Is complementary medicine and diagnosis associated among spinal patients in the secondary sector: a cross-sectional study

• Published in: European spine journal 2024-07, Vol.33 (7), p.2553-2560
• Main Authors: Ziegler, Dorthe Schoeler, O’Neill, Soeren Francis Dyhrberg, Have, Kirstine Vest, Hildebrand, Sabine Gantzhorn
• Format: Article
• Language: English
• Subjects: Alternative medicine; Back pain; Chronic pain; Cross-sectional studies; Diagnosis; Medicine; Medicine & Public Health; Musculoskeletal diseases; Neurosurgery; Original Article; Patients; Population studies; Statistical analysis; Surgical Orthopedics
• ISSN: 0940-6719; 1432-0932; 1432-0932
• DOI: 10.1007/s00586-024-08314-6

Purpose The services defined as complementary and alternative medicine/healthcare (CAM) are used to varying degrees according to the nature of the health problem, and musculoskeletal disorders, in particular, often lead to the use of CAM. Chronic pain is often cited as a reason for using CAM, and it is also the cardinal symptom of patients with back pain referred for specialist care. However, previous studies do not consider the heterogeneity of back pain when examining the use of CAM. Thus, this study aimed to explore the associations between CAM use and clinical findings incl. ICD-10 diagnostic codes in such a context. Methods In a cross-sectional study, a logistic regression analysis examined associations between CAM use and clinical findings at a public outpatient spine department. Chi-squared test examined the association between self-reported reasons for CAM use and the diagnostic groups. Results Of the 432 patients in the study population, 23.8% reported using CAM within 12 months prior to clinical assessment. CAM use was associated with being female and of younger age. Seeking CAM was not associated with clinical findings nor diagnosis, and no statistically significant association between the reasons for seeking CAM and the diagnostic groups was described. Conclusions Among patients referred to specialist care for back pain, this study provides no evidence that the spinal condition should be expected to lead to the use of CAM. Only the individual demographic findings, specifically age and gender, were associated with CAM use.