Pit8 Cost-Effectiveness Analysis of Physical Therapy Against Chiropractic for Patients With Acute Low Back Pain in the Us

2020

Healthcare

Low back pain (LBP) is a pandemic and costly musculoskeletal condition in the United States (U.S.). Patients with LBP may endure surgery, injections, and expensive visits to emergency departments. Some suggest that using physical therapy (PT) or chiropractic in the earlier stage of LBP reduces the utilization of expensive health services and lowers the treatment costs. Given that there are costs and benefits with each of these treatments, the remaining question is in a short period of time which of these treatments is optimal. The purpose of this study was to investigate the cost-effectiveness of chiropractic versus PT in the U.S. A decision tree analytic model was used for estimating the economic outcomes. The findings showed that the total average cost in the chiropractic group was $48.56 lower than the PT group. The findings also showed that the daily adjusted life years (DALY) in the chiropractic group was 0.0043 higher than the PT group. Chiropractic care was shown to be a cost-effective alternative compared with PT for adults with at least three weeks of LBP over six months.

Section: Discussionsupporting

confidence: 92%

Treatment of Patients with Low Back Pain: A Comparison of Physical Therapy and Chiropractic Manipulation

2020

Healthcare

“…Employee engagement is recognized as an important element of organizational effectiveness (Mann and Harter, 2016; Ruck et al , 2017). The main reason behind this is the fact that engaged employees are more productive, profitable, safer and healthier workers (Khodakarami, 2019a; Shuck and Wollard, 2010). In obtaining such aspects of engagement, practitioners and scholars have examined elements that encourage employee engagement (Saks, 2006).…”

Section: Introductionmentioning

confidence: 99%

Drivers of employee engagement: differences by work area and gender

Dirani

2020

ICT

Purpose Previous studies have not integrated the impact of the area of study into the notion of employee engagement. The purpose of this study is to empirically measure the association between employee engagement and the two antecedent factors of perceived organizational support (POS) and employee loyalty across different areas of study. Design/methodology/approach A nationally representative survey of 2,408 adults in the USA collected by the worker representation and participation survey (WRPS) was used. A multinomial logit regression was used to estimate the impact of POS and loyalty across different areas of study. Findings The findings of this study consistent with the previous studies showed that POS and employee loyalty are positively and significantly associated with employee engagement. This study found by a decline in the level of support from a “lot of support” to “somewhat support,” the degree of engagement declines by about 50 per cent. Further, it found that the level of engagement changes across different areas of study. For instance, professional and skilled workers are more engaged compared to other groups of workers. The findings were similar for the variables of loyalty to supervisors and loyalty to organizations. Moreover, the findings showed that conditioned on being loyal, women are more engaged than men. Originality/value This is the first study that uses WRPS to understand how the level of engagement varies across different kinds of study.

“…To assess the outcome in the short-term, this article focuses on the effects of the assigned treatment on the sick-leave [18]. A high duration of sick-leave may halt employee engagement and impose economic costs on the organization [19,20]. Correspondingly, this study uses the duration of sick leave before treatment for chiropractic and physiotherapy groups.…”

Section: Sample Of Studymentioning

confidence: 99%

Treatment of Patients with Low Back Pain: A Comparison of Physical Therapy and Chiropractic Manipulation

2019

Preprint

Low back pain (LBP) is a pandemic and costly musculoskeletal condition in the United States. Patients with LBP may endure surgery, injections, and expensive visits to emergency departments. Some suggest that using physical therapy or chiropractic in the earlier stage of LBP reduces the utilization of expensive health services and lowers the treatment costs. Nevertheless, there is no consistent evidence to declare which one of these methods is a cost-effective treatment within a short (less than a year) period of time. The purpose of this study was to investigate the cost-effectiveness of chiropractic versus physical therapy in the United States. A decision tree analytic model was used for estimating the economic outcomes. The findings showed that in the chiropractic group, the total average cost was $48.56 lower than the physical therapy group, and daily adjusted life years (DALY) was 0.0043 higher than the physical therapy group. Chiropractic care was shown to be a cost-effective alternative compared with physical therapy for adults with at least three weeks of low back pain over six months.