ArticleChiropractic & manual therapies2022
Musculoskeletal healthcare at a Swiss university hospital chiropractic medicine outpatient clinic in 2019: a health services research study.
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 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Attitudes and perceptions of health care professionals concerning chiropractors and chiropractic practice: a systematic review.BMC complementary medicine and therapies · 2026Pooled it
- Prediction, pain, and the power of context: toward a contemporary identity for the chiropractic profession.Chiropractic & manual therapies · 2026Review
- Chiropractic's role in strengthening rehabilitation in health systems.Chiropractic & manual therapies · 2026Article
- The UQTR university-based chiropractic clinic cohort (UQTRChiCo): description and summary of an available data source for research collaborations.Chiropractic & manual therapies · 2026Article
- Musculoskeletal Cognitive Competency Among Chiropractic Students at a South African institution: A Cross-Sectional Study.Journal of chiropractic medicine · 2025Article
- Patient satisfaction with clinical services provided by chiropractic students under supervision compared to licensed chiropractors: An observational study.The Journal of chiropractic education · 2024Article
- A descriptive analysis of the contents of Care Response, an international data set of patient-reported outcomes for chiropractic patients.Chiropractic & manual therapies · 2023Article
- Feasibility of a new clinical journal club implementation and its association with knowledge, attitudes, and application of evidence-based practice among chiropractic students and trainees: a before-and-after healthcare education improvement study.Chiropractic & manual therapies · 2023Article
- Use of electronic patient records and encrypted email patient communication among Swiss chiropractors: a population-based cross-sectional study.Chiropractic & manual therapies · 2023Article
- The Swiss chiropractic practice-based research network: a population-based cross-sectional study to inform future musculoskeletal research.Scientific reports · 2023Article
- Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Balgrist University Hospital in Zurich, Switzerland, is an academic hospital focused on musculoskeletal disorders. An integrated chiropractic medicine clinic provides chiropractic care to a broad patient population. This health services research study aims to advance understanding of chiropractic healthcare service for quality assurance and healthcare quality improvement.
methodsWe performed an observational clinical cohort study at the Balgrist chiropractic medicine outpatient clinic in 2019. The records of all patients with initial visits or returning initial visits (> 3 months since last visit) and their subsequent visits from January 1, 2019, to December 31, 2019, were used to create the study dataset. Data collected included demographic characteristics, diagnoses, imaging data, conservative treatments, surgeries, and other clinical care data. Descriptive statistics were used to summarize data.
results1844 distinct patients (52% female, mean age 48 ± 17 years) were eligible and included in the study. 1742 patients had a single initial visit, 101 had 2 initial visits, and 1 patient had 3 initial visits during the study period (total of 1947 initial visit records). The most common main diagnoses were low back pain (42%; 95% CI 40-46%), neck pain (22%; 20-24%), and thoracic pain (8%; 7-9%). 32% of patients presented with acute (< 4 weeks) symptoms, 11% subacute (4-12 weeks), and 57% chronic (> 12 weeks). Patients had a median of 5 chiropractic visits during their episode of care within a median of 28 days duration. Only 49% (95% CI 47-52%) of patient records had a clinical outcome that was extractable from routine clinical documentation in the hospital information system.
conclusionThis health services study provides an initial understanding of patient characteristics and healthcare delivered in a Swiss academic hospital chiropractic outpatient setting and areas for improved clinical data quality assurance. A more concerted effort to systematically collect patient reported outcome measures would be a worthwhile healthcare quality improvement initiative.
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