The Association of Complementary and Alternative Medicine Use and Health Care Expenditures for Back and Neck Problems

BACKGROUND: Health care costs associated with use of complementary and alternative medicine (CAM) by patients with spine problems have not been studied in a national sample. OBJECTIVES: To estimate the total and spine-specific medical expenditures among CAM and non-CAM users with spine problems. RESEARCH DESIGN: Analysis of the 2002-2008 Medical Expenditure Panel Survey. SUBJECTS: Adults (above 17 y) with self-reported neck and back problems who did or did not use CAM services. MEASURES: Survey-weighted generalized linear regression and propensity matching to examine expenditure differences between CAM users and non-CAM users while controlling for patient, socioeconomic, and health characteristics. RESULTS: A total of 12,036 respondents with spine problems were included, including 4306 (35.8%) CAM users (40.8% in weighted sample). CAM users had significantly better self-reported health, education, and comorbidity compared with non-CAM users. Adjusted annual medical costs among CAM users was $424 lower (95% confidence interval: $240, $609; P<0.001) for spine-related costs, and $796 lower (95% confidence interval: $121, $1470; P = 0.021) for total health care cost than among non-CAM users. Average expenditure for CAM users, based on propensity matching, was $526 lower for spine-specific costs (P<0.001) and $298 lower for total health costs (P = 0.403). Expenditure differences were primarily due to lower inpatient expenditures among CAM users. CONCLUSIONS: CAM users did not add to the overall medical spending in a nationally representative sample with neck and back problems. As the causal associations remain unclear in these cross-sectional data, future research exploring these cost differences might benefit from research designs that minimize confounding

Confidence interval · Cross-sectional study · Environmental health · Family medicine · Health care · Health insurance · Medical Expenditure Panel Survey · National Health Interview Survey · Population · Propensity score matching · Socioeconomic status · Biofield Effects and Biophysics · Complementary and Alternative Medicine Studies · Internal Medicine · Medicine · Musculoskeletal pain and rehabilitation

• Cross-national differences in the holistic use of traditional East Asian medicine in East Asia

  Open Access•Jae-Mahn Shim, Jibum Kim•Health Promotion International•2016

  Incluir item

• A Systematic Scoping Review of Complementary and Alternative Medicine Mind and Body Practices to Improve the Health of Veterans and Military Personnel

  A Rani Elwy, Jennifer M Johnston et al.•Medical Care•2014

  Incluir item

• Sleep Duration and Health Care Expenditures in the United States

  Foram S Jasani, Foram Jasani et al.•Medical Care•2020

  Incluir item

• Associations Between Complementary and Alternative Medicine and Health Care Expenditures Among Adults With Chronic Back Pain

  R Henry Olaisen•Medical Care•2020

  Incluir item

• Clinical Scenarios for Which Spinal Mobilization and Manipulation Are Considered by an Expert Panel to be Inappropriate (and Appropriate) for Patients With Chronic Low Back Pain

  Patricia M Herman, Eric L Hurwitz et al.•Medical Care•2019

  Incluir item

• Trends in Alternative Medicine Use in the United States, 1990-1997

  David M Eisenberg, Roger B Davis et al.•JAMA•1998

  Incluir item