Chiropractic Integrated Care Pathway for Low Back Pain in Veterans: Results of a Delphi Consensus Process

Journal of Manipulative and Physiological Therapeutics
Anthony J LisiChristine M Goertz

Abstract

The purpose of this study was to develop an integrated care pathway for doctors of chiropractic, primary care providers, and mental health professionals who manage veterans with low back pain, with or without mental health comorbidity, within Department of Veterans Affairs health care facilities. The research method used was a consensus process. A multidisciplinary investigative team reviewed clinical guidelines and Veterans Affairs pain and mental health initiatives to develop seed statements and care algorithms to guide chiropractic management and collaborative care of veterans with low back pain. A 5-member advisory committee approved initial recommendations. Veterans Affairs-based panelists (n = 58) evaluated the pathway via e-mail using a modified RAND/UCLA methodology. Consensus was defined as agreement by 80% of panelists. The modified Delphi process was conducted in July to December 2016. Most (93%) seed statements achieved consensus during the first round, with all statements reaching consensus after 2 rounds. The final care pathway addressed the topics of informed consent, clinical evaluation including history and examination, screening for red flags, documentation, diagnostic imaging, patient-reported outcomes, adver...Continue Reading

Associated Clinical Trials

Citations

Jun 20, 2019·The New England Journal of Medicine·Yoram Epstein, Ran Yanovich
Aug 29, 2018·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Claire D JohnsonSelcen Yüksel
Dec 15, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Cynthia R LongChristine M Goertz
Apr 16, 2021·Chiropractic & Manual Therapies·Zachary A CuplerMegan E Tritt
May 30, 2021·Joint, Bone, Spine : Revue Du Rhumatisme·Florian BaillyPetit Audrey

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