Journal of Osteopathic Medicine最新文献

{"title":"Corrigendum to: Comprehensive review of the heart failure management guidelines presented by the American College of Cardiology and the current supporting evidence.","authors":"Lia Lazareva, Jay H Shubrook, Milind Dhond","doi":"10.1515/jom-2025-3003","DOIUrl":"https://doi.org/10.1515/jom-2025-3003","url":null,"abstract":"","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic pain outcomes among patients treated by osteopathic vs. allopathic physicians: a 36-month follow-up study.","authors":"John C Licciardone, Hanna Lewis, Kaylee Dahl, Branden Adams, Subhash Aryal","doi":"10.1515/jom-2025-0037","DOIUrl":"https://doi.org/10.1515/jom-2025-0037","url":null,"abstract":"<p><strong>Context: </strong>Osteopathic physicians take a whole-person approach to medical care that may be seen in their relationships with patients and may involve utilizing osteopathic manipulative treatment (OMT) as an alternative to opioid therapy in patients with chronic pain.</p><p><strong>Objectives: </strong>This study aimed to compare the outcomes of patients with chronic low back pain (CLBP) treated by osteopathic and allopathic physicians in the United States utilizing a pragmatic design reflecting medical care in real-world settings, including an assessment of potential mediators of osteopathic medical care.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted utilizing patients with CLBP selected from the Pain Registry for Epidemiological, Clinical, and Interventional Studies and Innovation (PRECISION) from September 2016 through September 2024. Patients were followed at quarterly encounters for up to 36 months after PRECISION enrollment to determine if they were receiving their CLBP medical care from either osteopathic or allopathic physicians. Outcomes pertaining to pain, function, pain impact, health-related quality of life (HRQOL), and the frequency of chronic widespread pain (CWP) and CLBP recovery were also measured at these encounters utilizing generalized estimating equations. Results were adjusted for sociodemographic and clinical characteristics in multivariable analyses. Regression-based analyses were utilized to determine if OMT, opioid prescribing, or physician empathy mediate the outcomes of osteopathic medical care.</p><p><strong>Results: </strong>There were 1,491 patients in the study, including 278 (18.6 %) and 1,213 (81.4 %) treated by osteopathic and allopathic physicians, respectively. A total of 8,854 encounters were completed over 36 months, including 2,107 (23.8 %) and 6,747 (76.2 %) in the osteopathic and allopathic medical care groups, respectively. The adjusted means (95 % confidence intervals [CIs]) for patients treated by osteopathic vs. allopathic physicians were 6.3 (6.0-6.6) vs. 6.5 (6.3-6.7) for low back pain intensity (p=0.05); 14.8 (13.8-15.8) vs. 15.6 (14.8-16.4) for back-related disability (p=0.008); 31.9 (30.6-33.2) vs. 32.7 (31.7-33.7) for pain impact (p=0.07); and 57.8 (56.7-58.8) vs. 58.4 (57.6-59.3) for HRQOL deficits (p=0.04). The frequency of CWP occurrence (risk ratio [RR], 1.00; 95 % CI, 0.87-1.15; p=0.98) and CLBP recovery (RR, 0.65; 95 % CI, 0.38-1.11; p=0.12) did not differ between the osteopathic and allopathic medical care groups after adjusting for potential confounders. The significant results pertaining to pain, function, and HRQOL were consistently and most strongly mediated by physician empathy and, to a lesser extent, by OMT.</p><p><strong>Conclusions: </strong>This study found that patients with CLBP treated by osteopathic physicians reported better outcomes for pain, function, and HRQOL than patients treated by allopathic physicians over 36 months of fo","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incorporating the Certified Professional in Patient Safety credential into undergraduate medical curriculum: assessment and lessons learned.","authors":"Lillee Gelinas, Amany K Hassan, Janet Lieto, Albert H Yurvati","doi":"10.1515/jom-2023-0248","DOIUrl":"https://doi.org/10.1515/jom-2023-0248","url":null,"abstract":"<p><strong>Context: </strong>Medical error is cited as a leading cause of preventable harm and death. Medical education in the United States must be restructured to enhance the development of skills, behaviors, and attitudes that medical students will need upon graduation, including the crucial ability to manage clinical and scientific information, understanding the basic concepts of human dynamics, patient safety, systems theory, and the development of basic management, communication, and teamwork skills. To accomplish this goal, it will be necessary for medical schools to balance their current, intensive focus on basic and clinical services with patient safety science. Although many examples exist of incorporating patient safety awareness into medical school courses, there are no recognized and accepted models related to incorporating mandatory patient safety education into medical school curricula that provide comprehensive measures of competence. This study evaluates the quantitative and qualitative outcomes of an intensive, mandatory patient safety course implemented during the third year of undergraduate medical education.