Journal of Manipulative and Physiological Therapeutics
Volume 24, Issue 2 , Pages 92-100 , February 2001

Patient characteristics and physicians' practice activities for patients with chronic low back pain: A practice-based study of primary care and chiropractic physicians

Received 6 March 2000

References 

  1. Cypress BK. Characteristics of physician visits for back symptoms: a national perspective. Am J Public Health. 1983;73:389–395
  2. Deyo RA, Tsui-Wu Y. Descriptive epidemiology of low back pain and its related medical care in the United States. Spine. 1987;12:264–268
  3. Bigos SJ, Bowyer OR, Braen GR, Brown K, Deyo R, Haldeman S, et al.  Acute low back problems in adults. Clinical practice guideline no. 14. Rockville (MD): Agency for Health Care Policy and Research; 1994; (AHCPR publication no. 95-0642)
  4. Rosen M. Report of a CSAG (Clinical Standards Advisory Group) committee on back pain. London: Her Majesty's Stationery Office; 1994;
  5. Koes BW, Assendelft WJJ, Van Der Heijden GJMG, Bouter LM. Spinal manipulation for low back pain: an updated systematic review of randomized clinical trials. Spine. 1996;21:2860–2873
  6. Gordis L. Epidemiology. In: Philadelphia: WB Saunders; 1996;p. 116–123
  7. D'Agostino RB, Kwan H. Measuring effectiveness. Med Care. 1995;33:AS95–AS105
  8. Philips HC, Grant L. The evolution of chronic back pain problems: a longitudinal study. Behav Res Ther. 1991;29:435–441
  9. Scott J, Huskisson EC. Graphic representation of pain. Pain. 1976;2:175–184
  10. Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983;17:45–56
  11. Fairbank JCT, Couper J, Davies JB, O'Brien JP. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980;66:271–273
  12. Hudson-Cook N, Tomes-Nicholson K. The revised Oswestry low back pain disability questionnaire [thesis]. Bournemouth, United Kingdom: Anglo European College of Chiropractic; 1988;
  13. Users manual: low back pain TyPE specification. Version 1. Bloomington (MN): Quality Quest; 1989;
  14. Ware JE, Kosinski M, Keller SD. A 12-item short-form health survey. Med Care. 1996;34:220–233
  15. Brazier JE, Harper R, Jones NMB, O'Cathian A, Thomas KJ, Usherwood T, et al.  Validating the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ. 1992;305:160–164
  16. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36), I: conceptual framework and item selection. Med Care. 1992;30:473–483
  17. McHorney CA, Ware JE, Raczek AE. The MOS 36-item short-form health survey (SF-36), II: psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care. 1993;31:247–263
  18. Cherkin DC, MacCornack FA. Patient evaluations of low back pain care from family physicians and chiropractors. West J Med. 1989;150:351–355
  19. Krantz DS, Baum A, Wideman MV. Assessment of preferences for self-treatment and information in health care. J Pers Soc Psychol. 1980;39:977–990
  20. Norusis MJ. SPSS/PC+ base manual/statistics 5.0/advanced statistics 5.0. Chicago: SPSS, Inc; 1992;
  21. In:  Bergmann T,  Peterson D,  Lawrence D editor. Chiropractic technique: principles and procedures. New York: Churchill-Livingston; 1993;
  22. Clancy CM. Conducting studies in practice-based primary care research networks. In:  Grady ML editors. Challenges of practice based research. Proceedings of the 3rd AHCPR conference on primary care. Rockville (MD): US Department of Health and Human Services; 1993;
  23. Green LA, Hames CG, Nutting PA. Potential of practice-based research networks: experiences from ASPN. J Fam Pract. 1994;38:400–406
  24. Culpepper L, Froom J. The international primary care network: purpose, methods, and policies. Fam Med. 1988;20:197–201
  25. Guadagnoli E, Cunningham S. The effects of nonresponse and late response on a survey of physician attitudes. Evaluation and the Health Professions. 1989;12:318–328
  26. Carey TS, Evans A, Hadler N, Kalsbeek W, McLaughlin C, Fryer J. Care-seeking among individuals with chronic low back pain. Spine. 1995;20:312–317
  27. Hafner-Eaton C. Physician utilization disparities between the uninsured and insured. JAMA. 1993;269:787–791
  28. Hadley J, Steinberg EP, Feder J. Comparison of uninsured and privately insured hospital patients: condition on admission, resource use, and outcome. JAMA. 1991;265:374–379
  29. Carey TS, Garrett J, Jackman A, McLaughlin C, Fryer J, Smucker DR. The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons. N Engl J Med. 1995;333:913–917
  30. Shekelle PG, Markovich M, Louie R. Comparing the costs between provider types of episodes of back pain care. Spine. 1995;20:221–227
  31. Interstudy regional market analysis. St Paul (MN): Decision Resources, Inc; 1999;
  32. Wennberg JE. Dealing with medical practice variations: a proposal for action. Health Aff. 1984;3:6–32
  33. Wennberg JE. Understanding geographic variations in health care delivery. N Engl J Med. 1999;340:52–53
  34. Ware JE, Sherbourne CA, Davies AR, Wennberg J, Gittelsohn A. Variations in medical care among small areas. Sci Am. 1982;246:120–134
  35. Eisenberg JM. Physician utilization: The state of research about physicians' practice patterns. Med Care. 1985;23:461–483
  36. Hart LG, Deyo RA, Cherkin DC. Physician office visits for low back pain. Spine. 1995;20:11–19
  37. Cherkin DC, Wheeler KJ, Barlow W, Deyo RA. Medication use for low back pain in primary care. Spine. 1998;23:607–614
  38. Deyo RA. Drug therapy for back pain: which drugs help which patients?. Spine. 1996;21:2840–2850
  39. Greenfield S, Nelson EC, Zubkoff M, Manning W, Rogers W, Kravitz RL. Variations in resource utilization among medical specialties and systems of care: results from the medical outcomes. JAMA. 1992;267:1624–1630
  40. Stange KC, Zyzanski SJ, Jaen CR, Callahan EJ, Kelly RB, Gillanders WR, et al.  Illuminating the “Black Box.”. J Fam Pract. 1998;46:377–389
  41. Bertakis KD, Robbins JA. Utilization of hospital services: a comparison of internal medicine and family practice. J Fam Pract. 1989;28:91–96
  42. Von Korff M. Perspectives on management of back pain in primary care. In:  Gebhart FF,  Hammond DL,  Jensen TS editor. Proceedings of the 7th World Congress on Pain, Progress in Pain Research and Management. Vol 2:Seattle: IASP Press; 1994;p. 97–110
  43. Gatterman MI. A patient-centered paradigm: a model for chiropractic education and research. J Altern Complement Med. 1995;1:371–386
  44. Coulter ID. Alternative philosophical and investigatory paradigms for chiropractic. J Manipulative Physiol Ther. 1993;16:419–425
  45. Hawk C, Dusio ME. A survey of 492 U.S. chiropractors on primary care and prevention-related issues. J Manipulative Physiol Ther. 1995;18:57–64
  46. Cherkin DC, Deyo RA, Street JH, Barlow W. Predicting poor outcomes for back pain seen in primary care using patients' own criteria. Spine. 1996;21:2900–2907
  47. Croft PR, Macfarlane GJ, Papageorgiou AC, Thomas E, Silman AJ. Outcome of low back pain in general practice: a prospective study. BMJ. 1998;316:1356–1359

 bOregon Health Sciences University, Department of Family Medicine and Department of Public Health and Preventive Medicine, Ore.

☆☆ cOregon Health Sciences University, Department of Medicine, Department of Surgery, and Department of Public Health and Preventive Medicine, Ore.

 Submit reprint requests to: Joanne Nyiendo, Ph.D., Professor, Research Department, Western States Chiropractic College, 2900 N.E. 132nd Avenue, Portland, OR 97230; nyiendo@wschiro.edu.

★★ This study was funded by grant 5 R18 AH10002-01, -02, -03 from the Bureau of Health Professions of the Department of Health and Human Services. Support for the Center for Outcomes Studies' infrastructure was provided by grant 94-05-02 from the Foundation for Chiropractic Education and Research.

PII: S0161-4754(01)41428-X

doi: 10.1067/mmt.2001.112565

Journal of Manipulative and Physiological Therapeutics
Volume 24, Issue 2 , Pages 92-100 , February 2001