Evidence map›Paper›PMID 25202150›Full record

ArticleThe Journal of the Canadian Chiropractic Association2014

Adherence to clinical practice guidelines among three primary contact professions: a best evidence synthesis of the literature for the management of acute and subacute low back pain.

Lyndon G Amorin-Woods, Randy W Beck, Gregory F Parkin-Smith, James Lougheed, Alexandra P Bremner

Abstract read
PubMed Full text at PMC
In one paragraph

Article in The Journal of the Canadian Chiropractic Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
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  8. Observational
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  11. Low-value care in musculoskeletal health care: Is there a way forward?Pain practice : the official journal of World Institute of Pain · 2022
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  16. Influence of Motion Therapy in the Prevention of Lumbar Pain Syndrome Relapse.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2018
    Article
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  20. Looking ahead: chronic spinal pain management.Journal of pain research · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lyndon G Amorin-WoodsSenior Clinical Supervisor, School of Health Professions [Discipline of Chiropractic], Murdoch University, Enrolled student, Master of Public Health, School of Population Health Faculty of Medicine, Dentistry and Health Sciences The University of Western Australia, Email: L.Woods@murdoch.edu.au , Postal Address: Murdoch University, South Street Campus, 90 South Street, MURDOCH Western Australia 6150, Telephone: +61 8-93601202.
Randy W BeckSenior Clinical Supervisor, School of Health Professions [Discipline of Chiropractic], Murdoch University, Enrolled student, Master of Public Health, School of Population Health Faculty of Medicine, Dentistry and Health Sciences The University of Western Australia, Email: L.Woods@murdoch.edu.au , Postal Address: Murdoch University, South Street Campus, 90 South Street, MURDOCH Western Australia 6150, Telephone: +61 8-93601202.
Gregory F Parkin-SmithRegistrar in Emergency Medicine, Registered Medical Practitioner, Rockingham General Hospital; Registered Chiropractor.
James LougheedSenior Research Assistant, Institute of Functional Neuroscience, PERTH, Australia.
Alexandra P BremnerAssociate Professor, School of Population Health, Faculty of Medicine and Dentistry and Health Sciences, The University of Western Australia PERTH, Australia Email: Alexandra.Bremner@uwa.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo determine adherence to clinical practice guidelines in the medical, physiotherapy and chiropractic professions for acute and subacute mechanical low back pain through best-evidence synthesis of the healthcare literature.

methodsA structured best-evidence synthesis of the relevant literature through a literature search of relevant databases for peer-reviewed papers on adherence to clinical practice guidelines from 1995 to 2013. Inclusion of papers was based on selection criteria and appraisal by two reviewers who independently applied a modified Downs & Black appraisal tool. The appraised papers were summarized in tabular form and analysed by the authors.

resultsThe literature search retrieved 23 potentially relevant papers that were evaluated for methodological quality, of which 11 studies met the inclusion criteria. The main finding was that no profession in the study consistently attained an overall high concordance rating. Of the three professions examined, 73% of chiropractors adhered to current clinical practice guidelines, followed by physiotherapists (62%) and then medical practitioners (52%).

conclusionsThis review showed that quality papers in this area of research are very limited. Notwithstanding, chiropractors appear to adhere to clinical practice guidelines more so than physiotherapists and medical practitioners, although there is scope for improvement across all three professions.

Indexed as

chiropracticevidence based guidelineslow back painmedicinephysiotherapy

Identifiers

PMID25202150
PMCPMC4139767

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.