ArticleBMC complementary and alternative medicine2013
Perspectives of older adults on co-management of low back pain by doctors of chiropractic and family medicine physicians: a focus group study.
Article in BMC complementary and alternative medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01312233 (Co-Management of Older Adults With Low Back Pain by Medical Physicians and Doctors of Chiropractic), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Co-Management of Older Adults With Low Back Pain by Medical Physicians and Doctors of Chiropractic
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interprofessional communication - a concept analysis inspired by Schwartz-Barcott and Kim´s hybrid model.BMC health services research · 2026Pooled it
- Interdisciplinary Practice Models for Older Adults With Back Pain: A Qualitative Evaluation.The Gerontologist · 2018Trial
- Patient-centered professional practice models for managing low back pain in older adults: a pilot randomized controlled trial.BMC geriatrics · 2017Trial
- Structural barriers and facilitators of accessing rehabilitation among adults aged 50 years and older with low back pain: a scoping review of the literature.BMC health services research · 2026Article
- Article
- Acceptability, values, and preferences of older people for chronic low back pain management; a qualitative evidence synthesis.BMC geriatrics · 2024Review
- The chiropractors' dilemma in caring for older patients with musculoskeletal complaints: Collaborate, integrate, coexist, or separate?PloS one · 2024Article
- Article
- Experiences of community-dwelling older adults with chronic low back pain in Hong Kong and Switzerland - A qualitative study.Frontiers in rehabilitation sciences · 2022Article
- Patient safety in chiropractic teaching programs: a mixed methods study.Chiropractic & manual therapies · 2020Article
- Clinician and patient beliefs about diagnostic imaging for low back pain: a systematic qualitative evidence synthesis.BMJ open · 2020Article
- Improper Communication Makes for Squat: A Qualitative Study of the Health-Care Processes Experienced By Older Adults in a Clinical Trial for Back Pain.Journal of patient experience · 2020Article
- Patients' perceived needs for allied health, and complementary and alternative medicines for low back pain: A systematic scoping review.Health expectations : an international journal of public participation in health care and health policy · 2018Article
- Older adult's experience of chronic low back pain and its implications on their daily life: Study protocol of a systematic review of qualitative research.Systematic reviews · 2018Article
- Article
- Patients' perceived needs for medical services for non-specific low back pain: A systematic scoping review.PloS one · 2018Article
- Nurse practitioner and physician assistant students' knowledge, attitudes, and perspectives of chiropractic.The Journal of chiropractic education · 2016Article
- Assessing patient-centered care in patients with chronic health conditions attending chiropractic practice: protocol for a mixed-methods study.Chiropractic & manual therapies · 2016Article
- Collaborative care for a patient with complex low back pain and long-term tobacco use: a case report.The Journal of the Canadian Chiropractic Association · 2015Article
- Ageism, negative attitudes, and competing co-morbidities--why older adults may not seek care for restricting back pain: a qualitative study.BMC geriatrics · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundWhile older adults may seek care for low back pain (LBP) from both medical doctors (MDs) and doctors of chiropractic (DCs), co-management between these providers is uncommon. The purposes of this study were to describe the preferences of older adults for LBP co-management by MDs and DCs and to identify their concerns for receiving care under such a treatment model.
methodsWe conducted 10 focus groups with 48 older adults who received LBP care in the past year. Interviews explored participants' care seeking experiences, co-management preferences, and perceived challenges to successful implementation of a MD-DC co-management model. We analyzed the qualitative data using thematic content analysis.
resultsOlder adults considered LBP co-management by MDs and DCs a positive approach as the professions have complementary strengths. Participants wanted providers who worked in a co-management model to talk openly and honestly about LBP, offer clear and consistent recommendations about treatment, and provide individualized care. Facilitators of MD-DC co-management included collegial relationships between providers, arrangements between doctors to support interdisciplinary referral, computer systems that allowed exchange of health information between clinics, and practice settings where providers worked in one location. Perceived barriers to the co-management of LBP included the financial costs associated with receiving care from multiple providers concurrently, duplication of tests or imaging, scheduling and transportation problems, and potential side effects of medication and chiropractic care. A few participants expressed concern that some providers would not support a patient-preferred co-managed care model.
conclusionsOlder adults are interested in receiving LBP treatment co-managed by MDs and DCs. Older adults considered patient-centered communication, collegial interdisciplinary interactions between these providers, and administrative supports such as scheduling systems and health record sharing as key components for successful LBP co-management.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.