</p><p><strong>Objectives: </strong>The objective of this study was to determine if the implementation of an advanced mandatory 2-week patient safety course, leading to the attainment of the Certified Professional in Patient Safety (CPPS™) credential, can yield a measurable impact on medical students' patient safety knowledge entering into residency.</p><p><strong>Methods: </strong>Data were gathered from 12 cohorts of students in each of two consecutive third-year classes. Utilizing mixed-methods analyses, this study followed a total of 430 students to measure the change in their knowledge and perceptions before and after taking the course. The study also assessed what factors were associated with first-time passing of the CPPS™ Certification Examination. These factors included grade point average (GPA), positive perceptions about the course, and class year.</p><p><strong>Results: </strong>There was significant improvement in the knowledge scores of all five patient safety domains. Similarly, there was a significant improvement in the perceived importance of receiving patient safety education in undergraduate medical education, attaining certification, and the value for students when applying for residency positions. Students' GPA was the only reliable predictor of passing the CPPS™ Certification Examination. Themes from qualitative data analysis reveal student perceptions of the course and certification to be extremely important to understanding the magnitude of the preventable harm problem and highlighting tools to address patient safety issues in the future. Most students reported that the course was essential to preparing for the comprehensive CPPS™ Certification Examination.</p><p><strong>Conclusions: </strong>Patient safety science subject matter can be successfully integrated into a formal course for third-year med","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations in fetal outcomes from cesarean sections with maternal comorbidities: a cross-sectional study of the Pregnancy Risk Assessment Monitoring System.","authors":"Mackenzie Enmeier, Elise Stephenson, Jordyn Prince, Caroline Markey, Binh Phung, Micah Hartwell","doi":"10.1515/jom-2024-0060","DOIUrl":"https://doi.org/10.1515/jom-2024-0060","url":null,"abstract":"<p><strong>Context: </strong>Cesarean sections (CSs) can reduce maternal and fetal risk in medically necessary cases. However, studies show that CSs are associated with negative fetal outcomes, including birth defects, low birth weight, delayed fetal resuscitation, neonatal acidosis, and even infant mortality. Maternal comorbidities play a role in determining if a CS is necessary and may contribute to negative fetal outcomes following a CS.</p><p><strong>Objectives: </strong>The primary objective of this study was to determine the prevalence of negative fetal outcomes such as low birth weight, birth defects, prolonged hospital stay, and infant mortality in CS deliveries and their increased risk of occurrence among mothers with comorbidities.</p><p><strong>Methods: </strong>We conducted a cross-sectional study of the Phase 8 (2016-2019) Pregnancy Risk Assessment Monitoring System (PRAMS) to assess the associations of the aforementioned birth outcomes with pre-existing conditions such as high blood pressure (HBP), depression, and type II diabetes mellitus, as well as demographic factors in the United States (US).</p><p><strong>Results: </strong>Our findings showed that mothers who delivered via CS with pre-existing or gestational HBP, or gestational diabetes, were less likely to experience infant mortality (adjusted odds ratio [AOR]: 0.4; confidence interval [CI]: 0.17-0.92, AOR: 0.2; CI: 0.09-0.44, and AOR: 0.09; CI: 0.03-0.33, respectively). However, mothers who delivered via CS with pre-existing or gestational diabetes, pre-existing or gestational HBP, or pre-existing or gestational depression had higher rates of prolonged infant hospital stay (AOR: 1.73; CI: 1.41-2.11, AOR: 1.21; CI: 1.05-1.39, AOR: 1.77; CI: 1.5-2.09, AOR: 2.58; CI: 2.31-2.88, AOR: 1.25; CI: 1.09-1.43 and AOR: 1.33; CI: 1.16-1.52, respectively). Likewise, mothers who delivered via CS with pre-existing or gestational HBP, or pre-existing or gestational depression, were more likely to deliver an infant with low birth weight (AOR: 1.88; CI: 1.62-2.19, AOR: 2.7; CI: 2.45-2.98, AOR: 1.24; CI: 1.09-1.41, and OR: 1.28; CI: 1.14-1.42, respectively).