Utilization of Low Back Pain Patient Reported Outcome Measures Within Chiropractic Literature: A Descriptive Review

Clohesy, Natalie; Schneiders, Anthony G.; Eaton, Sharyn

doi:10.1016/j.jmpt.2017.11.007

Cited by 8 publications

(9 citation statements)

References 134 publications

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“…The use of PROMs/STs in chiropractic literature is increasing. 8 Clohesy et al 8 conducted a systematic review and found that along with self-created PROMs tailored to the desired outcome, the 4 most common standardized PROMs appearing in chiropractic literature are (1) ODI, (2) RMDQ, (3) Numerical Rating Scales, and (4) Visual Analogue Scales. 7 Our study revealed some similarities, including that the 4 most commonly reported PROMs/STs were (1) ODI, (2) a variation of PRS, (3) KSBT, and (4) PSFS.…”

Section: Discussionmentioning

confidence: 99%

“…7 To aid in shared clinical decision making, quality assurance in health care, and potential stratification for best clinical care pathways, it is reasonable for clinicians to incorporate validated patient-reported outcome measures (PROMs) and/or screening tools (STs). 8,9 Administering these tools may help facilitate communication regarding issues that are important to the patient and reflect all domains of health encompassed in the BPS model. 10 LBP-related PROMs may be particularly beneficial in identifying patients' self-reported pain levels, physical capacity, and disability, and for monitoring clinical progress during a course of treatment.…”

Section: Introductionmentioning

confidence: 99%

“…10 LBP-related PROMs may be particularly beneficial in identifying patients' self-reported pain levels, physical capacity, and disability, and for monitoring clinical progress during a course of treatment. 8,11 LBP-related STs provide useful information in identifying subpopulations of patients susceptible to the development of chronic, disabling back pain and/or to stratify patients into evidence-based treatment plans. 12 For the purpose of this study, STs help identify risk and prognosis and are generally given once in the acute phase of care, while PROMs assess for disability and may be recorded periodically throughout a patient's clinical course.…”

Section: Introductionmentioning

confidence: 99%

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A descriptive analysis of clinical application of patient-reported outcome measures and screening tools for low back pain patients in US chiropractic teaching institutions

Cooper¹,

Gliedt²,

Pohlman³

2020

Journal of Chiropractic Education

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Objective To describe the clinical use of patient-reported outcome measures (PROMs) and screening tools (STs) for low back pain (LBP) in clinics of chiropractic teaching institutions in the United States. Methods A descriptive analysis was completed with data collection achieved between June 2018 and March 2019. PROMs/STs were classified as disability/functional measures, pain measures, psychosocial measures, and other measures. Frequencies of use of PROM/ST instruments were calculated. Results Representatives from 18 of 19 chiropractic institutions (94.75%) provided a description of PROM/ST use for LBP in their teaching clinics. Seventeen institutions (94.4%) reported the routine clinical use of PROMs/STs for LBP. Disability/functional measures were the most common type of instruments used, followed by pain measures, psychosocial measures, and others. The 4 most common individual PROMs/STs reported were (1) Oswestry Disability Index, (2) a variation of a pain rating scale, (3) Keele STarT Back Tool, and (4) Patient Specific Functional Scale. Six out of 18 (33%) institutions reported the use of a PROM/ST specifically designed to focus on psychosocial influences. Conclusion Most chiropractic institution teaching clinics in the United States reported the clinical use of PROMs/STs for patients presenting with LBP. This mirrors trends in chiropractic literature of increasing use of PROMs/STs. A minority of institutions described the clinical use of a PROM/ST specifically designed to detect psychosocial influences.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A descriptive analysis of clinical application of patient-reported outcome measures and screening tools for low back pain patients in US chiropractic teaching institutions

