ArticleSpine2012
Where the United States spends its spine dollars: expenditures on different ambulatory services for the management of back and neck conditions.
Article in Spine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
64 citing papers in PubMed, 4 syntheses or guidelines pooled it, 154 citations in OpenAlex.
- Cost-effectiveness of spinal manipulation, exercise, and self-management for spinal pain.Chiropractic & manual therapies · 2025Pooled it
- Cost-utility of minimally invasive versus open transforaminal lumbar interbody fusion: systematic review and economic evaluation.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2015Pooled it
- Manipulation and mobilisation for neck pain contrasted against an inactive control or another active treatment.The Cochrane database of systematic reviews · 2015Pooled it
- Electrotherapy for neck pain.The Cochrane database of systematic reviews · 2013Pooled it
- Cost-effectiveness of spinal manipulative therapy, supervised exercise, and home exercise for older adults with chronic neck pain.The spine journal : official journal of the North American Spine Society · 2016Trial
- Evolving Treatment Options for Spinal Pain: Balancing Innovation and Affordability in Regenerative Medicine.Current pain and headache reports · 2026Review
- Article
- Allogeneic Disc Progenitor Cells Safely Increase Disc Volume and Improve Pain, Disability, and Quality of Life in Patients With Lumbar Disc Degeneration-Results of an FDA-Approved Biologic Therapy Randomized Clinical Trial.International journal of spine surgery · 2024Article
- Predictors of Pain Management Strategies in Adults with Low-Back Pain: A Secondary Analysis of Amazon Mechanical Turk Survey Data.Journal of integrative and complementary medicine · 2024Article
- Cost-effectiveness of a second opinion program on spine surgeries: an economic analysis.BMC health services research · 2023Article
- Association of Visiting the Physiotherapist with Mortality in the Spanish General Population: A Population-Based Cohort Study.Medicina (Kaunas, Lithuania) · 2023Article
- Article
- Lumbar spine intervertebral disc desiccation is associated with medical comorbidities linked to systemic inflammation.Archives of orthopaedic and trauma surgery · 2023Article
- Review: Discogenic Back Pain: Update on Treatment.Orthopedic reviews · 2023Article
- Online access to spine care: do institutions advertise themselves as multidisciplinary?Journal of spine surgery (Hong Kong) · 2022Article
- Trends in the Use of Opioids vs Nonpharmacologic Treatments in Adults With Pain, 2011-2019.JAMA network open · 2022Article
- Health Care Resource Utilization in Management of Opioid-Naive Patients With Newly Diagnosed Neck Pain.JAMA network open · 2022Article
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- Article
- The Effects of a Passive Exoskeleton on Human Thermal Responses in Temperate and Cold Environments.International journal of environmental research and public health · 2021Article
4 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
STUDY
designSerial, cross-sectional, nationally representative surveys of noninstitutionalized US adults.
objectiveTo examine expenditures on common ambulatory health services for the management of back and neck conditions. SUMMARY OF BACKGROUND DATA: Although it is well recognized that national costs associated with back and neck conditions have grown considerably in recent years, little is known about the costs of care for specific ambulatory health services that are used to manage this population.
methodsWe used the Medical Expenditure Panel Survey to examine adult (aged 18 yr or older) respondents from 1999 to 2008 who sought ambulatory health services for the management of back and neck conditions. We used complex survey design methods to make national estimates of mean inflation-adjusted annual expenditures on medical care, chiropractic care, and physical therapy per user for back and neck conditions.
resultsApproximately 6% of US adults reported an ambulatory visit for a primary diagnosis of a back or neck condition (13.6 million in 2008). Between 1999 and 2008, the mean inflation-adjusted annual expenditures on medical care for these patients increased by 95% (from $487 to $950); most of the increase was accounted for by increased costs for medical specialists, as opposed to primary care physicians. During the study period, the mean inflation-adjusted annual expenditures on chiropractic care were relatively stable; although physical therapy was the most costly service overall, in recent years those costs have contracted.
conclusionAlthough this study did not explore the relative effectiveness of different ambulatory services, recent increasing costs associated with providing medical care for back and neck conditions (particularly subspecialty care) are contributing to the growing economic burden of managing these conditions.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.