Association Between Utilization of Chiropractic Services for Treatment of Low-Back Pain and Use of Prescription Opioids

The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy
James M WhedonLouis A Kazal

Abstract

Pain relief resulting from services delivered by doctors of chiropractic may allow patients to use lower or less frequent doses of opioids, leading to reduced risk of adverse effects. The objective of this investigation was to evaluate the association between utilization of chiropractic services and the use of prescription opioid medications. The authors used a retrospective cohort design to analyze health insurance claims data. The data source was the all payer claims database administered by the State of New Hampshire. The authors chose New Hampshire because health claims data were readily available for research, and in 2015, New Hampshire had the second-highest age-adjusted rate of drug overdose deaths in the United States. The study population comprised New Hampshire residents aged 18-99 years, enrolled in a health plan, and with at least two clinical office visits within 90 days for a primary diagnosis of low-back pain. The authors excluded subjects with a diagnosis of cancer. The authors measured likelihood of opioid prescription fill among recipients of services delivered by doctors of chiropractic compared with nonrecipients. They also compared the cohorts with regard to rates of prescription fills for opioids and assoc...Continue Reading

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Citations

Jul 18, 2018·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Anthony J LisiChristine M Goertz
Mar 7, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·James M WhedonJay Greenstein
Sep 29, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Kelsey L CorcoranAnthony J Lisi
Dec 5, 2020·Complementary Therapies in Clinical Practice·Clinton J DanielsCheryl Hawk
Apr 21, 2021·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Remle ScottWendy Weber
Apr 22, 2021·Journal of Manipulative and Physiological Therapeutics·John Rosa, Jeanmarie R Burke
Jul 28, 2021·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Cheryl HawkDaniel Redwood
Jan 30, 2020·Preventive Medicine Reports·Rosanna SmartBradley D Stein

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Methods Mentioned

BETA
pharmacotherapy

Software Mentioned

SAS

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