Evidence map›Paper›PMID 32631385›Full record

ArticleChiropractic & manual therapies2020

Guidance concerning chiropractic practice in response to COVID-19 in the U.S.: a summary of state regulators' web-based information.

Shawn M Neff, Christopher B Roecker, Casey S Okamoto, Samuel L Holguin, Jason G Napuli, Ross Mattox, Nathan A Hinkeldey, David J Paris

Abstract read
In one paragraph

Article in Chiropractic & manual therapies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
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  10. The Determinants of Telehealth Provision: Empirical Evidence from OECD Countries.International journal of environmental research and public health · 2021
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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

8 authors.

Shawn M NeffMartinsburg Veterans Affairs Medical Center, Martinsburg, WV, USA. Shawn.Neff@va.gov.ORCID 0000-0002-8979-8260
Christopher B RoeckerVeterans Affairs Nebraska-Western Iowa Health Care System, Grand Island, NE, USA.
Casey S OkamotoMinneapolis Veterans Affairs Medical Center, Minneapolis, MN, USA.
Samuel L HolguinMartinsburg Veterans Affairs Medical Center, Martinsburg, WV, USA.
Jason G NapuliSt Louis Veterans Affairs Health Care System, St Louis, MO, USA.
Ross MattoxSt Louis Veterans Affairs Health Care System, St Louis, MO, USA.
Nathan A HinkeldeyVeterans Affairs Central Iowa Health Care System, Des Moines, IA, USA.
David J ParisVeterans Affairs Northern California Health Care System, Redding, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe COVID-19 pandemic led to unprecedented changes, as many state and local governments enacted stay-at-home orders and non-essential businesses were closed. State chiropractic licensing boards play an important role in protecting the public via regulation of licensure and provision of guidance regarding standards of practice, especially during times of change or uncertainty.

objectiveThe purpose of this study was to summarize the guidance provided in each of the 50 United States, related to chiropractic practice during the COVID-19 pandemic.

methodsA review of the public facing websites of governors and state chiropractic licensing boards was conducted in the United States. Data were collected regarding the official guidance provided by each state's chiropractic licensing board as well as the issuance of stay-at-home orders and designations of essential personnel by state governors. Descriptive statistics were used to report the findings from this project.

resultsEach of the 50 state governor's websites and individual state chiropractic licensing board's websites were surveyed. Stay-at-home or shelter-in-place orders were issued in 86% of all states. Chiropractors were classified as essential providers in 54% of states, non-essential in one state (2%), and no guidance was provided in the remaining 44% of all states. Fourteen states (28%) recommended restricting visits to only urgent cases and the remaining states (72%) provided no guidance. Twenty-seven states (54%) provided information regarding protecting against infectious disease and the remaining states (46%) provided no guidance. Twenty-two states (44%) provided recommendations regarding chiropractic telehealth and the remaining states (56%) provided no guidance. Seventeen states (34%) altered license renewal requirements and eight states (16%) issued warnings against advertising misleading or false information regarding spinal manipulation and protection from COVID-19.

conclusionState guidance during the COVID-19 pandemic was heterogenous, widely variability in accessibility, and often no guidance was provided by state chiropractic licensing boards. Some state chiropractic licensing boards chose to assemble guidance for licensees into a single location, which we identified as a best practice for future situations where changes in chiropractic practice must be quickly communicated.

Indexed as

BetacoronavirusState GovernmentChiropracticCommerceCoronavirus InfectionsCOVID-19HumansPandemicsPneumonia, ViralPractice Guidelines as TopicSARS-CoV-2United States2019 novel coronavirus diseaseChiropracticCoronavirus disease 2019COVID-19Governing boardLicensureRegulationSocial control

Identifiers

PMID32631385
PMCPMC7336092

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.