Jeffery A Dusek

Jeffery A Dusek
University Hospitals | uhhospitals · Connor Integrative Health Network

PhD

About

171
Publications
72,154
Reads
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6,192
Citations
Introduction
In the first 10 years of his career, Dr. Dusek was faculty of Harvard Medical School. For next 10 years, he directed research at the Penny George Institute and his NCCIH R01 resulted in 14 peer-reviewed articles through Dec 2016. He is PI of BraveNet's PRIMIER (~5,000 pts) from 17 IM clinics. In late 2018, he joined the Connor Integrative Health Network at University Hospitals to build a world class research center. He is PI of a U01 from NCCIH to study acupuncture in the Emergency Dept
Additional affiliations
October 2018 - present
University Hospitals
Position
  • Managing Director
March 2018 - January 2020
Mass General Hospital
Position
  • Investigator
November 2017 - October 2018
Kripalu Center for Yoga and Research
Position
  • Research Officer
Education
August 1996 - April 1997
Boston University
Field of study
  • Cognitive Neuroscience
August 1993 - August 1996
Stony Brook University
Field of study
  • BioPsychology
August 1991 - August 1993

Publications

Publications (171)
Article
Objectives: An important task facing hospitals is improving pain management without raising costs. Integrative medicine (IM), a promising nonpharmacologic pain management strategy, is yet to be examined for its cost implications in an inpatient setting. This institution has had an inpatient IM department for over a decade. The purpose was to exami...
Article
Objective The goal of this systematic review was to evaluate practice-based, real-world research of individualized complementary and integrative health (CIH) therapies for pain as provided in CIH outpatient clinics. Methods A systematic review was conducted using PubMed, Ovid, Cochrane, Web of Science, Scopus and Embase through Dec 2020. The study...
Article
Purpose This document describes the consensus process and intervention for a National Institutes of Health (NIH)-funded multi-site feasibility study utilizing acupuncture for ACUte paIn in The EmergencY Department (ACUITY). The acupuncture intervention is designed to be flexible and responsive to the most common Emergency Department (ED) scenarios,...
Article
Full-text available
Purpose: Pain accounts for up to 78% of emergency department (ED) patient visits and opioids remain a primary method of treatment despite risks of addiction and adverse effects. While prior acupuncture studies are promising as an alternative opioid-sparing approach to pain reduction, successful conduct of a multi-center pilot study is needed to pr...
Research Proposal
Full-text available
Introduction: Although chiropractors often treat patients with lumbar disc herniation (LDH) and lumbosacral radiculopathy (LSR) with chiropractic spinal manipulative therapy (CSMT), limited research has examined the association between this treatment pathway and the odds of undergoing lumbar discectomy. Objective: This study will examine the associ...
Article
Background: The goal of this systematic review was to evaluate the impact of individualized complementary and integrative health (CIH) interventions on quality-of-life outcomes as collected in CIH outpatient clinics. Methods: A systematic review was conducted using PubMed, OVID, Cochrane, Web of Science, Scopus, and Embase through December 2020. In...
Article
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Objectives: Although chiropractic spinal manipulative therapy (CSMT) and prescription benzodiazepines are common treatments for radicular low back pain (rLBP), no research has examined the relationship between these interventions. We hypothesise that utilisation of CSMT for newly diagnosed rLBP is associated with reduced odds of benzodiazepine pres...
Article
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Background: Lumbar magnetic resonance imaging (LMRI) is often performed early in the course of care, which can be discordant with guidelines for non-serious low back pain. Our primary hypothesis was that adults receiving chiropractic spinal manipulative therapy (CSMT) for incident radicular low back pain (rLBP) would have reduced odds of early LMR...
Article
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Background: Post-COVID syndrome (PCS) is a complex, multisystem illness that may follow SARS-CoV-2/COVID-19 infection. As there is limited evidence for individual therapies and no singular treatment for PCS, guidelines endorse a multidisciplinary approach. This is a case report of a patient with PCS benefiting from a comprehensive approach includin...
