90 Pills Synthroid 50mcg Legitimate Pharmacy That Sell Generic Cialis Blood Clotting Disorder And Clomid Bula Atarax 25mg Clomid Buy Safely Online
Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Tuesday, October 15, 2019
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
Share:

ICL Home


For best results switch to Advanced Search.
Article Detail
Return to Search Results
ID 20474
  Title Identifying the best treatment among common nonsurgical neck pain treatments: A decision analysis
URL http://www.ncbi.nlm.nih.gov/pubmed/19251067
Journal J Manipulative Physiol Ther. 2009 Feb;32(2 Suppl):S209-S218
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes STUDY DESIGN: Decision analysis.

OBJECTIVE: To identify the best treatment for nonspecific neck pain.

SUMMARY OF BACKGROUND DATA: In Canada and the United States, the most commonly prescribed neck pain treatments are nonsteroidal anti-inflammatory drugs (NSAIDs), exercise, and manual therapy. Deciding which treatment is best is difficult because of the trade-offs between beneficial and harmful effects, and because of the uncertainty of these effects.

METHODS: (Quality-adjusted) life expectancy associated with standard NSAIDs, Cox-2 NSAIDs, exercise, mobilization, and manipulation were compared in a decisionanalytic model. Estimates of the course of neck pain, background risk of adverse events in the general population, treatment effectiveness and risk, and patient-preferences were input into the model. Assuming equal effectiveness, we conducted a baseline analysis using risk of harm only. We assessed the stability of the baseline results by conducting a second analysis that incorporated effectiveness data from a high-quality randomized trial.

RESULTS: There were no important differences across treatments. The difference between the highest and lowest ranked treatments predicted by the baseline model was 4.5 days of life expectancy and 3.4 quality-adjusted life-days. The difference between the highest and lowest ranked treatments predicted by the second model was 7.3 quality-adjusted life-days.

CONCLUSION: When the objective is to maximize life expectancy and quality-adjusted life expectancy, none of the treatments in our analysis were clearly superior.

This abstract is reproduced with the permission of the publisher. Click on the above link for the PubMed record; full text by subscription.
Republished from: Spine 2008 Feb 15;33(4 Suppl):S184-191. Free full text is available through PubMed Central.


   Text (Citation) Tagged (Export) Excel
 
Email To
Subject
 Message
Format
HTML Text     Excel



To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an asterisk*, also called a wildcard or truncation.  Example: chiropract* retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips