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Trends in the Use and Characteristics of Chiropractic Services in the Department of Veterans Affairs

By Frank M. Painter|June 15, 2016|Veterans|

Trends in the Use and Characteristics of Chiropractic Services in the Department of Veterans Affairs

SOURCE: J Manipulative Physiol Ther. 2016 (Jun); 39 (5): 381-6

Anthony J. Lisi, DC, Cynthia A. Brandt, MD, MPH

Chiropractic Section Chief,
VA Connecticut Healthcare System,
West Haven, CT;
Assistant Clinical Professor,
Yale Center for Medical Informatics,
Yale University School of Medicine,
New Haven, CT.

OBJECTIVES: The purpose of this study was to analyze national trends and key features of the Department of Veterans Affairs’ (VA’s) chiropractic service delivery and chiropractic provider workforce since their initial inception

METHODS: This was a serial cross-sectional analysis of the VA administrative data sampled from the first record of chiropractic services in VA through September 30, 2015. Data were obtained from VA’s Corporate Data Warehouse and analyzed with descriptive statistics.

RESULTS: From October 1, 2004, through September 30, 2015, the annual number of patients seen in VA chiropractic clinics increased from 4052 to 37349 (821.7%), and the annual number of chiropractic visits increased from 20072 to 159366 (693.9%). The typical VA chiropractic patient is male, is between the ages of 45 and 64, is seen for low back and/or neck conditions, and receives chiropractic spinal manipulation and evaluation and management services. The total number of VA chiropractic clinics grew from 27 to 65 (9.4% annually), and the number of chiropractor employees grew from 13 to 86 (21.3% annually). The typical VA chiropractor employee is a 45.9-year-old man, has worked in VA for 4.5 years, and receives annual compensation of $97860. VA also purchased care from private sector chiropractors starting in 2000, growing to 159533 chiropractic visits for 19435 patients at a cost of $11155654 annually.

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National Medicare Equality Petition

By Frank M. Painter|June 11, 2016|Announcement|

National Medicare Equality Petition

The Chiro.Org Blog

SOURCE: American Chiropractic Association (ACA)

The Time for Change is NOW

The American Chiropractic Association (ACA) has launched a major grassroots campaign to enact federal legislation that would allow doctors of chiropractic (DC) to perform to the fullest scope of their license in Medicare. This initiative would significantly improve the health and wellness of our nation’s aging population — and your support is urgently needed.

The National Medicare Equality Petition will raise awareness of how the current Medicare system shortchanges seniors who want and need the essential services provided by doctors of chiropractic (DCs) to stay healthy, pain free and mobile, and how DCs can be a part of the solution for what ails the U.S. health care system.

Petition to White House and Members of Congress

Give Seniors the Medicare Coverage They Need and Deserve: Full Access to and Reimbursement for Services Provided by Doctors of Chiropractic

Studies have shown that essential services provided by doctors of chiropractic (DCs) can help aging Americans live healthier and happier lives, yet every day our nation’s seniors are being unjustly denied full access to Medicare covered services by doctors of chiropractic that could improve their quality of life.

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Aging Baby Boomers and the Rising Cost of Chronic Back Pain

By Frank M. Painter|June 1, 2016|Low Back Pain|

Aging Baby Boomers and the Rising Cost of Chronic Back Pain: Secular Trend Analysis of Longitudinal Medical Expenditures Panel Survey Data for Years 2000 to 2007

The Chiro.Org Blog

SOURCE: J Manipulative Physiol Ther. 2013 (Jan); 36 (1): 2–11

Monica Smith, DC, PhD, Matthew A. Davis, DC, MPH,
Miron Stano, PhD, James M. Whedon, DC, MS

Adjunct Faculty (Off-Site),
National University Health Sciences,
Lombard, IL, USA.

OBJECTIVES: The purposes of this study were to analyze data from the longitudinal Medical Expenditures Panel Survey (MEPS) to evaluate the impact of an aging population on secular trends in back pain and chronicity and to provide estimates of treatment costs for patients who used only ambulatory services.

METHODS: Using the MEPS 2-year longitudinal data for years 2000 to 2007, we analyzed data from all adult respondents. Of the total number of MEPS respondent records analyzed (N = 71,838), we identified 12,104 respondents with back pain and further categorized 3842 as chronic cases and 8262 as nonchronic cases.