Research Proposal
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Are neck pain and/or headache, rather than dizziness, the most common symptoms among patients with posterior circulation disease presenting for chiropractic care? Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022319847
Article
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Objective The purpose of this cross-sectional study was to evaluate multiple indices of wellbeing in healthcare professionals during the COVID-19 pandemic. Methods Healthcare professionals were invited to participate across the University Hospitals healthcare system in Ohio, USA. Participants (N = 6397) completed online questionnaires on their wel...
Article
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Background A crisis in pain management persists as does the epidemic of opioid overdose deaths, addiction, and diversion. Pain medicine is meeting these challenges by returning to its origins: the Bonica model of multidisciplinary pain care. The 2018 Academic Consortium White Paper detailed the historical context and magnitude of the pain crisis, a...
Article
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Rodgers-Melnick SN, Lin L, Gam K, et al. J Pain Res. 2022;15:71-91. The authors have advised there is an error in the headings of Table 5 on pages 85 and 86 of the published paper. The heading “Waitlist Control (n=12)” should read “Music Therapy (n=12)” and “Music Therapy (n=12)” should read “Waitlist Control (n=12)”. This error was introduced by t...
Article
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There is limited research regarding management of temporomandibular disorders (TMD) in adolescents with imaging signs of juvenile idiopathic arthritis (JIA). An 11-year-old girl presented to a hospital-based chiropractor for evaluation of a 1.5-year history of unilateral temporomandibular joint (TMJ) pain and trismus. Previously, pediatric rheumato...
Preprint
Full-text available
Background: Post-COVID syndrome (PCS) is a complex, multisystem illness that may follow SARS-CoV-2/COVID-19 infection. As there is limited evidence for individual therapies and no singular treatment for PCS, guidelines endorse a multidisciplinary approach. This case describes a post-COVID patient benefiting from acupuncture within a comprehensive a...
Article
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Purpose: To investigate the feasibility, acceptability, and preliminary efficacy of a 6-session music therapy protocol on self-efficacy, quality of life, and coping skills in adults with sickle cell disease (SCD). Patients and methods: Using a mixed-methods intervention design, adults with SCD (ages 21-57; mean age 32.33) were randomized (1:1) t...
Article
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Introduction There are limited available research and guidance regarding the use of spinal manipulative therapy (SMT) in patients with low back-related symptoms following lumbar spine surgery, a condition called persistent spinal pain syndrome type 2 (PSPS-2). This publication outlines a review protocol to identify and synthesise individual partici...
Research Proposal
Full-text available
Background: Lumbar magnetic resonance imaging (MRI) is often overutilized in those with low back pain (LBP), associated with overtreatment, and does not improve health outcomes. This study will be the first to investigate the association between utilization of chiropractic spinal manipulative therapy (SMT) for radicular low back pain (LBP) and MRI...
Article
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Introduction: Previous observational studies have reported an association between lumbosacral radiculopathy (LSR), a form of low back pain (LBP) with nerve root involvement, and constipation. However, it is unclear whether this association is due to confounding variables such as comorbidities and medications. Objectives: This study explores the...
Article
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Sciatic endometriosis is a rare condition in which endometrial tissue invades or compresses the lumbosacral plexus and/or sciatic nerve and causes sciatic pain, which is often cyclical. Its diagnosis depends on the recognition of signs and symptoms atypical to common degenerative lumbar disorders and its treatment requires timely and coordinated ca...
Research Proposal
Full-text available
Background: While prior studies have found that recipients of chiropractic spinal manipulative therapy (SMT) have reduced odds of opioid prescription, no research has examined the association between SMT and benzodiazepine (BZD)prescription. As a primary outcome, we hypothesize that utilization of chiropractic SMT for radicular low back pain (LBP)...
