ArticleChiropractic & manual therapies2022
The primary spine practitioner as a new role in healthcare systems in North America.
Article in Chiropractic & manual therapies, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Cost of chiropractic versus medical management of adults with spine-related musculoskeletal pain: a systematic review.Chiropractic & manual therapies · 2024Pooled it
- Effects of musculoskeletal expert input on low back pain outcomes: A randomised controlled trial.PloS one · 2026Trial
- Whole health and chiropractic: a commentary on historical roots, contemporary relevance, and future directions.Chiropractic & manual therapies · 2026Article
- Gatekeepers in primary care - a qualitative study on manual therapists' role in triaging patients with back and neck pain.BMC health services research · 2025Article
- A comparative audit of chiropractic geriatric courses taught at 17 English-speaking accredited chiropractic educational programs worldwide.The Journal of the Canadian Chiropractic Association · 2025Article
- A new role for spinal manual therapy and for chiropractic? Part II: strengths and opportunities.Chiropractic & manual therapies · 2024Article
- Healthcare provider perspectives on integrating a comprehensive spine care model in an academic health system: a cross-sectional survey.BMC health services research · 2024Article
- Development of a low back pain care pathway in an academic hospital system: results of a consensus process.Journal of orthopaedic surgery and research · 2024Article
- Integrated clinical opportunities for training offered through US doctor of chiropractic programs.The Journal of chiropractic education · 2023Article
- Using medical storytelling to communicate problems and solutions in the low back pain conundrum: an evidence-based tale of twins.Chiropractic & manual therapies · 2023Article
- Chiropractors in interprofessional practice settings: a narrative review exploring context, outcomes, barriers and facilitators.Chiropractic & manual therapies · 2022Review
- Online access to spine care: do institutions advertise themselves as multidisciplinary?Journal of spine surgery (Hong Kong) · 2022Article
- Thoracic Schwannoma as an Unusual Cause of Sciatic Pain in the Chiropractic Office: A Case Report.The American journal of case reports · 2022Article
- Prevalence of Serious Pathology Among Adults with Low Back Pain Presenting for Chiropractic Care: A Retrospective Chart Review of Integrated Clinics in Hong Kong.Medical science monitor : international medical journal of experimental and clinical research · 2022Article
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 at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn an article published in 2011, we discussed the need for a new role in health care systems, referred to as the Primary Spine Practitioner (PSP). The PSP model was proposed to help bring order to the chaotic nature of spine care. Over the past decade, several efforts have applied the concepts presented in that article. The purpose of the present article is to discuss the ongoing need for the PSP role in health care systems, present persistent barriers, report several examples of the model in action, and propose future strategies. MAIN BODY: The management of spine related disorders, defined here as various disorders related to the spine that produce axial pain, radiculopathy and other related symptoms, has received significant international attention due to the high costs and relatively poor outcomes in spine care. The PSP model seeks to bring increased efficiency, effectiveness and value. The barriers to the implementation of this model have been significant, and responses to these barriers are discussed. Several examples of PSP integration are presented, including clinic systems in primary care and hospital environments, underserved areas around the world and a program designed to reduce surgical waiting lists. Future strategies are proposed for overcoming the continuing barriers to PSP implementation in health care systems more broadly.
conclusionSignificant progress has been made toward integrating the PSP role into health care systems over the past 10 years. However, much work remains. This requires substantial effort on the part of those involved in the development and implementation of the PSP model, in addition to support from various stakeholders who will benefit from the proposed improvements in spine care.
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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.