Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 17011
  Title Implementing evidence-based guidelines for radiography in acute low back pain: a pilot study in a chiropractic community.
Journal J Manipulative Physiol Ther. 2004 Mar-Apr;27(3):170-179
Peer Review Yes
Publication Type Article
Abstract/Notes OBJECTIVE: To evaluate the ability of a systematic educational intervention strategy to change the plain radiography ordering behavior of chiropractors toward evidence-based practice for patients with acute low back pain (LBP).

DESIGN: A quasi-experimental method was used comparing outcomes before and after the intervention with those of a control community.

SETTING: Two communities in southern Ontario. DATA SOURCE: Mailed survey data on the management of acute LBP.Outcome Measures Plain radiography use rates for acute LBP based on responses to mailed surveys. RESULTS: Following the intervention, there was a 42% reduction in the self-report need for plain radiography for uncomplicated acute LBP (P <.025) and a 50% reduction for patients with acute LBP < 1 month (P <.025) in the intervention community. There was no significant change in the self-report need for plain radiography in the control community (P >.05).

CONCLUSIONS: The educational intervention strategy used in this study appeared to have an effect in reducing the perceived need for plain radiography in acute LBP.

Click on the above link for the PubMed record for this article; full text by subscription. This abstract is reproduced with the permission of the publisher.

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