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Chuzhen Therapy as a Non-Invasive Traditional Chinese Therapy for Neck Pain
04:24

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Published on: June 6, 2025

Management for Chronic Neck Pain: Identifying Groups at Risk for Increased Emergency Room Utilization and Healthcare

Rida Mitha1, Sohan A Rao1, Nicole Don1

  • 1Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

Neurosurgery
|June 1, 2026
PubMed
Summary

Patients with chronic neck pain show disparities in healthcare utilization. Minority, male, and frail individuals are more likely to use emergency settings and experience delayed care transitions.

Keywords:
DisparitiesEmergency departmentNeck painOpioid

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Area of Science:

  • Healthcare Management
  • Public Health
  • Epidemiology

Background:

  • Neck pain affects a significant portion of the population annually.
  • Understanding healthcare provider utilization patterns is crucial for effective pain management.

Purpose of the Study:

  • To examine healthcare provider utilization for neck pain management.
  • To identify patient factors influencing provider choice and care pathways.

Main Methods:

  • Analysis of 62,055 claims from 12,615 patients at an academic medical center.
  • Utilized Uniform Manifold Approximation and Projection (UMAP) with K-means clustering.
  • Employed multinomial logistic regression to identify significant relationships.

Main Results:

  • Significant disparities in provider utilization and cost of care were observed.
  • Older patients with high comorbidity predominantly visited emergency medicine initially without follow-up.
  • Minority, Medicaid/Medicare, and older patients were more likely to initiate care in emergency departments.

Conclusions:

  • Healthcare utilization for chronic neck pain varies significantly based on demographics, insurance, and patient frailty.
  • Vulnerable patient groups face higher utilization of emergency settings and delayed transitions to further care.