Publications by authors named "Richard L Sarnat"
Article Synopsis
- The paper aims to update best-practice recommendations for chiropractic care in adults with mechanical low back pain, building on 2016 guidelines.
- A comprehensive literature review was conducted, including 14 clinical guidelines and various high-quality studies, and a panel of 69 experts utilized a modified Delphi process to assess and rate new recommendations.
- The updated guidelines encompass the entire clinical process from initial patient assessment to treatment options, achieving near-unanimous consensus on most statements.
Objective: Our initial report analyzed clinical and cost utilization data from the years 1999 to 2002 for an integrative medicine independent physician association (IPA) whose primary care physicians (PCPs) were exclusively doctors of chiropractic. This report updates the subsequent utilization data from the IPA for the years 2003 to 2005 and includes first-time comparisons in data points among PCPs of different licensures who were oriented toward complementary and alternative medicine (CAM).
Methods: Independent physician association-incurred claims and stratified random patient surveys were descriptively analyzed for clinical utilization, cost offsets, and member satisfaction compared with conventional medical IPA normative values.
Objective: We hypothesized that primary care physicians (PCPs) specializing in a nonpharmaceutical/nonsurgical approach as their primary modality and utilizing a variety of complementary/alternative medicine (CAM) techniques integrated with allopathic medicine would have superior clinical and cost outcomes compared with PCPs utilizing conventional medicine alone.
Design: Incurred claims and stratified randomized patient surveys were analyzed for clinical outcomes, cost offsets, and member satisfaction compared with normative values. Comparative blinded data, using nonrandomized matched comparison groups, was analyzed for age/sex demographics and disease profiles to examine sample bias.