Skip to main content
Erschienen in: Clinical Rheumatology 2/2014

01.02.2014 | Original Article

Consultations with complementary and alternative medicine practitioners amongst wider care options for back pain: a study of a nationally representative sample of 1,310 Australian women aged 60–65 years

verfasst von: Vijayendra Murthy, David Sibbritt, Jon Adams, Alex Broom, Emma Kirby, Kathryn M. Refshauge

Erschienen in: Clinical Rheumatology | Ausgabe 2/2014

Einloggen, um Zugang zu erhalten

Abstract

Back pain is a significant health service issue in Australia and internationally. Back pain sufferers can draw upon a range of health care providers including complementary and alternative medicine (CAM) practitioners. Women are higher users of health services than men and tend to use CAM frequently for musculoskeletal conditions. However, there remain important gaps in our understanding of women’s consultation patterns with CAM practitioners for back pain. The objective of this study is to examine the prevalence of use and characteristics of women who use CAM practitioners for back pain. The method used was a survey of a nationally representative sample of women aged 60–65 years from the Australian Longitudinal Study on Women’s Health. Women consulted a massage therapist (44.1 %, n = 578) and a chiropractor (37.3 %, n = 488) more than other CAM practitioners for their back pain. Consultations with a chiropractor for back pain were lower for women who consulted a General Practitioner (GP) (OR, 0.56; 95 % CI 0.41, 0.76) or a physiotherapist (OR, 0.53; 95 % CI 0.39, 0.72) than for those who did not consult a GP or a physiotherapist. CAM practitioner consultations for back pain were greater for women who visited a pharmacist (OR, 1.99; 95 % CI 1.23, 3.32) than for women who did not visit a pharmacist. There is substantial use of CAM practitioners alongside conventional practitioners amongst women for back pain, and there is a need to provide detailed examination of the communication between patients and their providers as well as across the diverse range of health professionals involved in back pain care.
Literatur
1.
Zurück zum Zitat Buchbinder R, Jolley D, Wyatt M (2011) Breaking the back of back pain (editorial). Med J Aust 175:456–7 Buchbinder R, Jolley D, Wyatt M (2011) Breaking the back of back pain (editorial). Med J Aust 175:456–7
2.
Zurück zum Zitat Walker BF, Muller R, Grant WD (2004) Low back pain in Australian adults. Health provider utilization and care seeking. J Manip Physiol Ther 27(5):327–35CrossRef Walker BF, Muller R, Grant WD (2004) Low back pain in Australian adults. Health provider utilization and care seeking. J Manip Physiol Ther 27(5):327–35CrossRef
3.
Zurück zum Zitat Nachemson AL, Waddell G, Norlund A (2000) Epidemiology of neck and back pain. In: Nachemson AL, Jonsson E (eds) Neck and back pain: the scientific evidence of causes, diagnosis, and treatment. Lippincott Williams & Wilkins, Philadelphia, pp 165–188 Nachemson AL, Waddell G, Norlund A (2000) Epidemiology of neck and back pain. In: Nachemson AL, Jonsson E (eds) Neck and back pain: the scientific evidence of causes, diagnosis, and treatment. Lippincott Williams & Wilkins, Philadelphia, pp 165–188
4.
Zurück zum Zitat Walker BF, Muller R, Grant WD (2004) Low back pain in Australian adults. Prevalence and associated disability. J Manip Physiol Ther 27(4):238–44CrossRef Walker BF, Muller R, Grant WD (2004) Low back pain in Australian adults. Prevalence and associated disability. J Manip Physiol Ther 27(4):238–44CrossRef
5.
Zurück zum Zitat Sibbritt DW, Adams J (2010) Back pain amongst 8,910 young Australian women: a longitudinal analysis of the use of conventional providers, complementary and alternative medicine (CAM) practitioners and self-prescribed CAM. Clin Rheumatol 29(1):25–32PubMedCrossRef Sibbritt DW, Adams J (2010) Back pain amongst 8,910 young Australian women: a longitudinal analysis of the use of conventional providers, complementary and alternative medicine (CAM) practitioners and self-prescribed CAM. Clin Rheumatol 29(1):25–32PubMedCrossRef
8.
Zurück zum Zitat Webb R, Brammah T, Lunt M et al (2003) Prevalence and predictors of intense, chronic, and disabling neck and back pain in the UK general population. Spine 28(11):1195–1202PubMed Webb R, Brammah T, Lunt M et al (2003) Prevalence and predictors of intense, chronic, and disabling neck and back pain in the UK general population. Spine 28(11):1195–1202PubMed
9.
