Analyzing Trends in Dollars Spent for Back & Neck Conditions

Analyzing Trends in Dollars Spent for Back & Neck Conditions

More than half of all adults will experience back or neck pain at some point during their lifetime, and these health issues currently rank as the second most common reason for medical visits, trailing only upper respiratory infections. Recently, expenditures on spinal conditions in the United States have increased significantly despite few changes in the overall health status of people who experience these conditions. Estimates vary, but it is generally believed that about $90 billion is spent on the diagnosis and management of low back and neck pain each year. An additional $10 to $20 billion annually is attributed to economic losses in productivity. “Little is known about the pattern of expenditures for different health services for managing patients with back and neck pain,” says Jon D. Lurie, MD, MS. “While it has been generally accepted that medical care costs per unit have become more expensive, few analyses have explored costs relating to other non-medical services, such as chiropractic care and physical therapy.” A Deeper Review of Back & Neck Expenditures It is important for health policy makers to examine expenditures on the different ambulatory health services for back and neck conditions, according to Dr. Lurie. “This information can provide insights into the effects of health policy decisions and inform future strategies for containing costs. A better understanding of spending patterns on health services is needed to gain a better picture of the overall cost and effectiveness of spinal interventions to improve health.” Using data from the Calgary Chiropractic Doctors Association and the Medical Expenditure Panel Survey, Dr. Lurie and colleagues reviewed U.S. expenditures on common health services used...

Preventing Falls in the Elderly: Updated Guidelines

Falls are one of the most common health problems experienced by older adults and are a common cause of loss of functional independence. Studies show that unintended injuries are the fifth leading cause of death in the elderly, and falls cause about two-thirds of those injuries. Fortunately, research continues to evolve in fall prevention. In the January 13, 2011 online issue of the Journal of the American Geriatrics Society, the American Geriatrics Society (AGS) and the British Geriatric Society (BGS) updated the 2001 guideline on preventing falls in older persons based on an accumulation of new data and a literature review. Assessing Fall Risk Factors The first step in preventing falls is to determine if patients are at increased risk. The updated AGS/BGS guidelines recommend that yearly evaluations of elderly patients include questions about any recent falls as well as inquiries about balance and steadiness of gait. Balance and steadiness represent a new addition to the guidelines. These problems can result from a number of causes, so it’s important that physicians consider what may be contributing to the problem before recommending treatment. Patients should also be asked about side effects of any medications that may increase fall risk. Questions about a patient’s comfort with activities of daily living may also reveal areas of concern. If a patient has already sustained a fall, physicians should assess and treat any resulting injuries, evaluate what contributed to the fall, and then recommend interventions to prevent future falls. Take Preventive Measures to Reduce Falls In many cases, preventive measures can be taken to reduce the likelihood of falls. The appropriate course of action...