Evidence map›Paper›PMID 29202816›Full record

ArticleBMC complementary and alternative medicine2017

The treatment of migraine patients within chiropractic: analysis of a nationally representative survey of 1869 chiropractors.

Craig Moore, Jon Adams, Andrew Leaver, Romy Lauche, David Sibbritt

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC complementary and alternative medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 20% of its field
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

7 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Cervical musculoskeletal impairments in migraine.Archives of physiotherapy · 2021
    Article
  6. Review
  7. Misinformation, chiropractic, and the COVID-19 pandemic.Chiropractic & manual therapies · 2020
    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 at 2 institutions in 1 country.

Craig MooreAustralian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Level 8, Building 10, 235-253 Jones Street, Ultimo, NSW, 2007, Australia. craigsmoore@mac.com.
Jon AdamsAustralian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Level 8, Building 10, 235-253 Jones Street, Ultimo, NSW, 2007, Australia.
Andrew LeaverFaculty of Health Science, University of Sydney, Sydney, Australia.
Romy LaucheAustralian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Level 8, Building 10, 235-253 Jones Street, Ultimo, NSW, 2007, Australia.
David SibbrittAustralian Research Centre in Complementary and Integrative Medicine (ARCCIM), University of Technology Sydney, Level 8, Building 10, 235-253 Jones Street, Ultimo, NSW, 2007, Australia.
University of Technology Sydney · AUUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile the clinical role of manual therapies in migraine management is unclear, the use of chiropractors for this condition is considerable. The aim of this study is to evaluate the prevalence and characteristics of chiropractors who frequently manage patients with migraine.

methodsA national cross-sectional survey of chiropractors collected information on practitioner characteristics, clinical management characteristics and practice settings. A secondary analysis was conducted on 1869 respondents who reported on their migraine caseload to determine the predictors associated with the frequent management of patients with migraine.

resultsA large proportion of chiropractors report having a high migraine caseload (HMC) (n = 990; 53.0%). The strongest factors predicting a chiropractor having a HMC include the frequent treatment of patients with axial neck pain (OR = 2.89; 95%CI: 1.18, 7.07), thoracic pain (referred/radicular) (OR = 2.52; 95%CI: 1.58, 3.21) and non-musculoskeletal disorders (OR = 3.06; 95%CI: 2.13, 4.39).

conclusionsSeveral practice-setting and clinical management characteristics are associated with chiropractors managing a HMC. These findings raise key questions about the therapeutic approach to chiropractic migraine management that deserves further examination. There is a need for more primary research to assess the approach to headache and migraine management provided by chiropractors and to understand the prevalence, burden and comorbidities associated with migraine found within chiropractic patient populations. This information is vital in helping to inform safe, effective and coordinated care for migraine sufferers within the wider health system.

Indexed as

AdultAustraliaCross-Sectional StudiesFemaleHealth PersonnelHumansMaleManipulation, ChiropracticMiddle AgedMigraine DisordersPrevalenceChiropracticHeadachesManual therapyMigrainePractice-based research networkPrevalenceUtilisation

Identifiers

PMID29202816
PMCPMC5715542
OpenAlexW2774013259

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.