Cost-effectiveness of spinal manipulation, exercise, and self-management for spinal pain.

ABSTRACT:

Background

The United States spends more money on the care of back and neck pain than any other health condition. Despite this, the cost-effectiveness for many recommended treatments is unclear. Our primary objective for this project was to estimate the cost-effectiveness of spinal manipulative therapy (SMT), supervised exercise therapy (ET), and home exercise and advice (HEA) for spinal pain in the U.S.

Methods

We analyzed cost and clinical outcome data from eight randomized trials conducted in the U.S. using an individual participant data meta-analysis approach. We calculated cost-effectiveness from the societal and healthcare perspective of various comparisons between SMT, ET, and HEA. Incremental cost-effectiveness ratios (ICERs) were calculated using quality-adjusted li

SUBMITTER: Leininger BD 

PROVIDER: S-EPMC12375277 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature