ArticleThe Journal of the Canadian Chiropractic Association2025
When there is little or no research evidence: a clinical decision tool.
Article in The Journal of the Canadian Chiropractic Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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
2 citing papers in PubMed.
- Bioengineering Innovations for Personalized Care in Low Back Pain: From Sensors to Smart Therapeutics.Bioengineering (Basel, Switzerland) · 2026Review
- Person-centred care in chiropractic: a foundational but evolving commitment in contemporary practice.The Journal of the Canadian Chiropractic Association · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite advancements in research and guidelines of healthcare, there are still situations where clinicians may lack experience or face limited evidence to inform decision-making. In these situations, healthcare providers should provide care within their scope of practice considering all available evidence-based options, the patient's preferences, and the clinical context through a clinical expertise lens. This decision-making tool serves as a guide for patient-centred clinical decision-making in chiropractic care. It integrates clinical expertise with the pillars of evidence-based practice, taking into account the best available research evidence, patient preferences, and the clinical context. Examples are provided on using the tool within chiropractic care for conditions with large bodies of supporting evidence (e.g., low back pain), and conditions with little to no evidence (e.g., Parkinson's disease), to illustrate the broad applicability of how to use (and how not to use) this tool in the field of chiropractic care. Author’s Note: This paper is one of seven in a series exploring contemporary perspectives on the application of the evidence-based framework in chiropractic care. The Evidence-Based Chiropractic Care (EBCC) initiative aims to support chiropractors in their delivery of optimal patient-centred care. We encourage readers to review all papers in the series.
Indexed as
Identifiers
41425290PMC12716893What OpenQuestion holds
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.