Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 19342
  Title Looking at the evidence — the value of evidence in a clinical setting [Presented at the 1st College of Chiropractors’ Research Conference, 16th June 2006, BMA House, London, UK]
Journal Clin Chiropr. 2006 Dec;9(4):196-197
Peer Review Yes
Publication Type Meeting Abstract
Abstract/Notes Excerpt: The lecturer’s allotted task is to enthuse and educate colleagues on the subject of scientific evidence. It is understandable that chiropractors’enthusiasm for research has taken a serious knock from recent negative newspaper headlines based on a ‘review of reviews’, which included trials of back pain only from pre-2002. The profession should insist on high quality in all research undertakings.

The ultimate objective of any research programme into effectiveness must be several large, good quality randomised controlled trials (RCTs) from different centres with consistent results; comparisons with placebo are needed, and then with other interventions. The results can then be combined in a rigorous systematic review. In acupuncture research, we are reaching an interesting position where reviews that were previously negative are now being repeated to include recent, high quality studies — and are increasingly becoming positive. The current evidence confirms the clinical impression that acupuncture is superior to sham acupuncture, as well as superior to usual care for low back pain.

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