Abstract Context Nonpharmacologic treatments are recommended for the treatment of pain including osteopathic manipulative treatment (OMT). It has been shown there is low utilization of OMT and disparities in access in patient with pain conditions. Objectives The objective of this study is to describe the current landscape of OMT receipt as an adjunct in adult patients prescribed opioids. Through the exploration of a national outpatient database, this study will discern if there are disparities to receiving OMT. Methods Through a deidentified, national health record database, patients with seven categories of pain-provoking conditions who receive ≥3 opioid prescriptions were queried for receipt of OMT. Demographics, pain conditions, prescribed opioid morphine milliequivalent dose, and insurance data were analyzed. Results Of 98,892 patients meeting the inclusion criteria, 1,371 (1.4 %) received OMT. Patients under 60 years, female, White race, and having multiple pain-provoking conditions were more likely to receive OMT. Medicaid was the most common payer type for those who received OMT. Hispanic and Black patients received less OMT than non-Hispanic White patients. Conclusions Despite recommendations for nonpharmacologic therapies to treat pain, OMT use remains low among patients on long-term opioid therapy for pain-provoking conditions. In this study, there were racial and ethnic differences with White patients receiving OMT more often than others. Further work is needed to assure access to OMT as part of a patient’s pain treatment plan across all populations.
Yorkgitis et al. (Thu,) studied this question.