Abstract
Letters2 February 1999Spinal Manipulation: When Is It Appropriate?Richard A. Deyo, MD, MPHRichard A. Deyo, MD, MPHUniversity of Washington; Seattle, WA 98195Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-130-3-199902020-00031 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:As one of the authors of the guidelines for acute low back problems sponsored by the Agency for Health Care Policy and Research (AHCPR), I was surprised to read Dr. Micozzi's conclusions about spinal manipulation in his editorial on complementary care (1). The first sentence of the editorial indicates that the AHCPR “made history when it concluded that spinal manipulative therapy is the most effective and cost-effective treatment for acute low back pain.” Although the guidelines are lengthy and complex, I cannot remember such a statement being included, and I specifically do not remember any cost-effectiveness analyses ...
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