Zurück zum Zitat Broom AF, Kirby ER, Sibbritt DW et al (2012) Back pain amongst mid-age Australian women: a longitudinal analysis of provider use and self-prescribed treatments. Complement Ther Med 20:275–292PubMedCrossRef Broom AF, Kirby ER, Sibbritt DW et al (2012) Back pain amongst mid-age Australian women: a longitudinal analysis of provider use and self-prescribed treatments. Complement Ther Med 20:275–292PubMedCrossRef
10.
Zurück zum Zitat Ong CK, Doll H, Bodeker G et al (2004) Use of osteopathic or chiropractic services among people with back pain: a UK population survey. Health Soc Care Comm 12(3):265–73CrossRef Ong CK, Doll H, Bodeker G et al (2004) Use of osteopathic or chiropractic services among people with back pain: a UK population survey. Health Soc Care Comm 12(3):265–73CrossRef
11.
Zurück zum Zitat Wade C, Chao M, Kronenberg F et al (2008) Medical pluralism among American women: results of a national survey. J Womens Health 17(5):829–40CrossRef Wade C, Chao M, Kronenberg F et al (2008) Medical pluralism among American women: results of a national survey. J Womens Health 17(5):829–40CrossRef
12.
Zurück zum Zitat Xue CCL, Zhang AL, Lin V et al (2008) Acupuncture, chiropractic and osteopathy use in Australia: a national population survey. BMC Publ Health 8(1):105CrossRef Xue CCL, Zhang AL, Lin V et al (2008) Acupuncture, chiropractic and osteopathy use in Australia: a national population survey. BMC Publ Health 8(1):105CrossRef
13.
Zurück zum Zitat Haetzman M, Elliott A, Smith B et al (2003) Chronic pain and the use of conventional and alternative therapy. Fam Pract 20(2):147–54PubMedCrossRef Haetzman M, Elliott A, Smith B et al (2003) Chronic pain and the use of conventional and alternative therapy. Fam Pract 20(2):147–54PubMedCrossRef
14.
Zurück zum Zitat Breivik H, Collett B, Ventafridda V et al (2006) Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain 10(4):287–333PubMedCrossRef Breivik H, Collett B, Ventafridda V et al (2006) Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain 10(4):287–333PubMedCrossRef
15.
Zurück zum Zitat Côté P, Cassidy JD, Carroll L (2001) The treatment of neck and low back pain: who seeks care? Who goes where? Med Care 39(9):956–67PubMedCrossRef Côté P, Cassidy JD, Carroll L (2001) The treatment of neck and low back pain: who seeks care? Who goes where? Med Care 39(9):956–67PubMedCrossRef
16.
Zurück zum Zitat Mortimer M, Ahlberg G (2003) To seek or not to seek? Care-seeking behaviour among people with low-back pain. Scand J Public Health 31(3):194–203PubMedCrossRef Mortimer M, Ahlberg G (2003) To seek or not to seek? Care-seeking behaviour among people with low-back pain. Scand J Public Health 31(3):194–203PubMedCrossRef
17.
Zurück zum Zitat Ramos-Remus C, Raut A (2008) Complementary and alternative practices in rheumatology. Best Pract Res Clin Rheumatol 22(4):741–757PubMedCrossRef Ramos-Remus C, Raut A (2008) Complementary and alternative practices in rheumatology. Best Pract Res Clin Rheumatol 22(4):741–757PubMedCrossRef
18.
Zurück zum Zitat Hughes C, Quinn F, Baxter G (2011) Complementary and alternative medicine: perception and use by physiotherapists in the management of low back pain. Complement Ther Med 19:149–154PubMedCrossRef Hughes C, Quinn F, Baxter G (2011) Complementary and alternative medicine: perception and use by physiotherapists in the management of low back pain. Complement Ther Med 19:149–154PubMedCrossRef
19.
Zurück zum Zitat Burke A, Upchurch DM, Dye C et al (2006) Acupuncture use in the United States: findings from the national health interview survey. J Altern Complement Med 12(7):639–48PubMedCrossRef Burke A, Upchurch DM, Dye C et al (2006) Acupuncture use in the United States: findings from the national health interview survey. J Altern Complement Med 12(7):639–48PubMedCrossRef
20.
Zurück zum Zitat Sibbritt D, Adams J, van der Riet P (2011) The prevalence and characteristics of young and mid-age women who use yoga and meditation: results of a nationally representative survey of 19,209 Australian women. Complement Ther Med 19:71–77PubMedCrossRef Sibbritt D, Adams J, van der Riet P (2011) The prevalence and characteristics of young and mid-age women who use yoga and meditation: results of a nationally representative survey of 19,209 Australian women. Complement Ther Med 19:71–77PubMedCrossRef
21.
