Spinal Manipulative Therapy vs Prescription Drug Therapy for Care of Aged Medicare Beneficiaries with neck Pain
Description
Funding Source: NIH/NCCIH
Performance Period: 09/01/2022-07/31/2024
Award Amount: $68,834 (subaward)
Principal Investigator: James Whedon, D.C., M.S.
PCCR Co-Investigator: Brian Anderson, D.C., M.P.H., M.S., Ph.D.
Research Honors Students: Alexis Hannah, Brandon Aki Jackson, Robin Ostermeier
Sites: Southern California University of Health Sciences (SCU); The Dartmouth Institute for Health Policy & Clinical Practice; Palmer Center for Chiropractic Research
Description: Students from SCU and research honors students from Palmer are taking part in this 2-year project, including participation in weekly Spine Care Research lectures by renowned experts in the field.
Presentations
Anderson B, Whedon J, Moonaz S, MacKenzie T, Grout L, Almquist Z. Building collaborative research teams across institutions: Insights from an R15 grant project. Chiropractic Educator’s Research Forum, 7 December 2024, Virtual Conference.
Anderson BR, Hannah A. Descriptive characteristics of Medicare beneficiaries utilizing spinal manipulative therapy vs prescription drug therapy for neck pain. International Congress on Integrative Medicine and Health, April 9-13, 2024, Cleveland, OH.
Measuring Chronic Pain Impact: Secondary Analysis
Description
Performance Period: 23/05/2022-12/05/2023
Principal Investigator: Brian Anderson, D.C., M.P.H., M.S., Ph.D.
Mentors: Patricia Herman, ND, Ph.D.; Ron Hays, Ph.D.
Description: Secondary data analysis of a NIH-funded study to investigate the association between treatment exposures and patient-reported outcome measures among individuals with back pain from the Amazon Mechanical Turk survey data.
Presentations
Anderson B, Herman P, Hays R. Can baseline patient characteristics and outcome measures predict back pain related care patterns in the subsequent three months? A secondary analysis of Amazon Mechanical Turk survey data. Academy of Health Annual Council Meeting, June 23, 2023, Virtual.
Anderson BR, Herman PM, Hays RM. Predictors of pain management strategies in adults with low back pain. NIH Interagency Pain Research Coordinating Committee – Advisory Council Meeting, June 23, 2023, Virtual.
Anderson B, Herman P, Hays R. Predictors of pain management strategies in adults with low back pain. WFC Biennial Congress, October 11-14, 2023, Queensland, Australia.
Publications
Anderson BR, Herman PM, Hays RD. Predictors of pain management strategies in adults with low-back pain: A secondary analysis of Amazon Mechanical Turk survey data. J Integr Complement Med. 2024 Mar;30(3):297-306.
Care Escalation in the Management of Musculoskeletal Disorders
Description
Principal Investigator: Brian Anderson D.C., M.P.H., M.S., Ph.D.
Description: Spinal pain disorders, such as back and neck pain, have been among the leading cause of global disability for more than two decades, ranking higher than stroke and most forms of cancer. Health-care costs associated with these conditions is estimated to be over $100 billion (US) per year, which is largely driven by the routine use of imaging studies, opioid medications, injection procedures and surgery. The utilization of these guideline-discordant, low-value procedures is referred to as care escalation.
Presentations
Hannah A, Grout L, Anderson B, Whedon J. Geographic variability in initial provider consultations for new neck pain among Medicare beneficiaries 2021. International Congress on Integrative Medicine & Health, March 6-7, 2025, Seattle, WA.
Anderson B, Whedon J, Herman P. Dosing of lumbar spinal manipulative therapy and its association with escalated spine care: A cohort study of insurance claims. WFC Biennial Congress. October 11-13, 2023, Queensland, Australia.
Anderson BR, McClellan WS, Herman PM, Whedon JM. Quantifying the impact of COVID-19 on the utilization of musculoskeletal-related healthcare services: A comparison of insurance claims from 2019 to 2020. ACC-RAC Conference. July 24-26, 2022, San Diego, CA. Best Scientific Paper Award
Anderson BR, McClellan WS. Individual and clinical characteristics associated with utilization of conservative care in pediatric spine disorders: An analysis of insurance claims. Academy Health Annual Research Symposium. June 4-7, 2022, Washington D.C.
Anderson BR, McClellan WS. Patterns of care following emergency department visits for spin disorders: A pilot study utilizing insurance claims. International Congress on Integrative Medicine and Health. May 24-26, 2022, Phoenix AZ.
