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Characteristics of pediatric patients seen in medical school-based osteopathic manipulative medicine clinics.
J Am Osteopath Assoc. 2010 Jul; 110(7):376-80.JA

Abstract

CONTEXT

Manual medicine--specifically osteopathic manipulative treatment (OMT)--is commonly used in treating patients aged 18 years or younger. However, no published reports have described characteristics of this patient population or the conditions for which OMT is used with these patients. To better counsel parents, train physicians and other healthcare providers, and prioritize research, an improved understanding of the use of OMT in children is needed.

OBJECTIVE

To characterize pediatric patients and their conditions as seen in a medical school-based osteopathic manipulative medicine clinic.

STUDY DESIGN

Retrospective analysis of administrative data on the use of OMT.

SETTING

Faculty osteopathic manipulative medicine specialty clinics associated with the University of New England College of Osteopathic Medicine.

PATIENTS

Data were analyzed from patients seen in the clinics from January 1, 2007, through December 31, 2007, if they were younger than 19 years at their first visit during that period.

OUTCOMES MEASURES

Factors included in the data analysis were patient age at first visit, age at time of visit, number of visits during the study period, types of clinical diagnoses, and visits with nonmusculoskeletal diagnoses.

RESULTS

A total of 407 patients generated 1500 clinic visits. Data showed a mean of 3.7 visits per patient (25th-75th percentiles = 2-5 visits) during the 1-year study period. The mean age at the first clinic visit was 7 years, 3 months, with the 25th-to-75th percentile being 1 year, 9 months, to 12 years, 3 months. Clinic visits by age group (ie, age at time of visit) as percentages of total visits were as follows: 0 to 11 months, 13.7%; 1 to 4 years, 33.3%; 5 to 12 years, 28.9%, older than 12 years, 24.2%. Diagnoses provided in visits covered a wide variety of common pediatric conditions. For the entire study population, 43.5% of visits included nonmusculoskeletal diagnoses. The percentages of visits with nonmusculoskeletal diagnoses for each age group were as follows: 0 to 11 months, 33.7%; 1 to 4 years, 64.0%; 5 to 12 years, 48.8%; older than 12 years, 17.7%.

CONCLUSION

Pediatric patients seen in the faculty osteopathic manipulative medicine specialty clinic included the entire pediatric age range and a wide range of common pediatric conditions. A substantial number of visits involved treatment for nonmusculoskeletal conditions. Further investigation is needed to determine if the patient sample of the present study is representative of other clinical settings or geographic regions.

Authors+Show Affiliations

Restorative Health Center, 2150 South 1300 East, Suite 500, Salt Lake City, UT 84106-4375, USA. gregglund@usa.netNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20693569

Citation

Lund, Gregg, and Jane E. Carreiro. "Characteristics of Pediatric Patients Seen in Medical School-based Osteopathic Manipulative Medicine Clinics." The Journal of the American Osteopathic Association, vol. 110, no. 7, 2010, pp. 376-80.
Lund G, Carreiro JE. Characteristics of pediatric patients seen in medical school-based osteopathic manipulative medicine clinics. J Am Osteopath Assoc. 2010;110(7):376-80.
Lund, G., & Carreiro, J. E. (2010). Characteristics of pediatric patients seen in medical school-based osteopathic manipulative medicine clinics. The Journal of the American Osteopathic Association, 110(7), 376-80.
Lund G, Carreiro JE. Characteristics of Pediatric Patients Seen in Medical School-based Osteopathic Manipulative Medicine Clinics. J Am Osteopath Assoc. 2010;110(7):376-80. PubMed PMID: 20693569.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Characteristics of pediatric patients seen in medical school-based osteopathic manipulative medicine clinics. AU - Lund,Gregg, AU - Carreiro,Jane E, PY - 2010/8/10/entrez PY - 2010/8/10/pubmed PY - 2011/3/8/medline SP - 376 EP - 80 JF - The Journal of the American Osteopathic Association JO - J Am Osteopath Assoc VL - 110 IS - 7 N2 - CONTEXT: Manual medicine--specifically osteopathic manipulative treatment (OMT)--is commonly used in treating patients aged 18 years or younger. However, no published reports have described characteristics of this patient population or the conditions for which OMT is used with these patients. To better counsel parents, train physicians and other healthcare providers, and prioritize research, an improved understanding of the use of OMT in children is needed. OBJECTIVE: To characterize pediatric patients and their conditions as seen in a medical school-based osteopathic manipulative medicine clinic. STUDY DESIGN: Retrospective analysis of administrative data on the use of OMT. SETTING: Faculty osteopathic manipulative medicine specialty clinics associated with the University of New England College of Osteopathic Medicine. PATIENTS: Data were analyzed from patients seen in the clinics from January 1, 2007, through December 31, 2007, if they were younger than 19 years at their first visit during that period. OUTCOMES MEASURES: Factors included in the data analysis were patient age at first visit, age at time of visit, number of visits during the study period, types of clinical diagnoses, and visits with nonmusculoskeletal diagnoses. RESULTS: A total of 407 patients generated 1500 clinic visits. Data showed a mean of 3.7 visits per patient (25th-75th percentiles = 2-5 visits) during the 1-year study period. The mean age at the first clinic visit was 7 years, 3 months, with the 25th-to-75th percentile being 1 year, 9 months, to 12 years, 3 months. Clinic visits by age group (ie, age at time of visit) as percentages of total visits were as follows: 0 to 11 months, 13.7%; 1 to 4 years, 33.3%; 5 to 12 years, 28.9%, older than 12 years, 24.2%. Diagnoses provided in visits covered a wide variety of common pediatric conditions. For the entire study population, 43.5% of visits included nonmusculoskeletal diagnoses. The percentages of visits with nonmusculoskeletal diagnoses for each age group were as follows: 0 to 11 months, 33.7%; 1 to 4 years, 64.0%; 5 to 12 years, 48.8%; older than 12 years, 17.7%. CONCLUSION: Pediatric patients seen in the faculty osteopathic manipulative medicine specialty clinic included the entire pediatric age range and a wide range of common pediatric conditions. A substantial number of visits involved treatment for nonmusculoskeletal conditions. Further investigation is needed to determine if the patient sample of the present study is representative of other clinical settings or geographic regions. SN - 1945-1997 UR - https://www.unboundmedicine.com/medline/citation/20693569/Characteristics_of_pediatric_patients_seen_in_medical_school_based_osteopathic_manipulative_medicine_clinics_ L2 - http://jaoa.org/article.aspx?volume=110&page=376 DB - PRIME DP - Unbound Medicine ER -