Chiropractic care is helping people everyday to maintain healthy lives. Here are some studies, facts, and articles, many
of them from official governmental research, that show you how chiropractic care helps.
The Virginia Studies
CHIROPRACTIC TREATMENT IS EFFECTIVE, ECONOMICAL AND WIDELY USED
An economic assessment of chiropractic was conducted in Virginia in 1992 by Leonard Schifrin, Ph.D., of the College of William
and Mary, that reviewed 22 studies and one government inquiry covering many years, 14 states and two foreign countries. His
By every test of cost-effectiveness, the general weight of evidence shows that chiropractic provides
important therapeutic benefits at an economical cost.
These benefits are achieved with minimal, even negligible, impact on the costs of health insurance.
Chiropractic services are widely used and appreciated by a growing segment of Americans.
A second Virginia study by David H. Dean, Ph.D., and Robert Schmidt, Ph.D., University of Virginia, compared costs of
treatment of six different types of chiropractic and medical providers for treatment of 11 different health conditions. They concluded that:
Chiropractors see their patients more frequently but have lower overall costs for most of the conditions considered.
Chiropractic care requires fewer referrals for specialists and outside procedures.
If chiropractic care is insured to the same extent as other specialties, it may result in a decrease in overall treatment costs
for neuro-musculoskeletal conditions.
These two important studies have implications for the nation's need to reduce health care costs.
The RAND Study
THE MOST COMMONLY USED CONSERVATIVE TREATMENT
A 1991 comprehensive report on a study conducted by the prestigious RAND Corporation was conducted by Paul Shekelle, MD, MPH, and
internist on the faculty of UCLA. Among other important findings, the report stated that:
This project is an ongoing joint venture of RAND, the UCLA Department of Medicine, the Consortium for Chiropractic Research, the
Foundation for Chiropractic Education and Research and Value Health Sciences, Inc.
The Rand panel of researchers consisted of two orthopedists, one osteopath, one internist, one family physician, three chiropractors
and one health practitioner with both medical and chiropractic degrees.
The British Study
MORE EFFECTIVE WITH LONGER-LASTING BENEFITS
A study conducted by Thomas Meade, MD, reported in the acclaimed British Medical Journal (1990), compared chiropractic and
medical management of patients' low back pain. This was by far the most thorough trial ever performed in the field of back
pain. The report stated:
Potential economic policy implications are that if chiropractic were fully integrated into the British health system there might be
a reduction of some 290,000 days in sickness during two years, saving about 13 million pounds in output and 2.9 million pounds
in social security payments.
A second study has since been published confirming the results of this research.
The MEDSTAT Project
CHIROPRACTIC INCLUSION PROVIDES SIGNIFICANT SAVINGS
MEDSTAT is an independent study of the cost of treating many common neuro-musculoskeletal conditions conducted recently
under the direction of Miron Stano, Ph.D., a health care economist and Professor at the School of Business, Oakland University,
The database developed for this study contained data on over 2 million beneficiaries in the fee-for-service sector, making
it the largest known source of private-sector information on chiropractic claims payments.
The database contained claims for 396,000 patients, including 93,000 chiropractic patients, with data from medical and
chiropractic claims for 493 diagnostic codes.
Payment comparisons are consistent with the view that chiropractic substitutes for other forms of care. Overall, the group
receiving medical treatment only, has mean insurance payments 30% higher than the group receiving both chiropractic and medical care.
|COMPARISON OF HOSPITAL ADMISSIONS RATES|
|Rate of hospital admissions (MD-DO Patient)
|Rate of hospital admissions (DC Patient)
The Canadian Report
SAFER AND MORE EFFECTIVE
A new report says that hundreds of millions of dollars can be saved by transferring management of low back pain to
chiropractors. Widely known as the Manga Report after health economist Pran Manga, Ph.D., the study's conclusions are
remarkable in their support of chiropractic care over traditional medical care for low back pain. In fact, the report
recommends that chiropractors be consulted first, as the gatekeepers for treatment of low back pain for cost-effective
treatment. Funded by the Ontario Ministry of Health, this report establishes the superiority of chiropractic spinal manipulation
over the use of drugs, surgery, bed rest and various physical therapy procedures in treating low back pain. Excerpts from
the report follow:
...spinal manipulation applied by chiropractors is shown to be more effective than alternative treatments
for low back pain.
...the literature suggests that it (chiropractic) is not only very safe but much safer than medical and other
professional management of low back pain.
On medical research...
It is surprising to discover how 'unscientific' traditional medical therapies for low back pain
are, and further, how slowly clinical research affects actual medical practice. Most low back surgery is not founded on evidence
from randomized or even non-randomized trials.
In our view, the constellation of evidence offers an overwhelming case in favor of much greater
use of chiropractic services for the management of low back pain... A very good case can be made for making chiropractors
gatekeepers for management of low back pain in the workers' compensation system in Ontario.
Other chiropractic benefits...
In our review we came across many studies that support the effectiveness of chiropractic
care for headache and migraine, neck pain and referred and radiating pain, an a variety of other ailments.
The Utah Study
CHIROPRACTIC PATIENTS RETURN TO WORK TEN TIMES SOONER AT TEN TIMES LESS COST
A 1991 study of workers' compensation claims comparing medical care to chiropractic care and reported in The Journal of
Occupational Medicine found that chiropractic patients return to work ten times sooner after and injury. An interesting quote
from the article was:
| || |
| || |
||Total cost of selected cases
||Average cost per case
This study is important because it involved 3,062 separate injury cases. The sample consisted of 40.6% of the 7,551
estimated back injury claims from the 1986 Workers' Compensation Fund of Utah.
Western Journal of Medicine
CHIROPRACTIC PATIENTS REPORT GREATER SATISFACTION THAN MEDICAL PATIENTS
|Very satisfied with care
|Doctor seemed confident about back pain diagnosis
|Feel doctor concerned about them
|Experienced restricted activity for less than one week
A study reported in the March 1989 issue of the respected Western Journal of Medicine compared satisfaction of chiropractic
and medical patients from Group Health Cooperative, a large Seattle HMO. Researchers there found that low back pain patients
evaluated their chiropractic doctors highly in critical patient care areas while medical doctors received much lower marks. Patients
generally gave chiropractors a three-to-one advantage in five important areas of satisfaction. Chiropractic patients in the study also
reported quicker recoveries.
Notable Quotes from Current Literature