Evidence map›Paper›PMID 29387341›Full record

ArticleChiropractic & manual therapies2018

Chiropractic student choices in relation to indications, non-indications and contra-indications of continued care.

Stanley I Innes, Charlotte Leboeuf-Yde, Bruce F Walker

Abstract read
In one paragraph

Article in Chiropractic & manual therapies, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Misinformation, chiropractic, and the COVID-19 pandemic.Chiropractic & manual therapies · 2020
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
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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

3 authors.

Stanley I Innes1School of Health Professions, Murdoch University, Murdoch, Australia.ORCID 0000-0001-7783-8328
Charlotte Leboeuf-Yde1School of Health Professions, Murdoch University, Murdoch, Australia.
Bruce F Walker1School of Health Professions, Murdoch University, Murdoch, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The quality of health care provider clinical decisions has long been recognized as variable. Research has focused on clinical decision making with the aim of improving patient outcomes. No studies have looked at chiropractic students´ abilities in this regard. Method: In 2016, advanced students from two Australian chiropractic programs ( Results: In almost 1/3 of scenarios, correct scores were 70% or greater. Best results were for two neck pain cases (simple and with spinal cord involvement). Continued care showed most improvements with study year. However, the scenarios that reflected non-indication for continued care had much worse results and did not improve in higher years. For the obvious contraindicated neck scenario, the results were good from the beginning and progressively improved and for a contraindicated LBP scenario the results started poorly in year 3 but improved over the program years. Conclusions: Although student responses were generally good, there is still room for improvement, especially for non-indicated care. The quality of students' clinical decisions can be measured and thus has the potential to be used by chiropractic educators and regulatory bodies to identify student's in need of assistance as well as to monitor chiropractic programs in relation to student competence. Trial registration: Not applicable.

Indexed as

Students, MedicalChiropracticClinical CompetenceClinical Decision-MakingConservative TreatmentContraindications, ProcedureHealth Care SurveysHealth Knowledge, Attitudes, PracticeHumansLow Back PainManipulation, ChiropracticNeck PainQuality ImprovementQuality of Health CareChiropracticClinical decisionsDiagnosisEducation

Identifiers

PMID29387341
PMCPMC5778768

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.