The 130th Annual Meeting of APHA

3017.0: Monday, November 11, 2002 - 8:50 AM

Abstract #39953

Outcomes and predictors of outcomes for patients attending chiropractors and medical doctors for low back pain: A three-year follow-up

Mitchell Haas, DC, MA1, Bruce Goldberg, MD2, Miron Stano, PhD3, Mikel Aickin, PhD4, and Alisa Fairweather, MPH1. (1) Division of Research, Western States Chiropractic College, 2900 NE 132nd Ave., Portland, OR 97230, 503-251-5728, mhaas@wschiro.edu, (2) Department of Family Medicine, Oregon Health Sciences University, 3181 S.W. Sam Jackson Park Road, Portland, OR 97201, (3) Department of Economics, Oakland University, School of Business Administration, Rochester, MI 48309, (4) Center for Health Research, Kaiser Permanente, 3800 N. Kaiser Drive, Portland, OR 97227

This was a prospective, longitudinal, practice-based observational study. 3000 patients (1,000 MD and 2,000 DC) were recruited by 111 medical and 60 chiropractic physicians. Patients filled out a questionnaire at the baseline visit. Follow-up questionnaires were administered by mail at 2 wk, 1 mo, 3 mo, 6 mo, 12 mo, and 36 mo following enrollment. Patients answered questions about demographic, health status, psychosocial, and health services and payment characteristics. Physician questionnaires and chart audits were used to provide information on diagnostic procedures ordered and performed, primary treatment procedure used, referrals, use of physical therapy, ancillary treatment modalities, and frequency and duration of treatment. Pain and functional disability intensity and duration of four groups will be profiled: acute and chronic medical and chiropractic patients. Multiple regression analysis will be used to explore the relationship between patient outcomes and case characteristics.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to

Keywords: Chiropractic, Treatment Outcomes

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Chiropractic Care of Pain: Costs and Outcomes

The 130th Annual Meeting of APHA