Reduced likelihood of gabapentin prescription in U.S. adults receiving chiropractic spinal manipulation for low back pain
CLEVELAND - A new study conducted by researchers at University Hospitals (UH) Connor Whole Health sheds light on potential benefits of chiropractic care for adults with radicular low back pain (i.e., sciatica). The study, published in BMJ Open, entitled "Association between chiropractic spinal manipulation and gabapentin prescription in adults with radicular low back pain: retrospective cohort study using U.S. data," investigated the relationship between chiropractic spinal manipulative therapy (CSMT) and the prescription of gabapentin, an off-label treatment for radicular low back pain.
The researchers hypothesized that adults under 50 years of age receiving CSMT for newly diagnosed radicular low back pain would have reduced odds of being prescribed gabapentin over a one-year follow-up period. Using a retrospective cohort study design, the research team analyzed data from a large U.S. healthcare network comprising millions of patient records. The CSMT cohort had significantly lower odds of receiving a gabapentin prescription compared to the usual medical care cohort. The odds ratio was 0.53 (p<0.0001), indicating a meaningful reduction in gabapentin use among patients who received chiropractic care for radicular low back pain.
"We are excited by the implications of our findings, which suggest that chiropractic care could offer benefits to managing low back pain and lead to greater concordance with clinical practice guidelines with respect to medication prescribing," said lead author Robert J Trager, DC, from UH Connor Whole Health. "While chiropractic spinal manipulation is already recommended for low back pain, this study re-affirms its utility and sheds light on its other potential pain management benefits."
As the medical community continues to seek ways to improve patient care, studies like this one contribute valuable insights into the potential benefits of CSMT for low back pain. With this study, the authors build on their previous work, which showed that recipients of CSMT were less likely to be prescribed a benzodiazepine, and other studies, which showed a similar finding with opioids.
You can read “Association between chiropractic spinal manipulation and gabapentin prescription in adults with radicular low back pain: retrospective cohort study using US data” in BMJ Open by clicking here.
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About UH Connor Whole Health
UH Connor Whole Health is part of University Hospitals (UH), a comprehensive health system with annual revenues in excess of $5.0 billion, 23 hospitals (including 5 joint ventures), more than 50 health centers and outpatient facilities, and over 200 physician offices located throughout 16 counties. UH’s goal is to be the most trusted health care partner in Northeast Ohio and UH Connor Whole Health furthers this objective by working to strengthen relationships between patients and providers to improve outcomes. The Whole Health approach prioritizes compassionate care centered on the patient’s entire well-being. The health care provider’s goal is to equip and empower each patient to take charge of their physical, mental, and spiritual health in order to live a full and meaningful life. Linking the patient’s larger purpose and life goals to their lifestyle allows clinical services, integrative medicine, and well-being programs to be delivered in a way that increases collaboration, motivation, and adherence to self-care and clinical needs. UH Connor Whole Health services include acupuncture, art therapy, chiropractic, expressive therapy (art, dance, and music), guided imagery, integrative medicine/lifestyle medicine consultations (adult and pediatric), massage therapy, meditation, mindfulness, osteopathic sports rehabilitation, stress management and resilience training workshops and yoga. For more information, visit UH Hospitals.org/ConnorWholeHealth. Follow UH Connor Whole Health on LinkedIn.
About University Hospitals / Cleveland, Ohio
Founded in 1866, University Hospitals serves the needs of patients through an integrated network of 21 hospitals (including five joint ventures), more than 50 health centers and outpatient facilities, and over 200 physician offices in 16 counties throughout northern Ohio. The system’s flagship quaternary care, academic medical center, University Hospitals Cleveland Medical Center, is affiliated with Case Western Reserve University School of Medicine, Northeast Ohio Medical University, Oxford University, the Technion Israel Institute of Technology and . National Taiwan University College of Medicine. The main campus also includes the UH Rainbow Babies & Children's Hospital, ranked among the top children’s hospitals in the nation; UH MacDonald Women's Hospital, Ohio's only hospital for women; and UH Seidman Cancer Center, part of the NCI-designated Case Comprehensive Cancer Center. UH is home to some of the most prestigious clinical and research programs in the nation, with more than 3,000 active clinical trials and research studies underway. UH Cleveland Medical Center is perennially among the highest performers in national ranking surveys, including “America’s Best Hospitals” from U.S. News & World Report. UH is also home to 19 Clinical Care Delivery and Research Institutes. UH is one of the largest employers in Northeast Ohio with more than 30,000 employees. Follow UH on LinkedIn, Facebook and Twitter. For more information, visit UHhospitals.org.
JOURNAL
BMJ Open
METHOD OF RESEARCH
Observational study
SUBJECT OF RESEARCH
People
ARTICLE TITLE
Association between chiropractic spinal manipulation and gabapentin prescription in adults with radicular low back pain: retrospective cohort study using US data
COI STATEMENT
RJT reports he has received royalties as the author of two texts on the topic of sciatica.
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