June 2007 - Volume 83
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HEALTH NEWS FOR JUNE 2007

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We've got the answers to your chiropractic-related questions:

Feature Articles:
Chiropractic Care Improves Musculoskeletal Disorders
Chiropractors Lowering Healthcare Costs and Increasing Patient Satisfaction
Vitamin D Reduces Cancer Risk
Vitamins In Moderation




Chiropractic Care Improves Musculoskeletal Disorders
New research continues to support what millions of patients already know, chiropractic care is a safe, effective treatment for those suffering from musculoskeletal conditions. In a new study, 280 patients suffering from musculoskeletal complaints were followed while undergoing chiropractic care. General health, pain and physical disability were evaluated before and after their 12-week chiropractic care treatment plan. Based on their findings, researchers concluded that the study suggests that chiropractic care reduces pain and disability as well as improves the general health status in patients with musculoskeletal-related conditions. Additionally, researchers stated no adverse events from chiropractic care were reported.
AUTHOR: ChiroPlanet.com
SOURCE: JMPT. Vol. 30, Issue 3.
COPYRIGHT:
ProfessionalPlanets.com LLC 2007

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Chiropractors Lowering Healthcare Costs and Increasing Patient Satisfaction
Patients visiting chiropractors and other holistically-oriented physicians who serve as primary care providers (PCPs) have lower utilization costs and higher patient satisfaction levels than patients treated by conventional medical doctors, according to a study published in the May issue of the Journal of Manipulative and Physiological Therapeutics that tracked data from a unique Independent Physicians Association (IPA) where chiropractors serve as first-contact, primary care physicians.

"The escalation of medical expenditures remains an urgent problem in the United States and it’s becoming quite clear that cost containment strategies by conventional medical providers are failing to achieve even mediocre results," said study coauthor James Winterstein, DC. "This study confirms that integration of allopathic, chiropractic and other complementary and alternative medicine (CAM) providers can positively impact patient quality of care while limiting overall costs. This approach to patient care has great potential to improve the U.S. healthcare system."

Led by Richard Sarnat, MD, researchers directly compared cost and clinical utilization data from an integrative CAM Independent Physicians Association (IPA) with conventional medical IPA data from members enrolled in a traditional health maintenance organization (HMO). The recent report analyzes data from 2003 to 2005 and is a follow up to the original report published in 2004, which compared data from 1999 to 2002.

"Our most recent analysis supports earlier findings that patients visiting CAM-orientated primary care physicians (PCP) – primarily chiropractors – experienced fewer hospitalizations, underwent fewer surgeries and used considerably fewer pharmaceuticals than HMO patients who received traditional medical care," Dr. Winterstein said. "Moreover, doctors of chiropractic succeeded in diagnosing and treating patients at a level nearly equal to medical doctors."

Researchers found that over the course of the seven-year study, patients visiting chiropractors and other CAM-oriented PCPs had 60 percent fewer hospitalizations, 62 percent fewer outpatient surgical cases, and 85 percent lower pharmaceutical costs when compared with total network HMO utilization rates and costs. The chiropractors and other CAM doctors treated and managed cases ranging from upper respiratory tract infections and allergies to headaches, orthopedic and other medical conditions.

In 2005, the chiropractic PCPs managed 60 percent of their enrolled patients without requiring a referral to a conventional medical specialist. These data mirror the 2001 findings, which also demonstrated that 60 percent of the patient population within the integrative IPA was solely managed by their chiropractic PCPs.

"The most current data from our ongoing study suggests that doctors of chiropractic are well-suited to provide patients with valuable primary-care services," Dr. Winterstein notes. "We have demonstrated that it is possible to deliver CAM-oriented primary care in a highly regulated environment without compromising either quality or safety."

Patients reported on the quality of care they received through the use of annual patient satisfaction surveys. On average, data from patients enrolled between 2003 and 2005 demonstrated a high degree of satisfaction (96 percent, 94 percent, and 91 percent, respectively). These findings were similar to data from 1999 through 2002 (100 percent, 89 percent, 91 percent, and 90 percent, respectively). The integrative CAM patients consistently rated their experiences more positively than did members enrolled within the HMO’s conventional medical IPAs.
AUTHOR: American Chiropractic Association
SOURCE: ACAtoday.com
COPYRIGHT:
American Chiropractic Association 2007

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Vitamin D Reduces Cancer Risk
According to a newly released 4-year study, large doses of vitamin D may reduce cancer risk. In the study comprised of approximately 1,200 women over the age of 55, those supplementing with 1,100 IU's of vitamin D experienced a 60 percent lower incidence of all cancers. In evaluating cancer incidence for the final 3 years of the study only (skipping the first year of the study to eliminate the possibility of pre-existing cancers), vitamin D supplementation lowered the incidence of cancers by 77 percent. The researchers initially were studying the bone health in post-menopausal women until they discovered vitamin D's cancer reducing benefits. More studies are needed to see if the findings also hold true for men as well as cancer reduction in the younger adult population. Vitamin D is made by the body after sunlight exposure and can be consumed through the diet with the consumption of fatty fish and fortified milk. Thus, it is recommended that most supplement with vitamin D rather than rely on dietary vitamin D and/or the harmful effect of sun exposure.
AUTHOR: ChiroPlanet.com
SOURCE: American Journal of Clinical Nutrition, Vol. 85, No. 6, 1586-1591, June 2007.
COPYRIGHT:
ProfessionalPlanets.com LLC 2007

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Vitamins In Moderation
While there are hundreds of studies showing the benefits of nutritional supplementation, they should be taken in moderation and at recommended dosages. National Center Institute researchers recently reported that men who consume too many vitamins could increase their risk of prostate cancer. According to findings, men consuming more than the recommended dosage of multi-vitamins increased their risk of advanced prostate cancer by 30 percent. The findings are significant as the number of men who participated in this 5-year study was close to 300,000. Researchers found the strongest link with those men having a family history of prostate cancer as well as those consuming selenium, beta-carotene and/or zinc supplements. They concluded that men should follow the recommended dosage on their vitamin bottles and not attempt to over supplement.
AUTHOR: ChiroPlanet.com
SOURCE: Reuters. May 15, 2007.
COPYRIGHT:
ProfessionalPlanets.com LLC 2007

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