Preprint
Full-text available
Background: While there is growing evidence for resilience building programs, to date research has not explored how professionals construct their understanding of program impact. Methods: Using a qualitative exploration of reflections on a yoga-based retreat at Kripalu Center for Yoga & Health, nested in a larger study, the current inquiry aims to...
Research Proposal
Introduction: Low back pain (LBP) is the most common cause of non-urgent emergency department (ED) visits, and represents a condition commonly treated by chiropractors. Limited research has examined the association between receiving chiropractic spinal manipulative therapy (SMT) and ED utilization. Objective: This study will investigate the associ...
Article
Full-text available
Background Experimental and observational studies have suggested a link between vitamin D and cardiovascular and metabolic disease, but this has not been confirmed in randomized controlled trials. We sought to determine whether vitamin D supplementation reduces biomarkers of insulin resistance, inflammation, neurohormonal activation, and lipids. M...
Research
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Objective To determine publication trends, gaps, and predictors of citation of chiropractic case reports (CRs). Methods A bibliometric review was conducted by searching PubMed, Index to Chiropractic Literature (ICL), and Google Scholar to identify PubMed-indexed CRs, which were screened according to selection criteria. Case reports were categorize...
Research Proposal
Introduction: Prior research has identified an association between cauda equina syndrome, a severe form of lumbosacral nerve root injury, and constipation. However, it is not well known if this association also applies to those with the more commonplace lumbosacral radiculopathy (LSR), which most often results from lumbar degenerative conditions. O...
Article
Full-text available
Background and Objective Mind-body interventions (MBIs) have been shown to be effective individual-level interventions for mitigating physician burnout, but there are no controlled studies of yoga-based MBIs in resident physicians. We assessed the feasibility of a yoga-based MBI called RISE (resilience, integration, self-awareness, engagement) for...
Article
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Background: Prior research has reported that integrative medicine (IM) therapies reduce pain in inpatients, but without controlling for important variables. Here, the authors extend prior research by assessing pain reduction while accounting for each patient's pain medication status and clinical population. Methods: The initial data set consisted...
Article
Objective This study examined changes in psychological and occupational health in urban education professionals after attending a brief yoga-based program. Methods Education professionals from the New York City Department of Education (NYC DOE) who were attending a residential 3-day yoga-based program at Kripalu Center for Yoga & Health were recru...
Article
Background Nearly half of U.S. pediatricians have symptoms of burnout. This pilot study examined the feasibility of a 6-week yoga-based program (RISE) for neonatologists and obstetricians at Brigham and Women’s Hospital and studied the effects on burnout, professional fulfillment, and psychological health. Methods Participants were recruited via e...
Article
Objectives To examine changes in psychological and occupational wellbeing in education professionals that attended a brief yoga and mindfulness-based program. Design Pragmatic controlled trial comparing education professionals that attended a yoga mindfulness-based program (n = 9) to a waitlist control group (n = 22). Setting The 3-day program wa...
Article
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Objective: The purpose of this study was to examine changes in psychological and occupational well-being in education professionals who attended a yoga-based program. Methods: Education professionals who attended a 3-day yoga-based RISE (resilience, integration, self-awareness, engagement) program were recruited to participate. RISE was administ...
Article
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Objective: The purpose of this pragmatic controlled trial was to examine changes in psychological and occupational well-being in professionals who attended a yoga-based program. Setting: The 5-day RISE (resilience, integration, self-awareness, engagement) program was delivered at the Kripalu Center for Yoga & Health. RISE included 5 h per day of y...
Article
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Objective: Mind-body practices that elicit the relaxation response (RR) have been demonstrated to reduce blood pressure (BP) in essential hypertension (HTN) and may be an adjunct to antihypertensive drug therapy. However, the molecular mechanisms by which the RR reduces BP remain undefined. Design: Genomic determinants associated with responsive...
Article
Objectives: Integrative medicine (IM) is whole-person care utilizing complementary health approaches to address numerous physical or emotional influences that can impact an individual's health. Patient-reported outcomes (PRO) are subjective measures that quantify patients' perception of their quality of life. While PRO measures have been routinely...
Article
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Objective: We investigated common and dissociable neural and psychological correlates of two widely used meditation-based stress reduction programs. Methods: Participants were randomized to the Relaxation Response (RR; n = 18; 56% female) or the Mindfulness-Based Stress Reduction (MBSR; n = 16; 56% female) programs. Both programs use a "bodyscan...
Conference Paper
Full-text available
Background: High expectations about acupuncture might contribute to larger treatment effects (Prady et al., 2015). However, problems in the assessment are well known: 1) floor or ceiling effects lower variance; 2) expectation measures include general beliefs about complementary medicine; 3) construct validity of expectation measures remains unclear...
Article
Objective: The purpose of this pilot study was to examine the effects of a residential yoga-based program on psychological health and health behaviors in frontline professionals. Methods: Frontline professionals from education, health care, human services, and corrections participated in the RISE (Resilience, Integration, Self-awareness, Engagem...
Article
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We evaluated reasons for and perceived benefits of using homeopathic and herbal therapies in U.S. adults. Data were collected from the 2012 National Health Interview Survey, which represents non-institutionalized U.S. adults (n = 33,167 unweighted). In the past 12 months, 18.6% (41.95 million) of U.S. adults reported using either homeopathy and/or...
Article
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The Competing Interests statement is incorrect. The correct Competing Interests statement is: The following authors hold or have held positions at the Benson-Henry Institute for Mind Body Medicine at Massachusetts General Hospital, which is paid by patients and their insurers for running the SMART-3RP and related relaxation/mindfulness clinical pro...
Article
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Objectives: Use of complementary and integrative health (CIH) therapies is being promoted by the Veterans Health Administration (VA), but promotion may not equate to adoption. The purpose of this study was to explore whether perceptions regarding CIH at one VA medical center (VAMC) were similar to perceptions from a sample of other VAMCs. Design:...
Article
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Purpose/Objectives: To compare the effect of acupuncture to a standard-of-care (control) group on pain, nausea, anxiety, and ability to cope. Design: Pilot randomized, controlled trial. Setting: Abbott Northwestern Hospital, a large, urban, tertiary care hospital in Minneapolis, Minnesota. Sample: 30 adult women undergoing surgery for breast cancer...
Article
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Objective To examine patterns of, and decision-making processes, informing referrals for inpatient access to integrative medicine (IM) services at a large, acute care hospital. Design Retrospective electronic health record review and structured qualitative interviews. Setting A 630-bed tertiary care hospital with an IM service available to inpati...
Article
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According to a recent study using data from the 2012 National Health Interview Survey, chronic or severe pain affects roughly 30% of U.S. adults and is one of the most common reasons for seeking medical care [1,2]. Considering health care expenses and lost productivity, chronic pain is estimated to cost the U.S. $100 billion annually [3]. While med...
Article
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Healthcare systems are increasingly looking to integrate aromatherapy (essential oils) as a safe, low-cost, and nonpharmacologic option for patient care to reduce pain, nausea, and anxiety and to improve sleep. This article describes the development and implementation of a healthcare system-wide program of nurse-delivered essential oil therapeutic...
Article
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Objective . To evaluate acceptability and clinical outcomes of acupuncture on patient-reported pain and anxiety in an emergency department (ED). Design . Observational, retrospective pilot study. Setting . Abbott Northwestern Hospital ED, Minneapolis, MN. Methods. Retrospective data was used to identify patients receiving acupuncture in addition to...
Article
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Background: Integrative medicine (IM) provides patient-centered care and addresses the full range of physical, emotional, mental, social, spiritual, and environmental influences that affect a person's health. IM is a "whole systems" approach that employs multiple modalities as opposed to an isolated complementary therapy. Thus, studying outcomes o...