Zurück zum Zitat Sibbritt D, Adams J, Young A (2004) A longitudinal analysis of mid-aged women’s use of complementary and alternative medicine (CAM) in Australia. Women Health 40(4):41–56PubMedCrossRef Sibbritt D, Adams J, Young A (2004) A longitudinal analysis of mid-aged women’s use of complementary and alternative medicine (CAM) in Australia. Women Health 40(4):41–56PubMedCrossRef
22.
Zurück zum Zitat Wolsko PM, Eisenberg DM, Davis RB et al (2003) Patterns and perceptions of care for treatment of back and neck pain: results of a national survey. Spine 28(3):292–7PubMed Wolsko PM, Eisenberg DM, Davis RB et al (2003) Patterns and perceptions of care for treatment of back and neck pain: results of a national survey. Spine 28(3):292–7PubMed
23.
Zurück zum Zitat Deshpande A, Furlan A, Mailis-Gagnon A et al. (2007) Opioids for chronic low-back pain. Cochrane Database Syst Rev Issue 3. Art.No: CD004959. Doi: 10.1002/14651858. CD004959 pub 3 Deshpande A, Furlan A, Mailis-Gagnon A et al. (2007) Opioids for chronic low-back pain. Cochrane Database Syst Rev Issue 3. Art.No: CD004959. Doi: 10.​1002/​14651858. CD004959 pub 3
25.
Zurück zum Zitat Licciardone J, Brimhall A, King L (2005) Osteopathic manipulative treatment for low back pain: a systematic review and meta-analysis of randomized controlled trials. BMC Musculoskelet Disord 6(1):43PubMedCentralPubMedCrossRef Licciardone J, Brimhall A, King L (2005) Osteopathic manipulative treatment for low back pain: a systematic review and meta-analysis of randomized controlled trials. BMC Musculoskelet Disord 6(1):43PubMedCentralPubMedCrossRef
26.
28.
Zurück zum Zitat Walker BF, French SD, Grant W et al. (2010) Combined chiropractic interventions for low-back pain. Cochrane Database Syst Rev (4) CD005427 Walker BF, French SD, Grant W et al. (2010) Combined chiropractic interventions for low-back pain. Cochrane Database Syst Rev (4) CD005427
29.
Zurück zum Zitat Williams K, Abildso C, Steinberg L et al (2009) Evaluation of the effectiveness and efficacy of Iyengar yoga therapy on chronic low back pain. Spine 34(19):2066–2076PubMedCrossRef Williams K, Abildso C, Steinberg L et al (2009) Evaluation of the effectiveness and efficacy of Iyengar yoga therapy on chronic low back pain. Spine 34(19):2066–2076PubMedCrossRef
30.
Zurück zum Zitat Rainville J, Bagnall D, Phalen L (1995) Health care providers' attitudes and beliefs about functional impairments and chronic back pain. Clin J Pain 11(4):287–95PubMedCrossRef Rainville J, Bagnall D, Phalen L (1995) Health care providers' attitudes and beliefs about functional impairments and chronic back pain. Clin J Pain 11(4):287–95PubMedCrossRef
31.
Zurück zum Zitat Pincus T, Foster NE, Vogel S et al (2007) Attitudes to back pain amongst musculoskeletal practitioners: a comparison of professional groups and practice settings using the ABS-mp. Man Ther 12(2):167–75PubMedCrossRef Pincus T, Foster NE, Vogel S et al (2007) Attitudes to back pain amongst musculoskeletal practitioners: a comparison of professional groups and practice settings using the ABS-mp. Man Ther 12(2):167–75PubMedCrossRef
32.
Zurück zum Zitat Cohen MM, Penman S, Pirotta M et al (2005) The integration of complementary therapies in Australian general practice: results of a national survey. J Altern Complement Med 11(6):995–1004PubMedCrossRef Cohen MM, Penman S, Pirotta M et al (2005) The integration of complementary therapies in Australian general practice: results of a national survey. J Altern Complement Med 11(6):995–1004PubMedCrossRef
33.
Zurück zum Zitat Pirotta M, Farish S, Kotsirilos V et al (2002) Characteristics of Victorian general practitioners who practise complementary therapies. Aust Fam Physician 31(12):1133–338PubMed Pirotta M, Farish S, Kotsirilos V et al (2002) Characteristics of Victorian general practitioners who practise complementary therapies. Aust Fam Physician 31(12):1133–338PubMed
34.
Zurück zum Zitat Norris P (2001) How ‘we’ are different from ‘them’: occupational boundary maintenance in the treatment of musculo-skeletal problems. Sociol Health Ill 23(1):24–43CrossRef Norris P (2001) How ‘we’ are different from ‘them’: occupational boundary maintenance in the treatment of musculo-skeletal problems. Sociol Health Ill 23(1):24–43CrossRef
35.
Zurück zum Zitat Van Haselen R, Reiber U, Nickel I et al (2004) Providing complementary and alternative medicine in primary care: the primary care workers' perspective. Complement Ther Med 12(1):6–16PubMedCrossRef Van Haselen R, Reiber U, Nickel I et al (2004) Providing complementary and alternative medicine in primary care: the primary care workers' perspective. Complement Ther Med 12(1):6–16PubMedCrossRef
