Journal of Manipulative and Physiological Therapeutics
Volume 33, Issue 9 , Pages 640-643 , November 2010

Cost of Care for Common Back Pain Conditions Initiated With Chiropractic Doctor vs Medical Doctor/Doctor of Osteopathy as First Physician: Experience of One Tennessee-Based General Health Insurer

  • Richard L. Liliedahl, MD

      Affiliations

    • President & Consulting Actuary, Axene Health Partners, Winchester, Calif
  • ,
  • Michael D. Finch, PhD

      Affiliations

    • Principal, Finch & King, Inc, Minneapolis, Minn
  • ,
  • David V. Axene, FSA, FCA, MAAA

      Affiliations

    • President & Consulting Actuary, Axene Health Partners, Winchester, Calif
  • ,
  • Christine M. Goertz, DC, PhD

      Affiliations

    • Vice Chancellor of Research and Health Policy, Palmer College of Chiropractic, Davenport, Iowa
    • Corresponding Author InformationSubmit requests for reprints to: Christine M. Goertz, DC, PhD, 300 Brady Street, Davenport, IA 52803

Received 24 March 2010 ,Revised 20 May 2010 ,Accepted 8 June 2010.

References 

  1. Furlan AD, Brosseau L, Imamura M, et al. Massage for low-back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine. 2002;27:1896–1910
  2. Deyo RA, Weinstein JN. Low back pain. N Engl J Med. 2001;344:363–370
  3. Luo X, Pietrobon R, Sun SX, et al. Estimates and patterns of direct health care expenditures among individuals with back pain in the United States. Spine. 2004;29:79–86
  4. Deyo RA, Mirza SK, Martin BI. Back pain prevalence and visit rates: estimates from U.S. national surveys, 2002. Spine. 2006;31:2724–2727
  5. Druss BG, Marcus SC, Olfson M, Pincus HA. The most expensive medical conditions in america. Health Aff. 2002;21:105–111
  6. Stewart WF, Ricci JA, Chee E, Morganstein D, Lipton R. Lost productive time and cost due to common pain conditions in the US workforce. JAMA. 2003;290:2443–2454
  7. Ricci JA, Stewart WF, Chee E, Leotta C, Foley K, Hochberg MC. Back pain exacerbations and lost productive time costs in United States workers. Spine. 2006;31:3052–3060
  8. Carey TS, Freburger JK, Holmes GM, et al. A long way to go: practice patterns and evidence in chronic low back pain care. Spine. 2009;34:718–724
  9. Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Report. 2009;1–23
  10. Pengel HM, Maher CG, Refshauge KM. Systematic review of conservative interventions for subacute low back pain. Clin Rehabil. 2002;16:811–820
  11. Ferreira ML, Ferreira PH, Latimer J, Herbert R, Maher CG. Does spinal manipulative therapy help people with chronic low back pain?. Aust J Physiother. 2002;48:277–284
  12. Furlan AD, Clarke J, Esmail R, Sinclair S, Irvin E, Bombardier C. A critical review of reviews on the treatment of chronic low back pain. Spine. 2001;26:E155–E162
  13. Carey TS, Garrett J, Jackman A, et al. Low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons. The North Carolina Back Pain Project. N Engl J Med. 1995;333:913–917
  14. Cherkin DC, Deyo RA, Battie M, et al. Comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain. N Engl J Med. 1998;339:1021–1029
  15. Lind BK, Lafferty WE, Tyree PT, Sherman KJ, Deyo RA, Cherkin DC. The role of alternative medical providers for the outpatient treatment of insured patients with back pain. Spine. 2005;30:1454–1459
  16. Grieves B, Menke JM, Pursel KJ. Cost minimization analysis of low back pain claims data for chiropractic vs medicine in a managed care organization. J Manipulative Physiol Ther. 2009;32:734–739
  17. Winkleman R, Mehmud S. A comparative analysis of claims-based tools for health risk assessment. Society of Actuaries. 2007;1–70
  18. Satterthwaite FE. An approximate distribution of estimates of variance components. Biom Bull. 1946;2:110–114

PII: S0161-4754(10)00216-2

doi: 10.1016/j.jmpt.2010.08.018

Journal of Manipulative and Physiological Therapeutics
Volume 33, Issue 9 , Pages 640-643 , November 2010