Associations Between Complementary and Alternative Medicine and Health Care Expenditures Among Adults With Chronic Back Pain

Medical Care
R Henry Olaisen

Abstract

Although complementary and alternative medicine (CAM) has been associated with reduced morbidity among adults with chronic back pain, less is known about the association between CAM use and health care expenditures. The objective of this study was to first estimate health care expenditures of adult CAM users and nonusers with chronic back pain and then assess CAM's influence on health care expenditures. This was an ambidirectional cohort study. Linked National Health Interview Survey (2012) and Medical Expenditure Panel Survey (2013-2014). CAM use was defined as 3 or more visits to a practitioner in the 12 months before the National Health Interview Survey interview. Covariates included age, sex, race-ethnicity, and body mass index. The outcome was annual health care expenditures (overall and within 8 categories, including office-based visits and prescription medication). Survey-weighted, covariate adjusted predicted marginal means models were applied to quantify health care expenditures. Survey-weighted, covariate adjusted linear and logistic regression models were used to investigate CAM's influence on expenditures, and the Z mediation test statistic was applied to quantify the independent effects of CAM. Overall, health care...Continue Reading

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Citations

Jun 11, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Anna K Koch, Holger Cramer

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