top of page
AdobeStock_352149697.jpeg

Estimating cost of care for patients with acute low back pain: a retrospective review of patient records

Cite

Full Text Link

Books and documents

-

Osteopathic Manipulative Treatment

J Am Osteopath Assoc. 2009 Apr;109(4):229-33.

Authors:

William Thomas Crow, David R Willis

Abstract.



Context: Low back pain (LBP) has a major economic impact in the United States, with total costs related to this condition exceeding $100 billion per year.

Objective: To estimate the cost of standard care compared to standard care plus osteopathic manipulative treatment (OMT) for acute LBP of less than 6 months' duration.

Methods: A retrospective review of electronic medical records from patients who visited Florida Hospital East Orlando in Orlando. All patients had LBP of less than 6 months' duration and had received care between January 1, 2002, and December 31, 2005. The control group comprised patients who received standard care; the study group consisted of patients who received OMT in addition to standard care. Healthcare utilization (eg, radiologic scans, prescriptions) was determined by "episodes of care," and costs were averaged per patient.

Results: A total of 1556 patients and 2030 episodes of care met inclusion criteria. Compared with subjects in the control group, individuals in the OMT group had an average of 0.5 more office visits per EOC, resulting in 38% more office visits. However, OMT patients had 18.5% fewer prescriptions written, 74.2% fewer radiographs, 76.9% fewer referrals, and 90% fewer magnetic resonance imaging scans. In the OMT group, total average costs were $38.26 lower (P=.02), and average prescription costs were $19.53 lower (P<.001). Patients in the OMT group also had $63.81 less average radiologic costs (P<.0001).

Conclusion: Osteopathic manipulative treatment may reduce costs for the management of acute LBP. Further research in a prospective study is needed.

Publication Date: 

2009 Apr

OEID: 

1964

Crow, TW., Willis, RD. (2009) 'Estimating cost of care for patients with acute low back pain: a retrospective review of patient records ', J Am Osteopath Assoc. 2009 Apr;109(4):229-33.

Sponsored by 

logo-footer-k.png

Search    Explore    About    Join    Web Policy     Contact Us

Copyright © 2023 OsteoEvidence. All Rights Reserved.
 

bottom of page