</p><p><strong>Conclusions: </strong>Our study revealed a lower incidence of infant mortality following CS deliveries among mothers with pre-existing or gestational HBP, or gestational diabetes. This suggests a potential benefit in antenatal testing in mothers experiencing depression or those with no comorbidities. Additionally, infants born to mothers with these comorbidities experienced longer hospital stays, and infants of mothers with pre-existing or gestational HBP and depression had a higher incidence of low birth weight. Given the increasing rates of diabetes, HBP, and depression in the US, it is crucial to provide healthcare professionals with the necessary guidance to prevent and manage these comorbidities and improve fetal outcomes following CS deliveries.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The epidemiology of osteopathic diagnoses and treatments in United States emergency departments from 2018 to 2021.","authors":"Aviya Distefano, Hanna Harris, Kaitlin M Bowers, Dhimitri A Nikolla","doi":"10.1515/jom-2024-0261","DOIUrl":"https://doi.org/10.1515/jom-2024-0261","url":null,"abstract":"<p><strong>Context: </strong>Although a large proportion of US emergency physicians are osteopathic physicians (Doctor of Osteopathic Medicine [DOs]), the frequency of osteopathic manipulative medicine (OMM) use in emergency departments (EDs) is unknown.</p><p><strong>Objectives: </strong>We aimed to estimate the frequency of OMM in EDs across the US and describe the cohort who received OMM.</p><p><strong>Methods: </strong>We performed a retrospective cohort study of ED patients from 2018 to 2021 in the Nationwide Emergency Department Sample (NEDS), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality. Encounters with OMM were identified by diagnosis and procedure codes. We calculated weighted frequencies of encounters with OMM per 100,000 ED encounters with 95 % confidence intervals (CIs) by year, accounting for the complex survey design of NEDS.</p><p><strong>Results: </strong>We identified 9,576 encounters with OMM during the study period. The weighted frequency of encounters with OMM per 100,000 ED encounters was 6.9 (95 % CI, 3.8 to 11.5) for 2018, 8.6 (4.3-15.5) for 2019, 12.6 (3.5-32.0) for 2020, and 5.5 (3.3-8.5) for 2021. Most patients were female (5,669, 59.2 %) with a median age of 53 (interquartile range [IQR] 36 to 67). The majority were from metropolitan teaching hospitals (7,094, 74.1 %), and about half were admitted (4,565, 47.7 %). The most common osteopathic diagnosis code was segmental and somatic dysfunction of the thoracic region (4,202 of 21,358 [19.7 %] codes).</p><p><strong>Conclusions: </strong>OMM is infrequently provided across hospital-owned US EDs. Further research is needed to describe the frequency of OMM across all acute care settings.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seatbelt sign.","authors":"Ethan Nichols, Anjali Daniel, Latha Ganti, Michelle Wallen","doi":"10.1515/jom-2024-0102","DOIUrl":"https://doi.org/10.1515/jom-2024-0102","url":null,"abstract":"","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of osteopathic manual treatment in the elderly population: a scoping review of clinical evidence.","authors":"Livio Molinari, Luca Mingrone, Emanuele Novelli","doi":"10.1515/jom-2024-0249","DOIUrl":"https://doi.org/10.1515/jom-2024-0249","url":null,"abstract":"<p><strong>Context: </strong>Osteopathic manipulative treatment (OMT) is an emerging nonpharmacological intervention utilized to address various health conditions, particularly among the elderly population. This scoping review aims to examine the available evidence regarding the effectiveness of OMT in improving pain, balance, and quality of life in geriatric patients, identifying gaps in the current research and suggesting future directions.</p><p><strong>Objectives: </strong>This scoping review aims to evaluate the efficacy of OMT in elderly patients by analyzing selected studies that specifically explore its effects on balance, quality of life, and pain management. Additionally, this review will assess the current quality of evidence regarding these outcomes.