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Attitudes and Practice Patterns In The Use Of OMM In Patients With Serious Illness

Journal: Journal of Osteopathic Medicine Date: 2023/12, 123(12):Pages: A102-A103. doi: Subito , type of study: cross sectional study

Full text    (https://www.degruyter.com/document/doi/10.1515/jom-2023-2000/html)

Keywords:

attitude [117]
cross sectional study [597]
OMT [2951]
osteopathic manipulative treatment [2973]
osteopathic physicians [163]
practice patterns [30]
USA [1086]

Abstract:

Statement of Significance: In addition to evidence-based medicine, the osteopathic approach to person-centered care consists of the osteopathic philosophy of integrated structure and function and applying manual techniques to treat somatic dysfunction. Known collectively as Osteopathic Manipulative Medicine (OMM), this approach can be utilized when treating patients with both chronic and acute conditions. There is limited data on how often OMM is used to treat pain in patients facing serious illnesses. To quantify the frequency with which osteopathic physicians are utilizing OMM and describe what symptoms are being treated, and in what settings. To understand attitudes towards utilizing OMM in seriously ill patients. To investigate if there are any associations between use of OMM and type of physician training, age, number of years in practice, or primary site of physician practice. To gauge osteopathic physicians’ attitudes towards their training in OMM. Research Methods: A voluntary, anonymous survey was created to capture the practice patterns and attitudes of osteopathic physicians, regardless of specialty, in the uses and benefits of OMM in treating patients with serious illness. The survey was approved by the IRB and designed using a Likert-scale, multiple choice format using Redcap software and permission to distribute the survey electronically was granted from various national and local professional organizations including the American Osteopathic Association (AOA), Pennsylvania Osteopathic Medical Association (POMA) and the PCOM alumni association. Among key data analyzed were the frequency of OMM use in serious or life-limiting illness (Cancer, CHF, and COPD), attitudes about OMM, beliefs about OMM, and use of OMM in older adults. All data was entered into Redcap for analysis. Data Analysis: Majority of osteopathic physicians (OPs) are comfortable utilizing OMM (79.8%), primarily for musculoskeletal pain (81%). Most OPs thought utilizing OMM in serious illness was “somewhat to “often“ beneficial and was utilized “sometimes” or “frequently” in constipation (49%), neuropathic or visceral pain (67.2%), and dyspnea (58.7%) but it’s use in nausea (60.1%), older patients or in those with limited life expectancy was “rare“ or “sometimes” utilized. Alongside evidence-based treatments, OPs utilize OMM in patients with cancer, but less so with congestive heart failure (CHF), and chronic obstructive pulmonary disease (COPD). (57.5%) OP stated they have used OMM techniques to treat symptoms for my patients who had a terminal diagnosis. Overwhelmingly, respondents thought osteopathic training enables them to approach patients with empathy (84%) and view the patient-family-environment as part of an interconnected unit (83%). Conclusion: Osteopathic Manipulative Medicine (OMM) is used by many osteopathic physicians when treating pain and other symptoms of patients who have serious illness. OMM is perceived to be beneficial when treating conditions related to CHF, COPD, and Cancer. Osteopathic Physicians who do utilize Osteopathic Manipulative Medicine believe that their training has allowed them to engage and treat patients with compassion, empathy, and view the patient-family-environment as an interconnected unit. These findings support the ongoing need for randomized controlled trials that could quantify potential benefits of OMM and the osteopathic approach for patients facing serious and life-limiting illness.


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