{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T01:26:01Z","timestamp":1792113961854,"version":"4.4.0"},"reference-count":75,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2023,8,11]],"date-time":"2023-08-11T00:00:00Z","timestamp":1691712000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P20GM130414"],"award-info":[{"award-number":["P20GM130414"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Clinical practice guidelines recommend noninvasive nonpharmacological pain therapies; however, reviews that assess the literature pertaining to nonpharmacological pain management among older adults and people with long-term disabilities who are disproportionately affected by pain are lacking. This scoping review aimed to systematically map and characterize the existing studies about the receipt of noninvasive, nonpharmacological pain therapies by Medicare beneficiaries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research Design and Methods<\/jats:title>\n                    <jats:p>We conducted a literature search in MEDLINE (PubMed), CINAHL (EBSCO), SocINDEX (EBSCO), Cochrane Library, Web of Science citation indices, and various sources of gray literature. The initial search was conducted on November 2, 2021, and updated on March 9, 2022. Two independent reviewers screened titles, abstracts, and full texts for inclusion and extracted the characteristics of the studies, studied populations, and nonpharmacological pain therapies. Data were summarized using tabular and narrative formats.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The final review included 33 studies. Of these, 24 were quantitative, 7 were qualitative, and 2 were mixed-methods studies. Of 32 studies that focused on Medicare beneficiaries, 10 did not specify the Medicare type, and all but one of the remaining studies were restricted to fee-for-service enrollees. Back and neck pain and arthritis were the most commonly studied pain types. Chiropractic care (n\u2005=\u200519) and physical therapy (n\u2005=\u200517) appeared frequently among included studies. The frequency and\/or duration of nonpharmacological treatment were mentioned in 13 studies. Trends in the utilization of nonpharmacological pain therapies were assessed in 6 studies but none of these studies went beyond 2008.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Implications<\/jats:title>\n                    <jats:p>This scoping review found that manipulative therapies, mainly chiropractic, have been the most widely studied approaches for nonpharmacological pain management in the Medicare population. The review also identified the need for future research that updates trend data and addresses contemporary issues such as rising Medicare Advantage enrollment and promulgation of practice guidelines for pain management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/geroni\/igad085","type":"journal-article","created":{"date-parts":[[2023,8,11]],"date-time":"2023-08-11T08:36:17Z","timestamp":1691742977000},"source":"Crossref","is-referenced-by-count":12,"title":["Treatment Patterns and Population Characteristics of Nonpharmacological Management of Chronic Pain in the United States\u2019 Medicare Population: A Scoping Review"],"prefix":"10.1093","volume":"7","author":[{"given":"Erum","family":"Choudry","sequence":"first","affiliation":[{"name":"School of Public Health, Brown University , Providence, Rhode Island , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kara L","family":"Rof\u00e9","sequence":"additional","affiliation":[{"name":"School of Public Health, Brown University , Providence, Rhode Island , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Konnyu","sequence":"additional","affiliation":[{"name":"Center for Evidence Synthesis in Health, Department of Health Services, Policy and Practice, School of Public Health, Brown University , Providence, Rhode Island , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0134-7052","authenticated-orcid":false,"given":"Brandon D L","family":"Marshall","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health, Brown University , Providence, Rhode Island , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa I","family":"Shireman","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research, Department of Health Services, Policy and Practice, School of Public Health, Brown University , Providence, Rhode Island , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica S","family":"Merlin","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania , USA"},{"name":"Division of Infectious Disease, University of Pittsburgh School of Medicine , Pittsburgh, Pennsylvania , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amal N","family":"Trivedi","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research, Department of Health Services, Policy and Practice, School of Public Health, Brown University , Providence, Rhode Island , USA"},{"name":"Department of Medicine, Brown University , Providence, Rhode Island , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Massachusetts General Hospital Institute of Health Professions, School of Health and Rehabilitation Sciences , Boston, Massachusetts , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Bhondoekhan","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, School of Public Health, Brown University , Providence, Rhode Island , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1323-4554","authenticated-orcid":false,"given":"Patience","family":"Moyo","sequence":"additional","affiliation":[{"name":"Center for Gerontology and Healthcare Research, Department of Health Services, Policy and Practice, School of Public Health, Brown University , Providence, Rhode Island , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,8,11]]},"reference":[{"key":"2023121214024414400_CIT0001","volume-title":"Chronic pain and high-impact chronic pain among U.S. adults, 2019","author":"Zelaya","year":"2020"},{"key":"2023121214024414400_CIT0002","first-page":"379","article-title":"Chronic pain among adults\u2014United States, 2019\u20132021","volume-title":"MMWR Morb Mortal Wkly Rep.","author":"Rikard","year":"2023"},{"key":"2023121214024414400_CIT0003","volume-title":"The National Academies Collection: Reports Funded by National Institutes of Health. 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