Comparing the Cost of Chiropractic Care In the US to Other Treatments for Spine Pain

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Comparing the Cost of Chiropractic Care In the US to Other Treatments 

for Spine Pain
The Study: A systematic review comparing the costs of chiropractic care to other interventions for spine pain in the United States.
The Facts:
a. Spinal pain is both common and costly in the United States.
  
b. Of the cases seeking care 61% see a MD or DO, 28% seek chiropractic care and 11% receive care from both a MD and a physical therapist.
  
c. Of those seeking chiropractic care 68% are there for low back pain, 12% for neck pain and 6% for mid-back pain.
  
d. Just 3% of patients seeing MDs are there for spine pain.
  
e. Studies have indicated that patients are more satisfied with chiropractic care than care from a medical provider.
  
f. Chiropractic proponents have maintained that chiropractic care is more cost effective in managing spine pain than care from a medical physician.
  
g. Some reviews of the scientific literature have looked at chiropractic’s cost effectiveness but they “included a multitude of therapies and countries”.
  
h. This study reviewed studies on cost comparisons which looked at “chiropractic care of spine pain in the US.”
  
i. The authors found 25 studies which were in English and looked at chiropractic care for spinal pain in the United States.
  
j. Generally these studies indicated that chiropractic care was associated with lower costs in comparison to other heal care providers. However, “the methods used in these studies differed widely, limiting their interpretation and generalizability.”
  
k. The authors suggest that studies utilizing more rigorous methods are needed to determine “if the differences in health care costs noted in these studies are attributable to the type of health care received” or are the result of other factors.
  
MESSAGE OF ARTICLE:
While there are studies indicating chiropractic care is more cost effective for treatment of spinal pain than the care of medical physicians, better studies are needed before it can be definitively said that the differences in the health care costs are due to the type of health care received.

  
Link to Abstract: Dagenais S, Brady O, Haldeman S, Manga P. A systematic review comparing the costs of chiropractic care to other interventions for spine pain in the United States. BMC Health Serv Res. 2015 Oct 19;15(1):474. doi: 10.1186/s12913-015-1140-5

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