Development and validation of providers’ and patients’ measurement instruments to evaluate adverse events after spinal manipulation therapy

Pohlman, Katherine A.; O’Beirne, Maeve; Thiel, Haymo; Cassidy, J. David; Mior, Silvano; Hurwitz, Eric L.; Westaway, Michael; Ishaque, Sana; Yager, Jerome Y.; Vohra, Sunita

doi:10.1016/j.eujim.2014.01.002

Cited by 23 publications

(35 citation statements)

References 27 publications

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“…We investigated adverse events including indirect harms (Table 1). We defined adverse events as any unfavorable sign, symptom, or disease temporally associated with the treatment, whether or not caused by the treatment [29]. We used predefined categories to rate them as mild, moderate, severe or serious [29].…”

Section: Discussionmentioning

confidence: 99%

“…We defined adverse events as any unfavorable sign, symptom, or disease temporally associated with the treatment, whether or not caused by the treatment [29]. We used predefined categories to rate them as mild, moderate, severe or serious [29]. We also considered indirect harms, where the use of an intervention delays a diagnosis or treatment, and such delay holds a potential harm [14].…”

Section: Discussionmentioning

confidence: 99%

“…We also considered indirect harms, where the use of an intervention delays a diagnosis or treatment, and such delay holds a potential harm [14]. We used the classification adapted by a multi-disciplinary team of content experts and providers of SMT [29]. We critically appraised studies reporting on adverse events and then classified the severity and nature of all reported adverse events according to the definitions provided in Table 1.…”

Section: Discussionmentioning

confidence: 99%

“…Information extracted from each RCT included participant characteristics (age, indications for treatment or condition treated, and location); sample size; type and Table 1 Classification of adverse events [14,29] Mild Asymptomatic or mild symptoms, requiring self-care only to alleviate symptoms (e.g. ice/heat, over-the-counter analgesic).…”

Section: Data Itemsmentioning

confidence: 99%

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The safety of spinal manipulative therapy in children under 10 years: a rapid review

et al. 2020

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Introduction: The safety of spinal manipulative therapy (SMT) in children is controversial. We were mandated by the College of Chiropractors of British Columbia to review the evidence on this issue. Objectives: We conducted a rapid review of the safety of SMT in children (< 10 years). We aimed to: 1) describe adverse events; 2) report the incidence of adverse events; and 3) determine whether SMT increases the risk of adverse events compared to other interventions. Evidence review: We searched MEDLINE, CINAHL, and Index to Chiropractic Literature from January 1, 1990 to August 1, 2019. We used rapid review methodology recommended by the World Health Organization. Eligible studies (case reports/series, cohort studies and randomized controlled trials) were critically appraised. Studies of high and acceptable methodological quality were included. The lead author extracted data. Data extraction was independently validated by a second reviewer. We conducted a qualitative synthesis of the evidence. Findings: Most adverse events are mild (e.g., increased crying, soreness). One case report describes a severe adverse event (rib fracture in a 21-day-old) and another an indirect harm in a 4-month-old. The incidence of mild adverse events ranges from 0.3% (95% CI: 0.06, 1.82) to 22.22% (95% CI: 6.32, 54.74). Whether SMT increases the risk of adverse events in children is unknown. Conclusion: The risk of moderate and severe adverse events is unknown in children treated with SMT. It is unclear whether SMT increases the risk of adverse events in children < 10 years.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Data Itemsmentioning

confidence: 99%

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The safety of spinal manipulative therapy in children under 10 years: a rapid review

et al. 2020

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“…We define adverse events as any unfavourable sign, symptom or disease temporarily associated with the treatment, whether or not caused by the treatment 53. We will also consider indirect harms, where the use of an intervention delays a diagnosis or treatment, and such delay holds a potential harm 54…”

Section: Methodsmentioning

confidence: 99%

Postsurgical rehabilitation for adults with low back pain with or without radiculopathy who were treated surgically: protocol for a mixed studies systematic review

Cancelliere

Wong

et al. 2020

BMJ Open

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IntroductionSurgical rates for low back pain (LBP) have been increasing in Europe, North America and Asia. Many patients treated surgically will require postsurgical rehabilitation. Little is known about the effectiveness of postsurgical rehabilitation interventions on health outcomes or about patients’ experiences with these interventions.ObjectivesTo conduct a mixed studies systematic review of quantitative and qualitative studies regarding: (1) the effectiveness and safety of postsurgical rehabilitation interventions for adults with LBP treated surgically and (2) the experiences of patients, healthcare providers, caregivers or others involved with the rehabilitation.Methods and analysisWe will search MEDLINE, Embase, PsycINFO, CINAHL, the Index to Chiropractic Literature, the Cochrane Controlled Register of Trials and the Rehabilitation & Sports Medicine Source for peer-reviewed empirical studies published from inception in any language. Studies using quantitative, qualitative and mixed methodologies will be included. We will also search reference lists of all eligible articles. Data extraction will include type of presurgical pathology, indication for surgery, surgical procedure, how the intervention was delivered and by whom, context and setting. We will conduct a quality assessment of each study and consider study quality in our evidence synthesis. We will use a sequential approach at the review level to synthesise and integrate data. First, we will synthesise the quantitative and qualitative studies independently, conducting a meta-analysis of the quantitative studies if appropriate and thematic synthesis of the qualitative studies. Then, we will integrate the quantitative and qualitative evidence by juxtaposing the findings in a matrix.Ethics and disseminationEthical approval is not required for this knowledge synthesis. Findings will be disseminated through knowledge translation activities including: (1) presentations at national and international conferences and scientific meetings; (2) presentations to local and international stakeholders; (3) publications in peer-reviewed journals and (4) posts on organisational websites.PROSPERO registration numberCRD42019134607.

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SafetyNET: An interdisciplinary research program to support a safety culture for spinal manipulation therapy

Vohra

Kawchuk

Boon

et al. 2014

European Journal of Integrative Medicine

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Development and validation of providers’ and patients’ measurement instruments to evaluate adverse events after spinal manipulation therapy

Cited by 23 publications

References 27 publications

The safety of spinal manipulative therapy in children under 10 years: a rapid review

The safety of spinal manipulative therapy in children under 10 years: a rapid review

Postsurgical rehabilitation for adults with low back pain with or without radiculopathy who were treated surgically: protocol for a mixed studies systematic review

SafetyNET: An interdisciplinary research program to support a safety culture for spinal manipulation therapy

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