Cost Effectiveness of OMT for Chronic Low Back Pain

Rowan University146 enrolled

Overview

The specific aim of this study is to conduct a prospective, multicenter cohort study over four months to compare the cost of standard of allopathic care (control group, N=90) versus standard of care plus osteopathic manipulative treatment (experimental group, N=90) in a cohort of 180 consecutive patients seeking treatment for chronic low back pain at three osteopathic clinics and three allopathic medical clinics (offering only standard care) located in three different regions of the United States.

Study Type

OBSERVATIONAL

Enrollment

146

Conditions

Lumbar Radiculopathy Lesion of Sciatic Nerve, Left Lower Limb Lesion of Sciatic Nerve, Right Lower Limb Lumbar Spinal Stenosis Lumbar Spondylosis Lumbago With Sciatica, Left Side Lumbago With Sciatica, Right Side

Interventions

Osteopathic Manipulative Treatment (OMT)PROCEDURE

No specific OMT techniques will be required for the present study. However, data on the number of OMT sessions patients receive will be collected.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 84 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients diagnosed with chronic low back pain (lasting more than 3 months) who are between 18 to 84 years old will be eligible for the study. Inclusion criteria will be specified by the following the 2017/2018 International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes associated with chronic low back pain: * M54.16 Lumbar radiculopathy * G57.01 Lesion of sciatic nerve, right lower limb * G57.02 Lesion of sciatic nerve, left lower limb * M48.061 Lumbar spinal stenosis, without neurogenic claudication * M48.062 Lumbar spinal stenosis, with neurogenic claudication * M47.816 Lumbar spondylosis * M48.07 Lumbar spinal stenosis, lumbosacral * M54.41 Lumbago with sciatica, right side * M54.42 Lumbago with sciatica, left side Exclusion Criteria: * Patients with diabetic neuropathy, congenital lumbar and sacral abnormalities, lumbar fracture, multiple myeloma, metastatic bone disease, history of spinal and/or pain lasting less than three months will be excluded from the study.

Locations (3)

Michigan State University

East Lansing, Michigan, United States

Rowan University SOM NeuroMusculoskeletal Institute

Stratford, New Jersey, United States

The Pain Associates

Voorhees Township, New Jersey, United States

Outcomes

Primary Outcomes

Total Costs

The cost data will be collected from the electronic medical record of each patient enrolled in the study. Because the costs for comparable treatments vary with respect to different socioeconomic and geographic regions in the United States, the mean total-healthcare costs per patient will be calculated based on codes for 2018 Medicare fee schedules for each clinic listed in the Current Procedural Terminology (CPT) for office visits, medications, OMT, and referrals.

Time frame: 4 months

Secondary Outcomes

Total Morphine-Equivalents

Various pain medications that might have been prescribed will be calculated and compared to morphine equivalents at admission to the study and after four months at each of the treatment centers.

Time frame: 4 months