Evidence map›Paper›PMID 29474095›Full record

ArticleJournal of alternative and complementary medicine (New York, N.Y.)2018

Cost Savings from Reducing Pain Through the Delivery of Integrative Medicine Program to Hospitalized Patients.

Jeffery A Dusek, Kristen H Griffin, Michael D Finch, Rachael L Rivard, David Watson

Open access · greenAbstract read
In one paragraph

Article in Journal of alternative and complementary medicine (New York, N.Y.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
7.7field-weighted citation impact, top 3% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 64 citations in OpenAlex.

  1. Healthcare costs of foodborne diseases in the United States: an analysis using electronic health records.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
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  11. Integrative medicine utilization among infertility patients.Reproductive biology and endocrinology : RB&E · 2023
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  14. Review
  15. The Effect of Aromatherapy withJournal of caring sciences · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Jeffery A Dusek1 Allina Health, Integrative Health Research Center, Penny George Institute for Health and Healing , Minneapolis, MN.
Kristen H Griffin1 Allina Health, Integrative Health Research Center, Penny George Institute for Health and Healing , Minneapolis, MN.
Michael D Finch2 Children's Minnesota, Children's Minnesota Research Institute , Minneapolis, MN.
Rachael L Rivard1 Allina Health, Integrative Health Research Center, Penny George Institute for Health and Healing , Minneapolis, MN.
David Watson2 Children's Minnesota, Children's Minnesota Research Institute , Minneapolis, MN.
Penny George Institute for Health and Healing · USChildren's Minnesota · US

Funding

Effect of Complementary and Alternative Medicine on Pain Among Inpatients: AdminiR01AT006518 · NCCIH · ALLINA HEALTH SYSTEM · PI DUSEK, JEFFERY A · 2011 to 2014
$2.6M
6 · The paper itself

Abstract

objectivesAn important task facing hospitals is improving pain management without raising costs. Integrative medicine (IM), a promising nonpharmacologic pain management strategy, is yet to be examined for its cost implications in an inpatient setting. This institution has had an inpatient IM department for over a decade. The purpose was to examine the relationship between changes in patients' pain, as a result of receiving IM therapy, and total cost of care during an inpatient hospital admission.

designIn this retrospective analysis, data from an EPIC-based electronic health record (EHR) patient demographics, length of stay (LOS), and All Patient Refined Diagnosis Related Groups (APR-DRG) severity of illness measures were utilized. IM practitioners collected and entered patient-reported pain scores into the EHR. The authors regressed the demographic, change in pain, LOS, and APR-DRG variables with changes in pain on total cost for the hospital admission. To estimate cost savings to the hospital, they computed the average reduction in cost associated with reduction in pain by multiplying the coefficient for change in pain by average total cost. SETTING/LOCATION: A large, tertiary care hospital in Minneapolis, MN. SUBJECTS: Adult inpatient admissions, 2730, during the study period where patients received IM for pain and met eligibility criteria.

interventionIM services provided to inpatients. OUTCOME MEASURES: Change in pain on an 11-point numeric rating scale before and after initial IM sessions; total costs for hospital admissions.

resultsBoth LOS and age were found to increase cost, as did being white, male, married, and having APR-DRG severity coded as extreme. For patients receiving IM therapies, pain was reduced by an average of 2.05 points and this pain reduction was associated with a cost savings of $898 per hospital admission.

conclusionsFor patients receiving IM therapies, pain was significantly reduced and costs were lowered by about 4%.

Indexed as

Integrative MedicineAdultAgedCost SavingsElectronic Health RecordsFemaleHospitalizationHumansLength of StayMaleMiddle AgedMinnesotaPain ManagementRetrospective Studiescosts and cost analysiselectronic health recordhospitalizationinpatientsintegrative medicineoutcomes researchpain

Identifiers

PMID29474095
PMCPMC6006422
OpenAlexW2807950399

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.