Anderson BR, McClellan WS. Dosing of lumbar spinal manipulative therapy and its association with care escalation: An analysis of insurance claims. Carloquium, March 1-2, 2022, Virtual. Early Career Poster Award
Anderson BR, McClellan WS. Comparing characteristics and outcomes of low back pain sufferers managed among three distinct patterns of conservative care: An analysis of insurance claims. WFC Biennial Congress, September 23-25, 2021, Virtual.
Anderson BR, McClellan WS. Analyzing insurance claims to determine patterns of chiropractic care for low back pain and their association with treatment escalation. ACC-RAC Conference, March 25-27, 2021, Virtual.
Anderson BR, McClellan WS. What happens to patients after an emergency room visit for a spine-related diagnosis? Carloquium, March 2-4, 2021, Virtual.
Publications
Anderson BR, Whedon JM, Herman PM. Dosing of lumbar spinal manipulative therapy and its association with escalated spine care: A cohort study of insurance claims. PLoS One 2024;19(1):e0283252.
Anderson BR, Yakusheva O, Liu H, Bynum JP, Davis MA. The relationship between healthcare provider availability and conservative versus non-conservative treatment of back pain among older Americans. J Gen Intern Med. 2022 Mar;37(4):992-994.
Trager RJ, Anderson BR, Vincent DA, DeLano KJ, Perez JA, Casselberry RM, Dusek JA. Guideline-concordant utilization of magnetic resonance imaging in adults receiving chiropractic manipulative therapy vs other care for radicular low back pain: A retrospective cohort study. BMC Musculoskelet. Disord. 2022, Jun 8; 23:554.
Anderson BR, McClellan S. Three patterns of spinal manipulative therapy for back pain and their association with imaging studies, injection procedures and surgery: A cohort study of insurance claims. J Manipulative Physiol Ther. 2021 Nov-Dec;44(9):683-689.
Anderson BR, McClellan WS, Long C. Risk of treatment escalation in recipients vs nonrecipients of spinal manipulation for musculoskeletal cervical spine disorders: An analysis of insurance claims. J Manipulative Physiol Ther. 2021; 44(5):372-377.
Davis MA, Yakusheva O, Liu H, Anderson BR, Bynum JP. The effect of a loss in access to chiropractic care on utilization of medical services for spine conditions among older adults: A quasi-experimental study. J Manipulative Physiol Ther. 2021, 44(5):353-362.
Other Research
Presentations
Anderson BR, Mackenzie TA, Lurie JD, Grout L, Whedon JM. Patterns of initial treatment and subsequent care escalation among Medicare beneficiaries with neck pain: A retrospective cohort study. WFC 18th Biennial Congress, May 7-10, 2025, Copenhagen, Denmark.
Anderson B, Herman PM, Whedon JM, Bradley R. Prevalence and determinants of complementary and integrative health approaches: a cross-sectional study using the All of Us research program. International Congress on Integrative Medicine and Health, March 6-7, 2025, Seattle, WA.
Herman P, Anderson B. How to use economic evidence to drive transformation toward whole health. International Congress on Integrative Medicine and Health, April 8-13, 2024, Cleveland, OH.
Anderson Bradley R. Investigating complementary and integrative health representation with the All of Us research program. International Congress on Integrative Health and Medicine. April 9-13, 2023, Cleveland, OH.
Publications
Anderson BR, Herman PM, Whedon JM, Bradley R. Determinants of complementary and integrative health approaches: a cross-sectional study using the All of Us research program. J Integr Complement Med. 2025; Epub (ahead of print).
Anderson BR, MacKenzie TM, Grout L, Whedon JM. Comparative cost analysis of neck pain treatments for Medicare beneficiaries. Arch Phys Med Rehabil. 2025 May;106(5):801-804
Anderson BR, Meyster V. The effect of dietary change in a patient with ichthyosis vulgaris: A case report. Integr Me (Encinitas), 2015 Jun; 14(3):55-58. (Case Report).
Anderson BR. Previously undiagnosed malignant brain tumor discovered during examination of a patient seeing chiropractic care. J Chiropr Med. 2016 Mar;15(1):42-6. (Case Report).
Anderson BR, Pitsinger A. Improvement in chronic muscle fasciculation with dietary change: A suspect case of gluten neuropathy. J Chiropr Med. 2014 Sep;13(3):188-191. (Case Report).
