Skip to main content

Table 1 Included studies, by study design and first author

From: Cost of chiropractic versus medical management of adults with spine-related musculoskeletal pain: a systematic review

References

Title

Year

Rating*

 

Prospective cohort studies

Carey [23]

The outcomes and costs of care for acute low back pain among patients seen by primary care practitioners, chiropractors, and orthopedic surgeons

1995

A

Elder [24]

Comparative effectiveness of usual care with or without chiropractic care in patients with recurrent musculoskeletal back and neck Pain

2018

A

Graves [25]

Factors associated with early magnetic resonance imaging utilization for acute occupational low back pain: a population-based study from Washington State workers' compensation

2012

A

Keeney [26]

Early predictors of lumbar spine surgery after occupational back injury: results from a prospective study of workers in Washington State

2013

A

 

Cohort studies (retrospective/cross-sectional)

Anderson [27]

Three patterns of spinal manipulative therapy for back pain and their association with imaging, injection procedures, and surgery: a cohort study of insurance claims

2021

A

Anderson [28]

Risk of treatment escalation in recipients vs nonrecipients of spinal manipulation for musculoskeletal cervical spine disorders: analysis of insurance claims

2021

H

Bezdjian [29]

Efficiency of primary spine care as compared to conventional primary care: a retrospective observational study at an Academic Medical Center

2022

H

Davis [30]

The effect of reduced access to chiropractic care on medical service use for spine conditions among older adults

2021

H

Davis [31]

Access to chiropractic care and the cost of spine conditions among older adults

2019

H

Fritz [32]

Importance of the type of provider seen to begin health care for a new episode low back pain: associations with future utilization costs

2016

H

Hong [33]

Clinician-level predictors for ordering low-value imaging

2017

H

Hurwitz [34]

Variations in patterns of utilization and charges for neck pain in North Carolina, 2000 to 2009: a statewide claims' data analysis

2016

H

Hurwitz [35]

Variations in patterns of utilization and charges for the care of low back pain in North Carolina, 2000 to 2009: a statewide claims' data analysis

2016

H

Jin [36]

Healthcare resource utilization in management of opioid-naive patients with newly diagnosed neck pain

2022

H

Kazis [37]

Observational retrospective study of the association of initial healthcare provider for new-onset low back pain with early and long-term opioid use

2019

H

Liliedahl [38]

Cost of care for common back pain conditions initiated with chiropractic doctor vs medical doctor/doctor of osteopathy as first physician: experience of one Tennessee-based general health insurer

2010

H

Louis [39]

Association of initial provider type on opioid fills for individuals with neck pain

2020

H

Rhon [12]

The influence of a guideline-concordant stepped care approach on downstream healthcare utilization in pts with spine and shoulder pain

2019

H

Weeks [40]

Cross-sectional analysis of per capita supply of doctors of chiropractic and opioid use in younger Medicare beneficiaries

2016

H

Weeks [41]

The association between use of chiropractic care and costs of care among older Medicare patients with chronic low back pain and multiple comorbidities

2016

H

Whedon [9]

Initial choice of spinal manipulation reduces escalation of care for chronic low back pain among older Medicare beneficiaries

2022

H

Whedon [42]

Long-Term Medicare Costs Associated With Opioid Analgesic Therapy vs Spinal Manipulative Therapy for Chronic Low Back Pain in a Cohort of Older Adults

2021

H

Whedon [43]

Initial choice of spinal manipulative therapy for treatment of chronic low back pain leads to reduced long-term risk of adverse drug events among older Medicare beneficiaries

2021

H

Whedon [44]

Association between utilization of chiropractic services for treatment of low back pain and use of prescription opioids

2018

H

Whedon [45]

Impact of chiropractic care on use of prescription opioids in patients with spinal pain

2020

H

Whedon [40]

Association between chiropractic care and use of prescription opioids among older Medicare beneficiaries with spinal pain: a retrospective observational study

2022

H

 

Cost studies

Grieves [47]

Cost minimization analysis of low back pain claims data for chiropractic vs medicine in a managed care organization

2009

A

Haas [48]

Cost-effectiveness of medical and chiropractic care for acute and chronic low back pain

2005

H

Harwood [5]

Where to start? A two-stage residual inclusion approach to estimating influence of the initial provider on healthcare utilization and costs for low back pain in the US

2022

H

Jarvis [49]

Cost per case comparison of back injury claims of chiropractic versus medical management for conditions with identical diagnostic codes

1991

A

Kominski [50]

Economic evaluation of four treatments for low-back pain: results from a randomized controlled trial

2005

A

Legorreta [51]

Comparative analysis of individuals with and without chiropractic coverage: patient characteristics, utilization, and costs

2004

H

Leininger [52]

Cost-effectiveness of spinal manipulative therapy, supervised exercise, and home exercise for older adults with chronic neck pain

2016

H

Mosley [53]

Cost effectiveness of chiropractic care in a managed care setting

1996

A

Nelson [54]

Effects of a managed chiropractic benefit on the use of specific diagnostic and therapeutic procedures in the treatment of low back and neck pain

2005

A

Phelan [55]

An evaluation of medical and chiropractic provider utilization and costs: treating injured workers in North Carolina

2004

A

Shekelle [56]

Comparing the costs between provider types of episodes of back pain care

1995

A

Smith [57]

Costs and recurrences of chiropractic and medical episodes of low-back care

1997

H

Stano [58]

A comparison of healthcare costs for chiropractic and medical patients

1993

A

Stano [59]

The economic role of chiropractic: an episode analysis of relative insurance costs for low back care

1993

A

Stano [60]

Further analysis of healthcare costs for chiropractic and medical patients

1994

A

Stano [61]

Chiropractic and medical care costs of low back care: results from a practice-based observational study

2002

A

Stano [62]

Chiropractic and medical costs of low back care

1996

A

 

Randomized controlled trial

Cherkin(63)

A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain

1998

A

  1. *A, acceptable quality, moderate risk of bias; H, high quality, low risk of bias