Health-Related Quality of Life Among United States Service Members with Low Back Pain Receiving Usual Care Plus Chiropractic Care vs Usual Care Alone: Secondary Outcomes of a Pragmatic Clinical Trial.

Autor:	Hays RD; UCLA Department of Medicine, Los Angeles, California, USA., Shannon ZK; Department of Epidemiology, University of Iowa, Iowa City, Iowa, USA., Long CR; Palmer Center for Chiropractic Research, Palmer College of Chiropractic, Davenport, Iowa, USA., Spritzer KL; UCLA Department of Medicine, Los Angeles, California, USA., Vining RD; Palmer Center for Chiropractic Research, Palmer College of Chiropractic, Davenport, Iowa, USA., Coulter ID; RAND Health Care, RAND Corporation, Santa Monica, California, USA., Pohlman KA; Parker University, Dallas, Texas, USA., Walter JA; Samueli Foundation, Corona del Mar, California, USA., Goertz CM; Department of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.
Jazyk:	angličtina
Zdroj:	Pain medicine (Malden, Mass.) [Pain Med] 2022 Aug 31; Vol. 23 (9), pp. 1550-1559.
DOI:	10.1093/pm/pnac009
Abstrakt:	Objective: This study examines Patient-Reported Outcome Measurement Information System (PROMIS®)-29 v1.0 outcomes of chiropractic care in a multi-site, pragmatic clinical trial and compares the PROMIS measures to: 1) worst pain intensity from a numerical pain rating 0-10 scale, 2) 24-item Roland-Morris Disability Questionnaire (RMDQ); and 3) global improvement (modified visual analog scale). Design: A pragmatic, prospective, multisite, parallel-group comparative effectiveness clinical trial comparing usual medical care (UMC) with UMC plus chiropractic care (UMC+CC). Setting: Three military treatment facilities. Subjects: 750 active-duty military personnel with low back pain. Methods: Linear mixed effects regression models estimated the treatment group differences. Coefficient of repeatability to estimate significant individual change. Results: We found statistically significant mean group differences favoring UMC+CC for all PROMIS®-29 scales and the RMDQ score. Area under the curve estimates for global improvement for the PROMIS®-29 scales and the RMDQ, ranged from 0.79 to 0.83. Conclusions: Findings from this pre-planned secondary analysis demonstrate that chiropractic care impacts health-related quality of life beyond pain and pain-related disability. Further, comparable findings were found between the 24-item RMDQ and the PROMIS®-29 v1.0 briefer scales. (© The Author(s) 2022. Published by Oxford University Press on behalf of the American Academy of Pain Medicine.)
Databáze:	MEDLINE
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