Tuesday, November 6, 2007

The Insurance Indusrty is at it again...

Cote P, Hogg-Johnson S, Cassidy JD, Carroll L, Frank JW, Bombardier C.
Related Articles,
Links

Initial patterns of clinical care and recovery from whiplash injuries: a population-based cohort study.Arch Intern Med. 2005 Oct 24;165(19):2257-63. PMID: 16246992 [PubMed - indexed for MEDLINE]

Yet another study funded by the auto insurers. This one purports to show that more care (primarily chiropractic and PT) leads to delayed recovery. The problem is that this premise would only work if there was some way to independently severity adjust these patients. Meaning, how do we know that some patients were not more severely injuried and needed more care? In fact, the study just shows that more severely injured people use more care, what a surprise! How these guys were able to get to their final conclusion is a mystery, as their study design ignores all the published research of the past decade showing that spinal trauma with prolonged symptoms is an organic injury.

Freeman and I published a rebuttal...
Art Croft published a rebuttal...

2 comments:

WhiplashInfo.se said...

I followed the links, but found no articles, just headlines. Can you please provide links to the hole articles?

Chris Centeno, M.D. said...

Whole articles are only available by purchase.