- (1) SMT,
- (2) ambulatory ibuprofen prescription,
using propensity matching for OUD risk factors. The primary outcome was the risk ratio (RR) of OUD. The RR for long-term opioid use, and opioid prescription RR and mean count were also explored. Primary analyses conducted in TriNetX and R used logistic regression for matching, standardized mean difference to assess between-cohort balance (threshold of ≤ 0.1), and contingency tables for RRs, using a significance threshold of p < 0.05.
13 Responses to Spinal Manipulative Therapy for Low Back Pain and Opioid Use Disorder
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Prof. Ernst, this might interest you.
Risks of Tramadol Likely Outweigh Benefit for Chronic Pain, https://www.medpagetoday.com/neurology/painmanagement/117842?xid=nl_mpt_DHE_2025-10-11&mh=278f5bbb88ba1a56271d2e47d525a8b1&zdee=gAAAAABm4u5gisF4zWLIybkgc3gghvbjdwuIO6xpIDNeVVbcRa3Y7wfjgLencmPTyxOjoLfCdEKTT0Fi56znwj90WQrmGOcnublRZygOy-UbiSsyzv-DpaI%3D&utm_source=Sailthru&utm_medium=email&utm_campaign=Weekly%20Review%202025-10-11&utm_term=NL_DHE_Weekly_Active
thank you
Prof. Ernst. This may also interest you.
Hospitals Called Out for Unnecessary Back Surgeries on Seniors
— Analysis turned up 200,000 unneeded procedures that cost Medicare $2 billion over 3 years
https://www.medpagetoday.com/surgery/orthopedics/117856?xid=nl_medpageexclusive_2025-10-13&mh=278f5bbb88ba1a56271d2e47d525a8b1&zdee=gAAAAABm4u5gisF4zWLIybkgc3gghvbjdwuIO6xpIDNeVVbcRa3Y7wfjgLencmPTyxOjoLfCdEKTT0Fi56znwj90WQrmGOcnublRZygOy-UbiSsyzv-DpaI%3D&utm_source=Sailthru&utm_medium=email&utm_campaign=MPTExclusives_101325&utm_term=NL_Gen_Int_Medpage_Exclusives_Active
@G-G
Do you have a point?
that would be unusual for him/her!
@GibleyGibley
“Hospitals Called Out for Unnecessary Back Surgeries on Seniors”
OK, this is a good example of whataboutism. But since you bring it up:
– If real doctors and hospitals are found to perform unnecessary, useless and maybe even harmful treatments, then what happens? Yup, you guessed it: those treatments are abandoned.
– If chiropractors and/or other SCAM artists are found to perform unnecessary, useless and maybe even harmful treatments, then what happens? THEY KEEP PERFORMING THE TREATMENTS ANYWAY.
RR. Your quote, ” If real doctors and hospitals are found to perform unnecessary, useless and maybe even harmful treatments, then what happens? Yup, you guessed it: those treatments are abandoned”, is unreferenced. Please provide a reference.
@GibleyGibley
There are lots of ineffective or excessively invasive treatments that have been abandoned, such as most operations for lumbar hernias, routine tonsillectomy in children, several types of shoulder surgery (e.g. for bone spurs), extended bed rest in case of lower back pain and many, many more, including hundreds of pharmacuticals that are no longer used.
However, please note that it usually takes several years for treatments identified as ineffective to be abandoned – not only because the medical world as a whole is rather sluggish to change, but also because doctors and researchers want to be sure that they’re not somehow throwing the baby out with the bathwater. You simply can’t immediately halt all treatments if one study finds it to be ineffective; you want to make sure to make the right recommendation for best practice, and give doctors time to adapt to any changes.
Of course things can go much faster if a treatment if found to be actively harmful – but that situation doesn’t usually go unnoticed for years.
@G-G
And oh, consider using the proper HTML tag instead of just pasting those loooooong URLs in your comments.
It works like this:
This is <a href=”https://edzardernst.com”>a link to this blog</a>.
Result:
This is a link to this blog
So put the long URL between double quotation marks after href=, with the shorter, human-readable link text between the two HTML a tags.
Even if you don’t do that, a lot of cruft can often be removed from a link and have it still work properly. For example, instead of the long, cumbersome URL that GibleyGibley posted,
https://www.medpagetoday.com/surgery/orthopedics/117856
can be used instead.
But to do that you need to have an eye for which bits of a URL are likely to be important.
Generally, the wanted URL is that before the first question mark (?):
https://www.medpagetoday.com/surgery/orthopedics/117856
Note that the long URL has many parameters, including the Urchin Tracking Module (UTM) parameters:
&utm_source=Sailthru
&utm_medium=email
&utm_campaign=MPTExclusives_101325
&utm_term=NL_Gen_Int_Medpage_Exclusives_Active
EE: The former group were predominantly in the hands of chiropractors, a profession that has a long tradition of and is well-known for being against all drugs.”
It’s about a 50/50 split regarding some pharmaceuticals.
“For instance, from published surveys [20]-[24] of chiropractors in Australia, the United States, Canada, Mexico, and the United Kingdom, no more than 58% of respondents were in favour of chiropractic prescribing rights and no less than 42% were opposed.”
https://chiromt.biomedcentral.com/articles/10.1186/s12998-014-0034-7
enough to generate the observed outcome, I guess