A Multidisciplinary Integrative Medicine Team in the Treatment of Chronic Low-Back Pain: An Observational Comparative Effectiveness Study

The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy
Peter M WayneJulie E Buring

Abstract

Chronic low-back pain (CLBP) is burdensome and costly, and a common condition for which adults use integrative therapies. The effectiveness of multidisciplinary integrative approaches has not been well studied. The purpose of this observational study was to compare characteristics and outcomes of CLBP patients treated at the Osher Clinical Center (OCC) versus other clinics at Brigham and Women's Hospital. Observational comparative effectiveness study. Tertiary care hospital. Patients ≥21 years with 3+ months of CLBP or 6+ months of intermittent low-back pain. All patients were observed for 12 months. OCC patients received care at the integrative clinic (7.3 visits on average over 13 weeks); non-OCC patients received usual care at other clinics of the same hospital. Primary outcomes: change from baseline to 6 months in functional status (Roland Disability Questionnaire [RDQ]) and bothersomeness of pain (BOP). change in RDQ and BOP at 3 and 12 months, percentages of patients with clinically meaningful (≥30%) improvements. One hundred fifty-six OCC and 153 non-OCC participants were enrolled; follow-up was 90.4 and 98.0%, respectively, at 12 months. There were substantial differences in baseline characteristics between groups. For ...Continue Reading

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Citations

Mar 15, 2019·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Peter M WayneThomas Reinhold
Mar 15, 2019·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Nadine IjazJohn Weeks
Aug 2, 2019·Journal of the American Association of Nurse Practitioners·S Renee GreggAlice Pasvogel

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