</p><p><strong>Methods: </strong>Selected articles from December 2012 to September 2024 focused on OMT in individuals aged 65 and older. We conducted a systematic literature search utilizing Medical Subject Headings (MeSH) and free-text terms combined with the Boolean operator \"AND,\" including: OMT, osteopathic manipulative treatment, osteopathic medicine, aging, older adult, elderly, aged, and geriatric people. Databases, including PubMed, SCOPUS, Cochrane Library, and others, were searched from June 3, 2024 to September 3, 2024 following Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. Three authors (L.M., E.N., L.M.) reviewed the titles, abstracts, and full texts to determine eligibility. Disagreements were resolved through discussion. Filters included studies involving human subjects and studies published in English, Spanish, or Italian. Exclusions were made for literature reviews, protocols, commentaries, and nonosteopathic manual techniques.</p><p><strong>Results: </strong>A total of 2,478 articles were identified; then, after removing 1,564 duplicates, 917 articles remained for screening. These articles were assessed based on their titles and abstracts, leading to the exclusion of 873 articles according to the established exclusion criteria. In the final phase, the remaining 44 articles underwent a full-text evaluation. This process resulted in the exclusion of 21 articles that were not randomized controlled trials (RCTs) and 14 articles that did not meet the required outcome measures. Ultimately, a total of nine articles were included in the systematic review.</p><p><strong>Conclusions: </strong>This study highlights the effectiveness of OMT in improving pain, balance, and quality of life in geriatric patients. The findings underscore the value of OMT as a personalized therapeutic approach, promoting healthier aging and enhancing overall well-being in the elderly population. Further research is encouraged to explore the full potential of OMT, supporting its integration as a key component of osteopathic care for geriatric patients.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical student perceptions of psychiatric conditions and the impact of stigmatizing language.","authors":"Zach Monahan, Vivian Stevens, Micah Hartwell, Alicia Ito Ford","doi":"10.1515/jom-2024-0263","DOIUrl":"https://doi.org/10.1515/jom-2024-0263","url":null,"abstract":"<p><strong>Context: </strong>Mental health conditions have been subject to significant societal stigma, which impacts the self-perception of people with mental illness and can impact their decision to seek treatment. General practitioners in the United States report overall negative attitudes toward people with severe mental illness; however, there are few studies into the beliefs of medical students on people with mental illnesses as well as the impact of stigmatizing language on these beliefs.</p><p><strong>Objectives: </strong>The objectives of this survey were to evaluate the impact of stigmatizing language on medical students' responses to case presentations of mental illnesses, and to determine how these perceptions vary across the course of medical education.</p><p><strong>Methods: </strong>We conducted an online survey wherein medical student participants reviewed psychiatric case vignettes, which varied in their use of either person-centered language (PCL) or stigmatizing language. All current students at the authors' institution were sent the survey link via email. Participants rated the case for symptom severity, their likelihood to recommend hospitalization, their level of comfort and safety when interviewing the patient, the trustworthiness of the patient's report, and the likelihood that the condition would improve over the next year. For analysis, these responses were summed to yield a Student Perception Index Score from 1 to 60, with 60 being the \"most stigmatizing\" perspective (i.e., lowest comfort, most likely to hospitalize, etc.).</p><p><strong>Results: </strong>There were 87 total respondents, of which 44 answered the Stigmatizing vignettes and 43 answered the PCL vignettes, with roughly even respondents per year in school. Overall, there was not a significant difference between the PCL and stigmatizing language versions (p=0.73 for the major depression case; p=0.29 for the schizophrenia case). However, compared to first-year medical students, third-year students had significantly higher Student Perception Index Scores for the stigmatizing depression case (p=0.002), and fourth-year students had significantly higher stigma scores for the PCL depression case (p=0.02).