The British Medical Journal reports that a three-year study proves what most chiropractic patients already know. Chiropractic care is more effective with higher patient satisfaction than outpatient medical care for these types of problems. The study reported involved 741 men and women with low back pain. A 3 year follow up showed that there was 29% higher improvement in those receiving chiropractic care over those receiving out-patient medical care. In addition more of the patients rated chiropractic more helpful than the hospital management. The conclusion of the study was that those seen by chiropractors derive more benefits and long-term satisfaction than those treated by hospitals.