Retrospective Demographic Analysis of Patients Seeking Care at a Free University Chiropractic Clinic

Stevens, Gerald L.; Campeanu, Michael; Sorrento, Andrew T.; Ryu, Jiwoon; Burke, Jeanmarie R.

doi:10.1016/j.jcm.2016.02.001

Cited by 11 publications

(6 citation statements)

References 36 publications

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“…19 Studies from teaching institutes in Mexico, Missouri, and New York have also found similar results when studying all age groups, with the most common chief complaint being low back pain. 15,17,18 The current study reported 45% of older patients had lower back pain as their chief complaint. In the 2005 study, the most common complaint was also low back pain at 38.1% for all age groups.…”

Section: Discussionmentioning

confidence: 55%

“…19 The second most common chief complaint of the current study was neck pain at 21%, which was a similar result (23%) to a study conducted at a chiropractic teaching college in the United States. 18 Interestingly, the second most common chief complaint in US 13 and Mexican 15 studies were extremity complaints at 29.5% and 28%, respectively. Extremity complaints in the current study were reported by 8% compared with the previous NZCC study that reported extremity complaints by 5.8%.…”

Section: Discussionmentioning

confidence: 97%

“…7,[15][16][17][18] However, it must be noted that these other studies included patients of all ages. [15][16][17][18][19] The only other New Zealand study, also performed at the NZCC by Holt and Beck in 2005, found that the majority of patients' chief complaints included low back pain (38.1%); however, in this study data were collected on all age groups. 19 Studies from teaching institutes in Mexico, Missouri, and New York have also found similar results when studying all age groups, with the most common chief complaint being low back pain.…”

Section: Discussionmentioning

confidence: 99%

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Analysis of the chief complaints of older patients seeking chiropractic care at a teaching clinic and potential implications for clinical education

D'cruz¹,

Clark²,

Cade³

et al. 2018

Journal of Chiropractic Education

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Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Analysis of the chief complaints of older patients seeking chiropractic care at a teaching clinic and potential implications for clinical education

D'cruz¹,

Clark²,

Cade³

et al. 2018

Journal of Chiropractic Education

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“…The slightly higher percentage of women (52%) seeking chiropractic care has been described previously, whereas our patient population with the most common age group of 40–49 years (21.4%), followed by 50–59 years (20.9%), seems to be older compared to other chiropractic settings [ 24 ]. The most common main diagnosis of low back pain, followed by neck pain, is consistent internationally [ 24 ] and in other chiropractic teaching clinics [ 25 – 27 ]. Patients averaged 7 chiropractic visits during their episode of care, with 83% having 11 visits or less.…”

Section: Discussionmentioning

confidence: 85%

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

et al. 2022

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Background The Balgrist University Hospital in Zurich, Switzerland, is an academic hospital focused on musculoskeletal disorders. An integrated chiropractic medicine clinic provides chiropractic care to a broad patient population. This health services research study aims to advance understanding of chiropractic healthcare service for quality assurance and healthcare quality improvement. Methods We performed an observational clinical cohort study at the Balgrist chiropractic medicine outpatient clinic in 2019. 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 (total of 1947 initial visit records). The most common main diagnoses were low back pain (42%; 95% CI 40–46%), neck pain (22%; 20–24%), and thoracic pain (8%; 7–9%). 32% of patients presented with acute (< 4 weeks) symptoms, 11% subacute (4–12 weeks), and 57% chronic (> 12 weeks). Patients had a median of 5 chiropractic visits during their episode of care within a median of 28 days duration. Only 49% (95% CI 47–52%) of patient records had a clinical outcome that was extractable from routine clinical documentation in the hospital information system. Conclusion This health services study provides an initial understanding of patient characteristics and healthcare delivered in a Swiss academic hospital chiropractic outpatient setting and areas for improved clinical data quality assurance. A more concerted effort to systematically collect patient reported outcome measures would be a worthwhile healthcare quality improvement initiative.

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“…18 The most common main diagnosis of low back pain, followed by neck pain, is consistent internationally 18 and in other chiropractic teaching clinics. [19][20][21] Patients averaged 7 chiropractic visits during their episode of care, with 83% having 11 visits or less. While 95% of chiropractic teaching institutions report the routine use of PROMs for low back pain patients, 22 evidence about the current use of PROMs among chiropractors in routine clinical practices is limited.…”

Section: Discussionmentioning

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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Retrospective Demographic Analysis of Patients Seeking Care at a Free University Chiropractic Clinic

Abstract: This study found that new patients seeking care at a free student chiropractic clinic within a university health center in the Buffalo area mainly consisted of young single adults, with chronic lumbar spine complaints with few comorbidities.

Cited by 11 publications

References 36 publications

Analysis of the chief complaints of older patients seeking chiropractic care at a teaching clinic and potential implications for clinical education

Analysis of the chief complaints of older patients seeking chiropractic care at a teaching clinic and potential implications for clinical education

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

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

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