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  Vol. 165 No. 11, June 13, 2005 TABLE OF CONTENTS
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Medical Costs Associated With Chiropractic Care—Reply

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In reply

Tanvetyanon is correct in noting that there are differences in patient characteristics in the groups with and without a chiropractic benefit that may have contributed to some of the effects seen in the study.1 These limitations are in fact noted in our article. To be sure, these differences had a high level of statistical significance, as they would have to be given the extremely large sample size. However, to characterize the different rates of comorbid conditions as "much more prevalent" is not accurate. In fact, the magnitudes of these differences are rather modest, and while there may be alternative methods to control for these differences, the methods used in our study were robust and our conclusions are reasonable.

Tanvetyanon’s characterization of the safety and efficacy of spinal manipulation is inaccurate. To say that the efficacy is unclear is true in the sense that it is incomplete. However, among . . . [Full Text of this Article]


AUTHOR INFORMATION
Antonio P. Legorreta, MD, MPH



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RELATED ARTICLES

Medical Costs Associated With Chiropractic Care
Tawee Tanvetyanon
Arch Intern Med. 2005;165(11):1313-1314.
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Comparative Analysis of Individuals With and Without Chiropractic Coverage: Patient Characteristics, Utilization, and Costs
Antonio P. Legorreta, R. Douglas Metz, Craig F. Nelson, Saurabh Ray, Helen Oster Chernicoff, and Nicholas A. DiNubile
Arch Intern Med. 2004;164(18):1985-1992.
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