</p><p><strong>Conclusions: </strong>Although there was no overall difference between the average Index Scores for the PCL and stigmatizing versions of the case presentations, significant differences in the Index Scores of certain presentations for students undergoing clinical education indicate that some targeted education on mental health stigma may be beneficial for third- and fourth-year medical students. Teaching empathetic approaches to patients with mental illness, regardless of whether their presentation was \"stigmatizing,\" emphasizes the holistic care expected through the osteopathic tenet describing the interconnectedness of mind, body, and spirit.</p>","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TIF1-gamma associated dermatomyositis with extensive cutaneous involvement.","authors":"Katherine M Geric, Hania S Khan, Robert Dazé","doi":"10.1515/jom-2024-0190","DOIUrl":"https://doi.org/10.1515/jom-2024-0190","url":null,"abstract":"","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency department wait times in concordance with blood alcohol content and subsequent alcohol use disorder.","authors":"Sean Hayes, Kaylee Mach, Jennifer Briggs, Micah Hartwell","doi":"10.1515/jom-2024-0168","DOIUrl":"https://doi.org/10.1515/jom-2024-0168","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Context: &lt;/strong&gt;In the United States, nearly 80 % of the adult population reported lifetime alcohol use, with 50 % of those reporting alcohol consumption within the past 30 days in 2019. The expense of excess alcohol intake was estimated to have an annual associated healthcare cost of $28 billion, and there was greater than $221 billion in additional costs due to the detrimental effects of excess alcohol intake on productivity and societal setbacks over the last year. Alcohol use disorder (AUD) provides a major barrier for patients seeking medical treatment, because AUD is consistently regarded as one of the most stigmatized disorders globally. Provider-based discrimination toward patients with AUD may lead to providing a lower quality of care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;Our objective was to assess whether patients with a history of AUD and/or positive blood alcohol content (BAC+) affect emergency department (ED) wait times. We hypothesized that patients presenting to the ED with AUD+/BAC+ would have longer wait times. Secondarily, we investigated the impacts of sociodemographics within these analyses.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We conducted a cross-sectional analysis of the 2019-2021 National Hospital Ambulatory Medical Care Survey (NHAMCS). Individuals' primary diagnosis had to be of musculoskeletal origin based on ICD-10 codes starting with 'S' for skeletal or bodily injuries or 'M' for diagnoses related to musculoskeletal or connective tissue conditions. Wait time was quantified from time of entry into the triage system to the time patients were seen by the first provider. We included data points with or without a recorded history of alcohol misuse or dependence (AUD&lt;sup&gt;+/-&lt;/sup&gt;) in their chart and those with a positive or negative blood alcohol content (BAC&lt;sup&gt;+/-&lt;/sup&gt;).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;ED wait times among individuals presenting with musculoskeletal injuries with a current history of AUD presenting with BAC- at the time of triage were not significantly different from those without a history of AUD. Individuals who were BAC+ at the time of triage had shorter wait times regardless of AUD history - and only AUD-/BAC+ had shorter wait times. Our binary regression and adjusted models showed that individuals who were AUD-/BAC+ had a significantly shorter wait time (minimum -18.43, standard error [SE]=1.92, &lt;i&gt;t&lt;/i&gt;=-9.59, p&lt;0.001; SE=2.97; &lt;i&gt;t&lt;/i&gt;=-5.62, p&lt;0.001) compared to individuals who were AUD-/BAC- respectively. Those who were AUD+/BAC+ also had shorter wait times compared to AUD-/BAC- (min=-11.11, SE=4.05; t=-2.75, p=0.006).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Overall, our study showed no significant difference in ED wait times between individuals with and without a history of AUD - indicating that AUD history does not delay being seen. Shorter wait times for those entering the ED BAC+ may be due to their immediate need for treatment due to toxicity or alcohol withdrawal syndrome, having more ","PeriodicalId":36050,"journal":{"name":"Journal of Osteopathic Medicine","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}