Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Sunday, September 26, 2021
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
Share:


For best results switch to Advanced Search.
Article Detail
Return to Search Results
ID 26563
  Title Assessing adverse events after chiropractic care at a chiropractic teaching clinic: An active-surveillance pilot study
URL https://www.jmptonline.org/article/S0161-4754(20)30126-3/fulltext
Journal J Manipulative Physiol Ther. 2020 Nov-Dec;43(9):845-854
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes

Objective: This study aimed to assess the feasibility of implementing an active-surveillance reporting system within a chiropractic teaching clinic and subsequently determining the frequency of adverse events (AEs) after treatment administered by chiropractic interns.

Methods: Interns were invited to collect data from patients using 3 questionnaires that recorded patient symptom change: 2 completed by the patient (before and 7 days after treatment) and 1 completed by the intern (immediately after treatment). Worsened and new symptoms were considered AEs. Qualitative interviews were conducted with clinicians and interns to assess the feasibility of implementing the reporting system, with resulting data categorized under 4 domains: acceptability, implementation, practicality, and integration.

Results: Of the 174 eligible interns, 80 (46.0%) collected data from 364 patient encounters, with 119 (32.7%) returning their posttreatment form. Of the 89 unique patients (mean age = 39.5 years; 58.4% female, 41.6% male), 40.1% presented with low back pain and 31.1% with neck pain. After treatment, 25 symptoms (8.9%) were identified as AEs, mostly reported by patients as worsening discomfort or pain. Data from qualitative interviews suggest that the AE reporting system was well accepted; however, proposed specific modifications include use of longitudinal electronic surveys.

Conclusion: Our findings suggest that it is feasible to conduct an active-surveillance reporting system at a chiropractic teaching clinic. Important barriers and facilitators were identified and will be used to inform future work regarding patient safety education and research.

Author keywords: Chiropractic; Complementary Therapies; Manipulation, Chiropractic; Patient Safety; Manipulation, Spinal; Public Health Surveillance

Author affiliations: KAP: Research Center, Parker University, Dallas, Texas; MF: Department of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada; HN: Epidemiology and Biostatistics, University of Texas Health Science Center at Tyler, Tyler, Texas; SHJ: Department of Research and Innovation, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada; Institute for Work & Health, Toronto, Ontario, Canada; PB: College of Chiropractic, Parker University, Dallas, Texas; GK: Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, Canada.

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text at the publisher’s site. PubMed Record


 

   Text (Citation) Tagged (Export) Excel
 
Email To
Subject
 Message
Format
HTML Text     Excel



To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an asterisk*, also called a wildcard or truncation.  Example: chiropract* retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips