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Is complementary medicine and diagnosis associated among spinal patients in the secondary sector: a cross-sectional
Dorthe Schoeler Ziegler1,2, Soeren Francis Dyhrberg O'Neill3,4, Kirstine Vest Have5
1Medical Spinal Research Unit, Spine Center of Southern Denmark - Part of Lillebaelt Hospital, Oestre Hougvej 55, 5500, Middelfart, Denmark. dorthe.schoeler.ziegler@rsyd.dk.
Purpose:
The services defined as complementary and alternative medicine/healthcare (CAM) are used to varying degrees according to the nature of the health problem, and musculoskeletal disorders, in particular, often lead to the use of CAM. Chronic pain is often cited as a reason for using CAM, and it is also the cardinal symptom of patients with back pain referred for specialist care. However, previous studies do not consider the heterogeneity of back pain when examining the use of CAM. Thus, this study aimed to explore the associations between CAM use and clinical findings incl. ICD-10 diagnostic codes in such a context.
Methods:
In a cross-sectional study, a logistic regression analysis examined associations between CAM use and clinical findings at a public outpatient spine department. Chi-squared test examined the association between self-reported reasons for CAM use and the diagnostic groups.
Results:
Of the 432 patients in the study population, 23.8% reported using CAM within 12 months prior to clinical assessment. CAM use was associated with being female and of younger age. Seeking CAM was not associated with clinical findings nor diagnosis, and no statistically significant association between the reasons for seeking CAM and the diagnostic groups was described.
Conclusions:
Among patients referred to specialist care for back pain, this study provides no evidence that the spinal condition should be expected to lead to the use of CAM. Only the individual demographic findings, specifically age and gender, were associated with CAM use.
