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Patterns of OMT Use Across Diverse Practice Settings: Insights from a Multicenter Healthcare System

Journal: The AAO Journal Date: 2025/06, 35(2):Pages: 11-12. doi: Subito , type of study: retrospective study

Full text    (https://aaoj.kglmeridian.com/view/journals/aaoj/35/2/article-p5.xml)

Keywords:

OMT [3746]
osteopathic manipulative treatment [3766]
retrospective study [312]
USA [1630]
utilization [21]

Abstract:

Background: Osteopathic manipulative medicine (OMM) has demonstrated clinical benefits in managing musculoskeletal and systemic conditions, yet utilization patterns remain poorly understood. This study addresses the research question: What are the patterns of OMM use across diverse practice settings in a large healthcare system, and how do these patterns inform clinical practice and resource allocation? Methods: This retrospective study analyzed encounters involving OMM CPT codes across a multicenter healthcare system from January 2022 to May 2023. We examined the frequency and distribution of OMT procedures, comparing community-based centers with a destination medical center. Data included procedure type, number of body regions treated, and associated diagnoses. Statistical comparisons were conducted to evaluate utilization patterns across settings. Results: During the study period, the majority of OMM procedures were performed in community-based settings, with limited use at the destination medical center. Lumbar and cervical somatic dysfunctions were the most commonly treated conditions. Procedures often involved treatment of multiple body regions, with 3-4 regions addressed in the majority of visits. Discussion: This study highlights the prevalent use of OMM in community-based settings. The findings suggest that OMT is appropriately targeted to conditions with strong clinical indications, such as lumbar and cervical somatic dysfunctions. Limitations include the retrospective design and reliance on CPT coding accuracy. Future research should explore barriers to OMT integration at destination centers and investigate how practice settings influence treatment selection and outcomes. Conclusion: This study provides a foundational understanding of OMT utilization patterns within a large healthcare system. Insights from this research can inform resource allocation, optimize provider training, and guide efforts to improve access to OMT services across diverse clinical settings.


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