&lt;p&gt;The Danish Chiropractic Low Back Pain Cohort (ChiCo): Description and Summary of an Available Data Source for Research Collaborations&lt;/p&gt;

Kongsted, Alice; Nielsen, Orla Lund; Christensen, Henrik Wulff; Hartvigsen, Jan; Doktor, Klaus; Jensen, Tue Secher

doi:10.2147/clep.s266220

Cited by 20 publications

(40 citation statements)

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“…Defining a true inception cohort is difficult in LBP as it is a condition that often starts early in life and is recurrent in nature. 19 The analyses were adjusted for a number of potential confounders recognizing that clinicians may provide different levels of reassurance related to each patient’s likely outcome, but the study design does not provide evidence of a causal relationship.…”

Section: Discussionmentioning

confidence: 99%

“…This study was a prospective cohort study based on the Danish Chiropractic back pain Cohort (ChiCo). 19 The study sample was recruited from November 1, 2016, to December 21, 2018, and includes partly the same sample as our previous study on the feasibility of the CRQ recruited from November 1 2016 to October 31, 2017. 16 ChiCo included patients visiting 1 of 50 chiropractors at 10 clinics in the Central Denmark Region with a new episode of LBP and followed participants for 12 months, with the present study using data from 2 weeks and 3 months follow-up.…”

Section: Methodsmentioning

confidence: 99%

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Reassuring Patients With Low Back Pain in Primary Care Consultations

Jensen

Kongsted

2021

The Clinical Journal of Pain

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Reassuring Patients With Low Back Pain in Primary Care Consultations

Jensen

Kongsted

2021

The Clinical Journal of Pain

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“…This is the second of two analyses we have undertaken, the other is published elsewhere [ 16 ]. ChiCo is a prospective longitudinal observational study with one year follow-up performed between November 2016 and December 2019 [ 17 ]. As the ChiCo study followed ethical regulations [ 17 ] and only anonymised data were provided for use in this study, the Macquarie University Human Research Ethics Committee provided a waiver to use the ChiCo data without further ethical review.…”

Section: Methodsmentioning

confidence: 99%

Patients with low back pain presenting for chiropractic care who want diagnostic imaging are more likely to receive referral for imaging: a cross-sectional study

et al. 2022

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Background It is unclear if the use of imaging for low back pain (LBP) is impacted by patient beliefs. This study aimed to: (1) describe beliefs about the importance of imaging and whether patients wanted imaging when presenting for chiropractic care for LBP; (2) describe associations between baseline patient characteristics and imaging beliefs and whether patients wanted imaging; and (3) determine whether patients who believed imaging to be important in the management of LBP, or who wanted to receive imaging, were more likely to receive an imaging referral. Methods Cross-sectional observational data was collected between November 2016 to December 2019 from 10 primary care chiropractic clinics in Denmark. Consecutive patients aged 18 or older and presenting with a new episode of LBP were included (N = 2818). Beliefs about the importance of imaging (two questions) and whether imaging was wanted (one question) were collected at the initial visit, together with baseline participant characteristics and whether an imaging referral was provided. Associations between imaging beliefs/desire to receive imaging and participant characteristics were explored using multivariable logistic regression analysis. The relationships between imaging beliefs and desire to receive imaging with subsequent imaging referral were assessed using multivariable logistic regression analysis adjusted for pre-selected confounder variables. Results Approximately one third of participants believed imaging to be important for the management of LBP (29.5% (95%CI 27.8, 31.3) or 41.5% (95%CI 39.6, 43.3) depending on the two imaging beliefs questions). Approximately one quarter (26.1%, 95%CI 24.5, 27.7) of participants wanted to receive an imaging referral. Participants were more likely to believe in the importance of imaging or want an imaging referral if they had a longer duration of LBP, history of previous imaging for LBP, or a lower completed education level. Participants who wanted imaging at the initial consult were more likely to receive an imaging referral (Odds ratio; 95%CI 1.6; 1.2, 2.1). Conclusions Approximately one third of patients presenting for chiropractic care in Denmark believed imaging to be important in the management of LBP. One quarter wanted imaging at the initial consult. Patients’ desire for imaging appeared to impact the use of diagnostic imaging.

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“…A matched cohort study design was performed using the Danish Chiropractic low back pain cohort (ChiCo) study, a prospective longitudinal observational study with one year follow-up performed between November 2016 and December 2019 [ 28 ]. As the ChiCo study followed ethical regulations [ 28 ] and only anonymised data was provided for use in this study, the Macquarie University Human Research Ethics Committee provided a waiver to use the ChiCo data without further ethical review.…”

Section: Methodsmentioning

confidence: 99%

What are the effects of diagnostic imaging on clinical outcomes in patients with low back pain presenting for chiropractic care: a matched observational study

et al. 2021

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Background Evidence suggests that diagnostic imaging for low back pain does not improve care in the absence of suspicion of serious pathology. However, the effect of imaging use on clinical outcomes has not been investigated in patients presenting to chiropractors. The aim of this study was to determine if diagnostic imaging affects clinical outcomes in patients with low back pain presenting for chiropractic care. Methods A matched observational study using prospective longitudinal observational data with one year follow up was performed in primary care chiropractic clinics in Denmark. Data was collected from November 2016 to December 2019. Participants included low back pain patients presenting for chiropractic care, who were either referred or not referred for diagnostic imaging during their initial visit. Patients were excluded if they were less than 18 years old, had a diagnosis of underlying pathology, or had previous imaging relevant to their current clinical presentation. Coarsened exact matching was used to match participants referred for diagnostic imaging with participants not referred for diagnostic imaging on baseline variables including participant demographics, pain characteristics, and clinical history. Mixed linear and logistic regression models were used to assess the effect of imaging on back pain intensity and disability at two-weeks, three-months, and one-year, and on global perceived effect and satisfaction with care at two-weeks. Results 2162 patients were included, with 24.1% referred for imaging. Near perfect balance between matched groups was achieved for baseline variables except age and leg pain. Participants referred for imaging had slightly higher back pain intensity at two-weeks (0.4, 95%CI: 0.1, 0.8) and one-year (0.4, 95%CI: 0.0, 0.7), and disability at two-weeks (5.7, 95%CI: 1.4, 10.0), but the changes are unlikely to be clinically meaningful. No difference between groups was found for the other outcome measures. Similar results were found when sensitivity analysis, adjusted for age and leg pain intensity, was performed. Conclusions Diagnostic imaging did not result in better clinical outcomes in patients with low back pain presenting for chiropractic care. These results support that current guideline recommendations against routine imaging apply equally to chiropractic practice.

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<p>The Danish Chiropractic Low Back Pain Cohort (ChiCo): Description and Summary of an Available Data Source for Research Collaborations</p>

Cited by 20 publications

References 40 publications

Reassuring Patients With Low Back Pain in Primary Care Consultations

Reassuring Patients With Low Back Pain in Primary Care Consultations

Patients with low back pain presenting for chiropractic care who want diagnostic imaging are more likely to receive referral for imaging: a cross-sectional study

What are the effects of diagnostic imaging on clinical outcomes in patients with low back pain presenting for chiropractic care: a matched observational study

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