Association between chiropractic spinal manipulation and lumbar discectomy in adults with lumbar disc herniation and radiculopathy: retrospective cohort study using United States' data.
Robert James TragerClinton J DanielsJaime A PerezRegina M CasselberryJeffery A DusekPublished in: BMJ open (2022)
Our findings suggest receiving CSMT compared with other care for newly diagnosed LDH/LSR is associated with significantly reduced odds of discectomy over 2-year follow-up. Given socioeconomic variables were unavailable and an observational design precludes inferring causality, the efficacy of CSMT for LDH/LSR should be examined via randomised controlled trial to eliminate residual confounding.
Keyphrases
- newly diagnosed
- minimally invasive
- cross sectional
- healthcare
- study protocol
- palliative care
- spinal cord
- electronic health record
- quality improvement
- big data
- adverse drug
- pain management
- emergency department
- clinical trial
- affordable care act
- spinal cord injury
- deep learning
- artificial intelligence
- health insurance
- drug induced