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BMC Complementary Medicine and Therapies
Published in: BMC Complementary Medicine and Therapies 1/2007

Open Access 01-12-2007 | Research article

Use of complementary alternative medicine for low back pain consulting in general practice: a cohort study

Authors: Jean-François Chenot, Annette Becker, Corinna Leonhardt, Stefan Keller, Norbert Donner-Banzhoff, Erika Baum, Michael Pfingsten, Jan Hildebrandt, Heinz-Dieter Basler, Michael M Kochen

Published in: BMC Complementary Medicine and Therapies | Issue 1/2007

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Abstract

Background

Although back pain is considered one of the most frequent reasons why patients seek complementary and alternative medical (CAM) therapies little is known on the extent patients are actually using CAM for back pain.

Methods

This is a post hoc analysis of a longitudinal prospective cohort study embedded in a RCT. General practitioners (GPs) recruited consecutively adult patients presenting with LBP. Data on physical function, on subjective mood, and on utilization of health services was collected at the first consultation and at follow-up telephone interviews for a period of twelve months

Results

A total of 691 (51%) respectively 928 (69%) out of 1,342 patients received one form of CAM depending on the definition. Local heat, massage, and spinal manipulation were the forms of CAM most commonly offered. Using CAM was associated with specialist care, chronic LBP and treatment in a rehabilitation facility. Receiving spinal manipulation, acupuncture or TENS was associated with consulting a GP providing these services. Apart from chronicity disease related factors like functional capacity or pain only showed weak or no association with receiving CAM.

Conclusion

The frequent use of CAM for LBP demonstrates that CAM is popular in patients and doctors alike. The observed association with a treatment in a rehabilitation facility or with specialist consultations rather reflects professional preferences of the physicians than a clear medical indication. The observed dependence on providers and provider related services, as well as a significant proportion receiving CAM that did not meet the so far established selection criteria suggests some arbitrary use of CAM.
Appendix
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Metadata
Title
Use of complementary alternative medicine for low back pain consulting in general practice: a cohort study
Authors
Jean-François Chenot
Annette Becker
Corinna Leonhardt
Stefan Keller
Norbert Donner-Banzhoff
Erika Baum
Michael Pfingsten
Jan Hildebrandt
Heinz-Dieter Basler
Michael M Kochen
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2007
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/1472-6882-7-42

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