimize identification/referral/delivery of IM therapies within hospitals.Clinical Trials.gov #NCT02190240.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Significant Pain Reduction in Hospitalized Patients Receiving Integrative Medicine Interventions by Clinical Population and Accounting for Pain Medication

Dusek

Rivard

Griffin

et al. 2021

The Journal of Alternative and Complementary Medicine

Self Cite

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“…The promise of IH is particularly salient in the new conventional medicine guidelines that recommend IH to address chronic pain and the devastation left in the wake of the overlapping obesity and opioid crises. 1 IH creates a viable pathway to moderate chronic pain and disease 2–4 and may also reduce cost. 5,6 Despite these promises, however, the dearth of implementation research on IH and the lack of an effective and viable clinical model challenge the sustainability of IH.…”

Section: Need For Sustainable Integrative Health Delivery Modelsmentioning

confidence: 99%

A Replicable and Sustainable Whole Person Care Model for Chronic Pain

Hansen

McKernan

Carter

et al. 2019

The Journal of Alternative and Complementary Medicine

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Background: Integrative health is an expanding field that is increasingly called upon by conventional medicine to provide care for patients with chronic pain and disease. Although evidence has mounted for delivering integrative therapies individually, there is little consensus on how best to deliver these therapies in tandem as part of whole person care. While many models exist, few are financially sustainable. Methods and results: This article describes a conceptual and logistical model for providing integrative outpatient health care within an academic medical center or hospital system to patients with chronic pain and disease. In hopes that the model will be replicated, administrative details are provided to explain how the model operates and has been maintained over nine years. The details include the intentional building of a particular work culture. Conclusion: This whole person care model that addresses chronic pain and disease in an outpatient integrative clinic has been successful, sustainable and can be replicated in other academic medical centers or hospital clinics.

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“…The results were that although patients who received integrative medicine incurred slightly higher costs than those who underwent only western medicine but that they also had a reduced all-risk mortality at both three and 12 months after discharge, which may have prevented additional costs from future admissions. Similarly, another retrospective study in Texas showed that patients who received integrative medicine were more likely to have reduced pain that resulted in an approximately 4% decrease in hospital costs [ 2 ]. These findings have implications for care providers and stakeholders, as research has shown that integrative medicine likely improves patient care and outcomes while ultimately reducing hospital costs.…”

Section: Introductionmentioning

confidence: 99%

Integrative Medicine as a Vital Component of Patient Care

Gannotta¹,

Malik²,

Chan³

et al. 2018

Cureus

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The landscape of medicine in the United States has been slowly progressing toward a more holistic and individualized approach to healing. Part of this progress has been the integration between western and alternative forms of medicine, a concept that has been described as “integrative medicine.” This approach to healthcare incorporates a patient’s mind, spirituality, and sense of community into the healing process. Integrative medicine has been typically well received and the demand has been steadily increasing in primary US hospitals. Here we cover a number of topics that include the definition of integrative medicine, its potential benefits, current examples of successful implementations, and potential barriers to its expansion. The aim was to give a primary on integrative medicine and its current state for healthcare providers.

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Cost Savings from Reducing Pain Through the Delivery of Integrative Medicine Program to Hospitalized Patients

Abstract: For patients receiving IM therapies, pain was significantly reduced and costs were lowered by about 4%.

Cited by 58 publications

References 49 publications

Significant Pain Reduction in Hospitalized Patients Receiving Integrative Medicine Interventions by Clinical Population and Accounting for Pain Medication

Significant Pain Reduction in Hospitalized Patients Receiving Integrative Medicine Interventions by Clinical Population and Accounting for Pain Medication

A Replicable and Sustainable Whole Person Care Model for Chronic Pain

Integrative Medicine as a Vital Component of Patient Care

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