36.
Zurück zum Zitat Greene B, Smith M, Allareddy V et al (2006) Referral patterns and attitudes of primary care physicians towards chiropractors. BMC Complement Altern Med 6(1):5PubMedCentralPubMedCrossRef Greene B, Smith M, Allareddy V et al (2006) Referral patterns and attitudes of primary care physicians towards chiropractors. BMC Complement Altern Med 6(1):5PubMedCentralPubMedCrossRef
37.
Zurück zum Zitat Naidu S, Wilkinson JM, Simpson MD (2005) Attitudes of Australian pharmacists toward complementary and alternative medicines. Ann Pharmacother 39(9):1456–61PubMedCrossRef Naidu S, Wilkinson JM, Simpson MD (2005) Attitudes of Australian pharmacists toward complementary and alternative medicines. Ann Pharmacother 39(9):1456–61PubMedCrossRef
38.
Zurück zum Zitat Brown J, Morgan T, Adams J et al (2008) Complementary medicines information use and needs of health professionals: general practitioners and pharmacists. National Prescribing Service, Sydney Brown J, Morgan T, Adams J et al (2008) Complementary medicines information use and needs of health professionals: general practitioners and pharmacists. National Prescribing Service, Sydney
39.
Zurück zum Zitat Farrell J, Ries NM, Boon H (2008) Pharmacists and natural health products: a systematic analysis of professional responsibilities in Canada. Pharm Pract 6:33–42 Farrell J, Ries NM, Boon H (2008) Pharmacists and natural health products: a systematic analysis of professional responsibilities in Canada. Pharm Pract 6:33–42
40.
Zurück zum Zitat Kanjanarach T, Krass I, Cumming RG (2011) Australian community pharmacists’ practice in complementary medicines: a structural equation modeling approach. Patient Edu Couns 83(3):352–359CrossRef Kanjanarach T, Krass I, Cumming RG (2011) Australian community pharmacists’ practice in complementary medicines: a structural equation modeling approach. Patient Edu Couns 83(3):352–359CrossRef
41.
Zurück zum Zitat Olatunde S, Boon H, Hirschkorn K et al (2010) Roles and responsibilities of pharmacists with respect to natural health products: key informant interviews. Res Social Adm Pharm 6(1):63–9PubMedCentralPubMedCrossRef Olatunde S, Boon H, Hirschkorn K et al (2010) Roles and responsibilities of pharmacists with respect to natural health products: key informant interviews. Res Social Adm Pharm 6(1):63–9PubMedCentralPubMedCrossRef
42.
Zurück zum Zitat Sewitch MJ, Cepoiu M, Rigillo N et al (2008) A literature review of health care professional attitudes toward complementary and alternative medicine. Complement Health Pract Rev 13(3):139–54 Sewitch MJ, Cepoiu M, Rigillo N et al (2008) A literature review of health care professional attitudes toward complementary and alternative medicine. Complement Health Pract Rev 13(3):139–54
43.
Zurück zum Zitat Robinson A, McGrail M (2004) Disclosure of CAM use to medical practitioners: a review of qualitative and quantitative studies. Complement Ther Med 12(2):90–8PubMedCrossRef Robinson A, McGrail M (2004) Disclosure of CAM use to medical practitioners: a review of qualitative and quantitative studies. Complement Ther Med 12(2):90–8PubMedCrossRef
44.
Zurück zum Zitat Thomas K, Nicholl J, Coleman P (2001) Use and expenditure on complementary medicine in England: a population based survey. Complement Ther Med 9(1):2–11PubMedCrossRef Thomas K, Nicholl J, Coleman P (2001) Use and expenditure on complementary medicine in England: a population based survey. Complement Ther Med 9(1):2–11PubMedCrossRef
45.
Zurück zum Zitat Adams J, Sibbritt DW, Easthope G et al (2003) The profile of women who consult alternative health practitioners in Australia. Med J Australia 179(6):297–301PubMed Adams J, Sibbritt DW, Easthope G et al (2003) The profile of women who consult alternative health practitioners in Australia. Med J Australia 179(6):297–301PubMed
Metadaten
Titel
Consultations with complementary and alternative medicine practitioners amongst wider care options for back pain: a study of a nationally representative sample of 1,310 Australian women aged 60–65 years
verfasst von
Vijayendra Murthy
David Sibbritt
Jon Adams
Alex Broom
Emma Kirby
Kathryn M. Refshauge
Publikationsdatum
01.02.2014
Verlag
Springer London
Erschienen in
Clinical Rheumatology / Ausgabe 2/2014
Print ISSN: 0770-3198
Elektronische ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-013-2357-5

Weitere Artikel der Ausgabe 2/2014

Clinical Rheumatology 2/2014 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.