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Publication Bias and Outcome Switching: Threats to Evidence Assessment

Publication bias is a growing problem in evidence-based practice. In the hierarchy of evidence, systematic reviews and meta-analyses lie at the top of the evidence pyramid because they are regarded as the most rigorous form of evidence for possible clinical decision-making. But publication bias can color the results of those reviews and meta-analyses in ways not easily seen nor understood. 

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Interpreting “Quality” and “Strength” in a Practice Guideline

Part of the Evidence in Action series by Palmer College of Chiropractic

The American College of Physicians (ACP) recently released a clinical practice guideline for noninvasive treatments for low back pain. The goal of this guideline is to inform care decisions by systematically evaluating and summarizing available scientific evidence for treating acute, subacute and chronic low back pain. Many treatments used by doctors of chiropractic, such as spinal manipulation, superficial heat, acupuncture, motor control exercise and low level laser are included as recommended first-line treatments.

 

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Taking an Evidence-Based Approach to Patient Care

By now you are no doubt familiar with the concept of evidence-based clinical practice (EBCP). But what does that really mean for the doctor of chiropractic? How does one actually implement the “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of an individual patient” when that individual patient is on the adjusting table? It is not that easy, for a number of reasons. 
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Upcoming Webinar: The Treatment of Whiplash Associated Disorders: A Clinical Practice Guideline

Representatives of ACA and the Canadian Chiropractic Guideline Initiative together will present a free webinar on guidelines for whiplash-associated disorders on June 20 at 9 pm ET. Presenters Dr. Andre Bussieres, Dr. Joel Weisberg and Dr. Michele Maiers take a moment to share why the  topic is relevant to your practice…and why you won’t want to miss this information-packed webinar.

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How Is the Clinical Compass Valuable to Your Practice?

The mission of the Clinical Compass is to provide consistent and widely adopted chiropractic practice information and to perpetually distribute and update this data as necessary so that consumers and others have reliable information on which to base informed healthcare decisions. It is also charged with examining—with a chiropractic lens—all existing guidelines, parameters, protocols and best practices in the United States and other nations. 

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Take the Clinical Compass Chiropractic Guideline for Low Back Pain Challenge

I strongly believe that if we do the right thing right now, the chiropractic profession is uniquely positioned to significantly impact the quality of spine care delivery. The flipside is that if we don't take right action now, chiropractic risks becoming a marginalized profession that's on the outside looking in as other health care providers take ownership of musculoskeletal conditions and spinal manipulation. 

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The Evolution of Low Back Pain Treatment

*Member-Exclusive Content* In February 2017, the American College of Physicians (ACP) published a guideline calling for both physicians and patients to consider non-pharmacological options first when treating acute, subacute, and chronic low back pain (LBP).  Specifically, it recommends superficial heat, massage, acupuncture, and spinal manipulation for acute and subacute LBP, and exercise, tai chi, yoga, spinal manipulation and progressive relaxation for chronic LBP.

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Relative Energy Deficiency in Sport (RED-S)

Part of the Evidence in Action series by Palmer College of Chiropractic

In 1992, the American College of Sports Medicine (ACSM) encouraged and supported scientific inquiry into and public awareness of a condition that became known as the Female Athlete Triad.1 The hallmark components of the triad include eating disorders, functional hypothalamic amenorrhea and osteoporosis. A person diagnosed with the triad may present with one, two or three component conditions. In high school athletes, the prevalence can be as high as 60% for a single diagnosis, 27% for two, and 16% for all three elements.2

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Pediatrics Council Invites Doctors, Students to Enter Research Competition

*Member-Exclusive Content* The American Chiropractic Association’s Council on Chiropractic Pediatrics (ACA-CCP) is excited to announce a research competition open to all doctors of chiropractic and chiropractic students. ACA and SACA members are invited to write a narrative literature review on a topic of their choice related to pediatric chiropractic care. Doctors and students are encouraged to work together in teams and must submit their topic and team members by Monday, May 22, 2017.

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Author: Lori Hall
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