RESULTS: Secular trends from the MEPS data indicate that the prevalence of back pain has increased by 29%, whereas chronic back pain increased by 64%. The average age among all adults with back pain increased from 45.9 to 48.2 years; the average age among adults with chronic back pain increased from 48.5 to 52.2 years. Inflation-adjusted (to 2010 dollars) biennial expenditures on ambulatory services for chronic back pain increased by 129% over the same period, from $15.6 billion in 2000 to 2001 to $35.7 billion in 2006 to 2007.

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Long-term Trajectories of Back Pain: Cohort Study With 7-year Follow-up

By Frank M. Painter|May 30, 2016|Low Back Pain|

Long-term Trajectories of Back Pain: Cohort Study With 7-year Follow-up

The Chiro.Org Blog

SOURCE: BMJ Open. 2013 (Dec 11); 3 (12): e003838

Kate M Dunn, Paul Campbell, and Kelvin P Jordan

Arthritis Research UK Primary Care Centre,
Institute of Primary Care and Health Sciences,
Keele University,
Newcastle, Staffordshire, UK.

OBJECTIVE: To describe long-term trajectories of back pain.

DESIGN: Monthly data collection for 6 months at 7-year follow-up of participants in a prospective cohort study.

SETTING: Primary care practices in Staffordshire, UK.

PARTICIPANTS: 228 people consulting their general practitioners with back pain, on whom information on 6-month back pain trajectories had been collected during 2001-2003, and who had valid consent and contact details in 2009-2010, were contacted. 155 participants (68% of those contacted) responded and provided sufficient data for primary analyses.

OUTCOME MEASURES: Trajectories based on patients’ self-reports of back pain were identified using longitudinal latent class analysis. Trajectories were characterised using information on disability, psychological status and presence of other symptoms.

RESULTS: Four clusters with different back pain trajectories at follow-up were identified:

(1) no or occasional pain
(2) persistent mild pain
(3) fluctuating pain and
(4) persistent severe pain.

Trajectory clusters differed significantly from each other in terms of disability, psychological status and other symptoms. Most participants remained in a similar trajectory as 7 years previously (weighted κ 0.54; 95% CI 0.42 to 0.65).

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Memorial Day (2016) In Memory of Those Who Have Fallen

By Frank M. Painter|May 27, 2016|Announcement|

Memorial Day (2016)
In Memory of Those Who Have Fallen

The Chiro.Org Blog

The Bivouac of the Dead

The muffled drum’s sad roll has beat
The soldier’s last tattoo’
No more on life’s parade shall meet
That brave and fallen few;

On Fame’s eternal camping ground
Their silent tents are spread;
But Glory guards with solemn round
The bivouac of the dead.

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Trajectories of Low Back Pain

By Frank M. Painter|May 26, 2016|Low Back Pain|

Trajectories of Low Back Pain

The Chiro.Org Blog

SOURCE: Best Pract Res Clin Rheumatol. 2013 (Oct); 27 (5): 601–612

Iben Axén, Charlotte Leboeuf-Yde

Unit of Intervention & Implementation Research,
Institute of Environmental Medicine,
Karolinska Institutet,
Nobels väg 13, S-171 77 Stockholm, Sweden

Low back pain is not a self-limiting problem, but rather a recurrent and sometimes persistent disorder. To understand the course over time, detailed investigation, preferably using repeated measurements over extended periods of time, is needed. New knowledge concerning short-term trajectories indicates that the low back pain ‘episode’ is short lived, at least in the primary care setting, with most patients improving. Nevertheless, in the long term, low back pain often runs a persistent course with around two-thirds of patients estimated to be in pain after 12 months. Some individuals never have low back pain, but most have it on and off or persistently. Thus, the low back pain ‘condition’ is usually a lifelong experience. However, subgroups of patients with different back pain trajectories have been identified and linked to clinical parameters. Further investigation is warranted to understand causality, treatment effect and prognostic factors and to study the possible association of trajectories with pathologies.

From the FULL TEXT Article:

Introduction

Until recently, low back pain (LBP) was believed to be a self-limiting condition, much like the common cold. The European guidelines for the management of acute LBP state that 90% of patients will recover within 6 weeks. [1]

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