Abstract：
OBJECTIVE: The services defined as complementary and alternative medicine/healthcare (CAM) are used to varying degrees according to the nature of the health problem, and musculoskeletal disorders, in particular, often lead to the use of CAM. Chronic pain is often cited as a reason for using CAM, and it is also the cardinal symptom of patients with back pain referred for specialist care. However, previous studies do not consider the heterogeneity of back pain when examining the use of CAM. Thus, this study aimed to explore the associations between CAM use and clinical findings incl. ICD-10 diagnostic codes in such a context.
METHODS: In a cross-sectional study, a logistic regression analysis examined associations between CAM use and clinical findings at a public outpatient spine department. Chi-squared test examined the association between self-reported reasons for CAM use and the diagnostic groups.
RESULTS: Of the 432 patients in the study population, 23.8% reported using CAM within 12 months prior to clinical assessment. CAM use was associated with being female and of younger age. Seeking CAM was not associated with clinical findings nor diagnosis, and no statistically significant association between the reasons for seeking CAM and the diagnostic groups was described.
CONCLUSIONS: Among patients referred to specialist care for back pain, this study provides no evidence that the spinal condition should be expected to lead to the use of CAM. Only the individual demographic findings, specifically age and gender, were associated with CAM use.
METHODS: In a cross-sectional study, a logistic regression analysis examined associations between CAM use and clinical findings at a public outpatient spine department. Chi-squared test examined the association between self-reported reasons for CAM use and the diagnostic groups.
RESULTS: Of the 432 patients in the study population, 23.8% reported using CAM within 12 months prior to clinical assessment. CAM use was associated with being female and of younger age. Seeking CAM was not associated with clinical findings nor diagnosis, and no statistically significant association between the reasons for seeking CAM and the diagnostic groups was described.
CONCLUSIONS: Among patients referred to specialist care for back pain, this study provides no evidence that the spinal condition should be expected to lead to the use of CAM. Only the individual demographic findings, specifically age and gender, were associated with CAM use.
摘要：
目的：根据健康问题的性质，定义为补充和替代医学/医疗保健（CAM）的服务在不同程度上被使用，和肌肉骨骼疾病，特别是,经常导致CAM的使用。慢性疼痛经常被认为是使用CAM的原因，这也是背痛患者接受专科护理的主要症状。然而,以前的研究在检查CAM的使用时没有考虑背痛的异质性.因此，本研究旨在探讨CAM使用与临床发现之间的关联。在这种情况下的ICD-10诊断代码。
方法：在一项横断面研究中，一项logistic回归分析检查了公共门诊脊柱科使用CAM和临床发现之间的关联.卡方检验检查了自我报告的CAM使用原因与诊断组之间的关联。
结果：在研究人群中的432名患者中，23.8%的人在临床评估前12个月内报告使用CAM。CAM的使用与女性和年轻有关。寻找CAM与临床表现或诊断无关，并且没有描述寻找CAM的原因与诊断组之间的统计学显著关联.
结论：在接受背痛专科护理的患者中，这项研究没有提供证据表明脊柱疾病应该导致CAM的使用.只有个人的人口统计结果，特别是年龄和性别，与CAM使用相关。
方法：在一项横断面研究中，一项logistic回归分析检查了公共门诊脊柱科使用CAM和临床发现之间的关联.卡方检验检查了自我报告的CAM使用原因与诊断组之间的关联。
结果：在研究人群中的432名患者中，23.8%的人在临床评估前12个月内报告使用CAM。CAM的使用与女性和年轻有关。寻找CAM与临床表现或诊断无关，并且没有描述寻找CAM的原因与诊断组之间的统计学显著关联.
结论：在接受背痛专科护理的患者中，这项研究没有提供证据表明脊柱疾病应该导致CAM的使用.只有个人的人口统计结果，特别是年龄和性别，与CAM使用相关。
