PMID- 32863058
OWN - NLM
STAT- MEDLINE
DCOM- 20210514
LR  - 20210514
IS  - 1532-6586 (Electronic)
IS  - 0161-4754 (Linking)
VI  - 43
IP  - 9
DP  - 2020 Nov-Dec
TI  - Assessing Adverse Events After Chiropractic Care at a Chiropractic Teaching 
      Clinic: An Active-Surveillance Pilot Study.
PG  - 845-854
LID - S0161-4754(20)30126-3 [pii]
LID - 10.1016/j.jmpt.2020.05.007 [doi]
AB  - OBJECTIVE: This study aimed to assess the feasibility of implementing an 
      active-surveillance reporting system within a chiropractic teaching clinic and 
      subsequently determining the frequency of adverse events (AEs) after treatment 
      administered by chiropractic interns. METHODS: Interns were invited to collect 
      data from patients using 3 questionnaires that recorded patient symptom change: 2 
      completed by the patient (before and 7 days after treatment) and 1 completed by 
      the intern (immediately after treatment). Worsened and new symptoms were 
      considered AEs. Qualitative interviews were conducted with clinicians and interns 
      to assess the feasibility of implementing the reporting system, with resulting 
      data categorized under 4 domains: acceptability, implementation, practicality, 
      and integration. RESULTS: Of the 174 eligible interns, 80 (46.0%) collected data 
      from 364 patient encounters, with 119 (32.7%) returning their posttreatment form. 
      Of the 89 unique patients (mean age = 39.5 years; 58.4% female, 41.6% male), 
      40.1% presented with low back pain and 31.1% with neck pain. After treatment, 25 
      symptoms (8.9%) were identified as AEs, mostly reported by patients as worsening 
      discomfort or pain. Data from qualitative interviews suggest that the AE 
      reporting system was well accepted; however, proposed specific modifications 
      include use of longitudinal electronic surveys. CONCLUSION: Our findings suggest 
      that it is feasible to conduct an active-surveillance reporting system at a 
      chiropractic teaching clinic. Important barriers and facilitators were identified 
      and will be used to inform future work regarding patient safety education and 
      research.
CI  - Copyright (c) 2020. Published by Elsevier Inc.
FAU - Pohlman, Katherine A
AU  - Pohlman KA
AD  - Research Center, Parker University, Dallas, Texas. Electronic address: 
      kpohlman@parker.edu.
FAU - Funabashi, Martha
AU  - Funabashi M
AD  - Department of Research and Innovation, Canadian Memorial Chiropractic College, 
      Toronto, Ontario, Canada.
FAU - Ndetan, Harrison
AU  - Ndetan H
AD  - Epidemiology and Biostatistics, University of Texas Health Science Center at 
      Tyler, Tyler, Texas.
FAU - Hogg-Johnson, Sheilah
AU  - Hogg-Johnson S
AD  - Department of Research and Innovation, Canadian Memorial Chiropractic College, 
      Toronto, Ontario, Canada; Dalla Lana School of Public Health, University of 
      Toronto, Toronto, Ontario, Canada; Institute for Work & Health, Toronto, Ontario, 
      Canada.
FAU - Bodnar, Patrick
AU  - Bodnar P
AD  - College of Chiropractic, Parker University, Dallas, Texas.
FAU - Kawchuk, Gregory
AU  - Kawchuk G
AD  - Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Alberta, 
      Canada.
LA  - eng
PT  - Journal Article
DEP - 20200828
PL  - United States
TA  - J Manipulative Physiol Ther
JT  - Journal of manipulative and physiological therapeutics
JID - 7807107
SB  - IM
MH  - Adult
MH  - Chiropractic/*education/*standards
MH  - Female
MH  - Humans
MH  - Internship and Residency/statistics & numerical data
MH  - Low Back Pain/therapy
MH  - Male
MH  - Manipulation, Chiropractic/*adverse effects/*statistics & numerical data
MH  - Neck Pain/therapy
MH  - Pilot Projects
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Chiropractic
OT  - Complementary Therapies
OT  - Manipulation, Chiropractic
OT  - Manipulation, Spinal
OT  - Patient Safety
OT  - Public Health Surveillance
EDAT- 2020/08/31 06:00
MHDA- 2021/05/15 06:00
CRDT- 2020/09/01 06:00
PHST- 2019/07/10 00:00 [received]
PHST- 2020/03/06 00:00 [revised]
PHST- 2020/05/13 00:00 [accepted]
PHST- 2020/08/31 06:00 [pubmed]
PHST- 2021/05/15 06:00 [medline]
PHST- 2020/09/01 06:00 [entrez]
AID - S0161-4754(20)30126-3 [pii]
AID - 10.1016/j.jmpt.2020.05.007 [doi]
PST - ppublish
SO  - J Manipulative Physiol Ther. 2020 Nov-Dec;43(9):845-854. doi: 
      10.1016/j.jmpt.2020.05.007. Epub 2020 Aug 28.