Cooper¹,

Gliedt²,

Pohlman³

2020

Journal of Chiropractic Education

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“…Improvement in general health outcomes and positive experiences of patients might also be related to the use of patient-reported outcome measures and could also serve as a communication tool between patients and clinicians [33, 34]. Therefore, measuring health outcomes in people with low back pain plays an important role for developing and utilizing more evidence-based healthcare decisions on prevention and treatment [35]. Recent management guidelines from Denmark, Germany, United Kingdom (UK) and two from the United States of America (USA), guidelines from the American College of Physicians (ACP) and another from the Institute for Clinical Systems Improvement (ICSI), highlight the importance of non-pharmacological treatment as part of the management of low back pain [36–40].…”

Section: Outcomes and Outcome Measures Related To Non-pharmacologicalmentioning

confidence: 99%

Outcomes research in non-specific low back pain

Stamm

Boesendorfer

Omara

et al. 2019

Wien Klin Wochenschr

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Objective The aims of this article are to provide an overview and discuss current concepts and future trends in outcomes research in non-specific low back pain, specifically considering the perspective of patients, patient-reported outcomes and outcome measures as well as to facilitate knowledge transfer into clinical practice. Review strategy The breadth of this work and the required brevity of this article were not amenable to a formal approach, such as a systematic literature review or a formal scoping review. Literature sources were identified through medical databases but different sources of information and of various methodologies were also included. Furthermore, outcomes meaningful for patients and examples of outcome measures that are applicable in clinical practice were extracted. Areas for future research were identified and discussed. Results Patient-reported outcomes and outcome measures are essential in patient-centered care. The assessment of the patients' perspective is important to ensure motivation, active involvement, self-management and adherence, especially in non-pharmacological interventions for low back pain. To facilitate the use of outcome measurements for low back pain in clinical practice, future studies should focus on a clin

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“…10 Despite the potential bene ts, implementation into routine clinical practice has some barriers, such as fear of increased work load, inappropriate training, or lack of standardized data collection. 11 Literature about the current use of PROMs among chiropractors in routine clinical practice is scarce, 12 and similar settings showed only limited use of PROMs in clinical practice for patients with musculoskeletal health problems. 13 The Balgrist University Hospital, a liated with the University of Zurich, is Switzerland's largest specialized academic hospital focused on MSK disorders.…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal healthcare at a Swiss university hospital chiropractic medicine outpatient clinic in 2019: a health services research study

Hofstetter

Häusler

Mühlemann

et al. 2021

Preprint

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Background The Balgrist University Hospital in Zurich, Switzerland, is an academic hospital focused on musculoskeletal (MSK) disorders. An integrated chiropractic medicine clinic provides chiropractic care to a broad patient population. Our health services research study aims to advance understanding of chiropractic health care service for quality assurance and health care quality improvement. Methods An observational clinical cohort study at the Balgrist chiropractic medicine clinic in 2019 was performed. 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. Results 1844 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. The most common main diagnoses were: low back pain (41%; 95% CI, 39–43%), neck pain (21%; 19–23%), and thoracic pain (8%; 7–9%). 29% had an acute (< 4 weeks) symptom duration, 10% subacute (4 to 12 weeks), and 52% chronic (> 12 weeks). Patients had a median number of 5 chiropractic visits during their episode of care, with a median care episode duration of 28 days. Only 49% (95% CI, 47–52%) of patient records had a clinical outcome that was extractable from routine clinical practice documentation retrievable from the hospital system. Conclusion Our health services research study provides an initial understanding of the patient characteristics and MSK clinical care delivered in a Swiss outpatient hospital setting and areas for clinical data quality assurance. Deeper insights into health care services and outcomes will help to facilitate a health quality improvement initiative by identifying clinical data and health care quality gaps, and establishing overall aims and targets for improvement.

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Utilization of Low Back Pain Patient Reported Outcome Measures Within Chiropractic Literature: A Descriptive Review

Cited by 8 publications

References 134 publications

A descriptive analysis of clinical application of patient-reported outcome measures and screening tools for low back pain patients in US chiropractic teaching institutions

A descriptive analysis of clinical application of patient-reported outcome measures and screening tools for low back pain patients in US chiropractic teaching institutions

Outcomes research in non-specific low back pain

Musculoskeletal healthcare at a Swiss university hospital chiropractic medicine outpatient clinic in 2019: a health services research study

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