Complementary Care: When Is It Appropriate? Who Will Provide It?
Authors: Marc S. Micozzi
Journal: Annals of Internal Medicine (1998)

Editorials1 July 1998Complementary Care: When Is It Appropriate? Who Will Provide It?Marc S. Micozzi, MD, PhDMarc S. Micozzi, MD, PhDCollege of Physicians of Philadelphia; Philadelphia, PA 19103.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-129-1-199807010-00014 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The Agency for Health Care Policy and Research (AHCPR) recently made history when it concluded that spinal manipulative therapy is the most effective and cost-effective treatment for acute low back pain [1]. The 1994 guidelines for acute low back pain developed by AHCPR concluded that spinal manipulation hastens recovery from acute low back pain and recommended that this therapy be used in combination with or as an alternative to nonsteroidial anti-inflammatory drugs [1]. At the same time, AHCPR concluded that various traditional methods, such as bed rest, traction, and other physical and pharmaceutical therapies were less effective than spinal manipulation ...References1. Bigos SJ, Bowyer O, Braea G, Brown K, Deyo R, Haldeman S, et al. Acute Low Back Pain Problems in Adults: Clinical Practice Guideline no. 14. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research; 1992. AHCPR publication no. 95-0642. Google Scholar2. Shekelle PG, Adams AH, Chassin MR, Hurwitz EL, Phillips RB, Brook RH. The Appropriateness of Spinal Manipulation for Low-Back Pain. Project Overview and Literature Review. Santa Monica, CA: RAND; 1991. Google Scholar3. Shekelle PG, Adams AH, Chassin MR, Hurwitz EL, Brook RH. Spinal manipulation for low-back pain. Ann Intern Med. 1992; 117:590-8. Google Scholar4. Shekelle PG. The Use and Costs of Chiropractic Care in the Health Insurance Experiment. Santa Monica, CA: RAND; 1994. Google Scholar5. Shekelle PG, Coulter I, Hurwitz EL, Genovese B, Adams AH, Mior SA, et al. The congruence between decisions to initiate chiropractic spinal manipulation for low back pain and appropriateness criteria in North America. Ann Intern Med. 1998; 129:9-17. Google Scholar6. Winslow CM, Solomon DH, Chassin MR, Kosecoff J, Merrick NJ, Brook NH. The appropriateness of carotid endarterectomy. N Engl J Med. 1988; 318:721-7. Google Scholar7. Winslow CM, Kosecoff J, Chassin M, Kanouse DE, Brook RH. The appropriateness of performing coronary artery bypass surgery. JAMA. 1988; 260:505-9. Google Scholar8. Bernstein SJ, McGlynn EA, Siu AL, Roth CP, Sherwood MJ, Keesey JW. The appropriateness of hysterectomy. A comparison of care in seven health plans. Health Maintenance Organization Quality of Care Consortium. JAMA. 1993; 269:2398-402. Google Scholar9. Kleinman LC, Kosecoff J, Dubois RW, Brook RH. The medical appropriateness of tympanostomy tubes proposed for children younger than 16 years in the United States. JAMA. 1994; 271:1250-5. Google Scholar10. Redwood D. Chiropractic. In: Micozzi MS, ed. Fundamentals of Complementary and Alternative Medicine. New York: Churchill Livingstone; 1996. Google Scholar11. Micozzi MS. Characteristics of complementary and alternative medicine. In: Micozzi MS, ed. Fundamentals of Complementary and Alternative Medicine. New York: Churchill Livingstone; 1996. Google Scholar12. Ergil K. China's traditional medicine. In: Micozzi MS, ed. Fundamentals of Complementary and Alternative Medicine. New York: Churchill Livingstone; 1996. Google Scholar Author, Article, and Disclosure InformationAuthors: Marc S. Micozzi, MD, PhDAffiliations: College of Physicians of Philadelphia; Philadelphia, PA 19103.Corresponding Author: Marc S. Micozzi, MD, PhD, College of Physicians, 19 South 22nd Street, Philadelphia, PA 19103. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCongruence between Decisions To Initiate Chiropractic Spinal Manipulation for Low Back Pain and Appropriateness Criteria in North America Paul G. Shekelle , Ian Coulter , Eric L. Hurwitz , Barbara Genovese , Alan H. Adams , Silvano A. Mior , and Robert H. Brook Spinal Manipulation: When Is It Appropriate? Richard A. Deyo Spinal Manipulation: When Is It Appropriate? Marc S. 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Deyo, MD, MPHExpectations about alternative therapies and women with gynecological cancer 1 July 1998Volume 129, Issue 1Page: 65-66KeywordsAcupunctureChiropracticDrug therapyHealth careHysterectomyLower back painResearch reporting guidelinesSurgeryToxicityTreatment guidelines ePublished: 15 August 2000 Issue Published: 1 July 1998 Copyright & PermissionsCopyright © 1998 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...