Bibliographic Details
| Title: |
Longitudinal Utilization of Invasive Pain Treatment Procedures Among Veterans with Chronic Pain Following Use of Whole Health Services and Complementary and Integrative Health Therapies. |
| Authors: |
Zeliadt, Steven B, DeFaccio, Rian, Carey, Evan P, Etingen, Bella, Rosser, Ethan W, Suri, Pradeep, Chen, Jessica A, Bokhour, Barbara G, Coggeshall, Scott |
| Source: |
Journal of Pain Research; Feb2025, Vol. 18, p647-661, 15p |
| Subject Terms: |
PROPENSITY score matching, PAIN management, CHRONIC pain, MASSAGE therapy, VETERANS' health, YOGA techniques |
| Abstract: |
To assess whether Whole Health, a system of care that emphasizes non-pharmacological approaches for chronic pain management, is associated with changes in downstream utilization of invasive pain treatment procedures. Methods: Longitudinal retrospective cohort analysis of VHA administrative data. A total of 53,412 Veterans with chronic pain were identified between April and September 2018, with 584 initiating Whole Health and 3794 initiating a complementary and integrative health (CIH) therapy independent of Whole Health (CIH-only). Whole Health included use of coaching, personal health planning, and other services including CIH referral. CIH therapies included chiropractic care, acupuncture, massage therapy, yoga, Tai Chi/Qigong, and meditation. Propensity score matching was used to estimate expected rates of invasive pain treatment procedures 0– 3, 4– 12, and 13– 18 months after initiating Whole Health or CIH-only compared to similar Veterans who had not engaged in either. Results: Overall, 14% of the population were female, 11% had received prior spine injections, 3.3% had received surgery, and 0.4% had an implantable spinal stimulator. Whole Health use was associated with 42% (− 61% to − 17%) lower utilization of invasive pain procedures at three months compared to matched patients who did not use Whole Health. This reduction was attenuated at 18 months: 22% (− 39% to − 5%). CIH-only was associated with 18% (− 29% to − 4%) lower utilization at three months compared with matched patients, but differences were minimal at 18 months: 1% (− 9% to 9%). Discussion: Whole Health care, including CIH therapies, may help patients interrupt patterns of escalating and invasive pain care. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
