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Research ArticleOriginal Research

Perceived Benefit of Complementary and Alternative Medicine (CAM) for Back Pain: A National Survey

Anup K. Kanodia, Anna T. R. Legedza, Roger B. Davis, David M. Eisenberg and Russell S. Phillips
The Journal of the American Board of Family Medicine May 2010, 23 (3) 354-362; DOI: https://doi.org/10.3122/jabfm.2010.03.080252
Anup K. Kanodia
MD, MPH
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Anna T. R. Legedza
ScD
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Roger B. Davis
ScD
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David M. Eisenberg
MD
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Russell S. Phillips
MD
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Article Figures & Data

Figures

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    Figure 1.

    Use of the 6 most frequently used complementary and alternative medicine (CAM) modalities for back pain during the previous 12 months. These modalities are not mutually exclusive and are limited to respondents for whom back pain was one of the 3 most bothersome medical conditions.

Tables

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    Table 1.

    Sociodemographic and Clinical Factors of Respondents Who Used the 6 Most Frequently Used Complementary and Alternative Medicine Modalities for Back Pain during the Previous 12 Months

    Sociodemographic and Clinical CharacteristicsCAM Users with Back Pain (%) (n = 1,647)
    Age (years)
        <3017
        30–3922
        40–4925
        50–6424
        ≥6512
    Sex
        Male44
        Female56
    Education
        <High school9
        Completed high school61
        Beyond high school30
    Annual household income ($)
        <20,00017
        20,000–34,99927
        35,000–64,99924
         ≥65,00028
    Race
        White90
        Non-white10
    Employment
        Employed70
        Unemployed30
    Insurance
        Private68
        Medicare14
        Medicaid3
        Uninsured1
        Unknown2
    Region
        Northeast20
        Midwest32
        South26
        West23
    Married51
    Self-reported health status
        Excellent/very good/good88
        Fair/poor12
    Body mass index
        <18.52
        ≥18.5–2538
        >25–2935
        ≥3022
    Smoker24
    • CAM, complementary and alternative medicine.

    • View popup
    Table 2.

    Perceived Benefit of the 6 Most Frequently Used Complementary and Alternative Medicine Modalities for Back Pain

    Modalities*Those with Great Benefit from CAM (Weighted %)
    Chiropractic (n = 1,163)66
    Massage (n = 196)56
    Yoga, Tai chi, Qi Gong (n = 45)56
    Acupuncture (n = 89)42
    Herbal therapies (n = 78)32
    Relaxation techniques (n = 76)28
    • * The modalities listed are not mutually exclusive.

    • CAM, complementary and alternative medicine.

    • View popup
    Table 3.

    Reasons for Using the 6 Most Frequently Used Complementary and Alternative Medicine Modalities for Back Pain

    Reasons for UseCAM Users Who Reported Reasons for Use (%)(n = 1,647)
    Conventional medical treatment would not help27
    Conventional medical treatment was too expensive13
    Used conventional medicine and CAM together53
    Conventional medical practitioner suggested CAM24
    Interested in trying CAM48
    • CAM, complementary and alternative medicine.

    • View popup
    Table 4.

    Multivariable Analysis of Perceived Improvement after Use of the 6 Most Frequently Used Complementary and Alternative Medicine Modalities for Back Pain*

    PredictorsAdjusted Odds Ratio (95% CI)
    Sociodemographic
        Age
            <300.85 (0.59–1.22)
            30–39Reference
            40–491.02 (0.75–1.4)
            50–641.15 (0.82–1.62)
            ≥651.07 (0.71–1.61)
        Sex
            MaleReference
            Female1.22 (0.96–1.54)
        Race
            WhiteReference
            Non-white0.85 (0.6–1.22)
    Self-reported health status
        Excellent/very good/goodReference
        Fair/poor0.58 (0.41–0.82)
    Reasons for CAM use
        Patients stated conventional medical treatment would not help
            Yes1.46 (1.14–1.86)
            NoReference
        Conventional medical practitioner suggest CAM to their patients
            Yes0.7 (0.54–0.92)
            NoReference
    CAM modalities
        ChiropracticReference
        Acupuncture0.71 (0.37–1.38)
        Herbal therapies0.3 (0.19–0.46)
        Massage0.62 (0.46–0.83)
        Yoga, tai chi, qi gong0.71 (0.41–1.22)
        Relaxation techniques0.25 (0.14–0.45)
    • * Controlling for type of complementary and alternative medicine (CAM) therapy.

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The Journal of the American Board of Family Medicine: 23 (3)
The Journal of the American Board of Family Medicine
Vol. 23, Issue 3
May-June 2010
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Perceived Benefit of Complementary and Alternative Medicine (CAM) for Back Pain: A National Survey
Anup K. Kanodia, Anna T. R. Legedza, Roger B. Davis, David M. Eisenberg, Russell S. Phillips
The Journal of the American Board of Family Medicine May 2010, 23 (3) 354-362; DOI: 10.3122/jabfm.2010.03.080252

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Perceived Benefit of Complementary and Alternative Medicine (CAM) for Back Pain: A National Survey
Anup K. Kanodia, Anna T. R. Legedza, Roger B. Davis, David M. Eisenberg, Russell S. Phillips
The Journal of the American Board of Family Medicine May 2010, 23 (3) 354-362; DOI: 10.3122/jabfm.2010.03.080252
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