The impact of patient preferences and costs on the appropriateness of spinal manipulation and mobilization for chronic low back pain and chronic neck pain

Table 1 Characteristics and Results of Appropriateness Panels

	Chronic Low Back Pain		Chronic Neck Pain
	Panelists^b	Clinical Scenarios^a,b	Panelists	Clinical Scenarios^a
Total numbers of panelists and clinical scenarios rated across panelists	9 (100%)	8100 (100%)	11 (100%)	8184 (100%)
Changed ratings at home	2 (22%)	335 (4%)	4 (36%)	281 (3%)
Changed ratings during in-person meeting	5 (63%)	219 (3%)	10 (91%)	758 (9%)
Changed ratings because of preferences	1 (13%)	8 (0%)	5 (45%)	162 (2%)
Changed ratings because of costs	1 (13%)	3 (0%)	0 (0%)	0 (0%)
Panelists who said ratings could be changed because of preferences	7 (88%)		8 (73%)
Panelists who said ratings could be changed because of costs	4 (50%)		6 (55%)

^aThe denominator for the number of clinical scenarios where ratings were changed is the number of panelists times the number of clinical scenarios, so 9*900 or 8100 for chronic low back pain and 11*744 or 8184 for chronic neck pain
^bOne chronic low back pain panelist could not attend the in-person meeting; therefore, the chronic low back pain percentages for the in-person meeting and below are calculated over 8 panelists and 7200 (8*900) ratings

ISSN: 1471-2474