Examining Clinical Opinion and Experience Regarding Utilization of Plain Radiography of the Spine: Evidence from Surveying the Chiropractic Profession
Plain Radiography of the spine (PROTS) is utilized in many forms of healthcare including the chiropractic profession; however, the literature reflects conflicting opinions regarding utilization and value. Despite being an essential part of Evidence-Based Practice (EBP), few studies assess Doctors of...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-03-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/6/2169 |
| _version_ | 1797611001523208192 |
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| author | Philip A. Arnone Steven J. Kraus Derek Farmen Douglas F. Lightstone Jason Jaeger Christine Theodossis |
| author_facet | Philip A. Arnone Steven J. Kraus Derek Farmen Douglas F. Lightstone Jason Jaeger Christine Theodossis |
| author_sort | Philip A. Arnone |
| collection | DOAJ |
| description | Plain Radiography of the spine (PROTS) is utilized in many forms of healthcare including the chiropractic profession; however, the literature reflects conflicting opinions regarding utilization and value. Despite being an essential part of Evidence-Based Practice (EBP), few studies assess Doctors of Chiropractic (DCs) clinical opinions and experience regarding the utilization of (PROTS) in practice. In this study, DCs were surveyed regarding utilization of PROTS in practice. The survey was administered to an estimated 50,000 licensed DCs by email. A total of 4301 surveys were completed, of which 3641 were United States (US) DCs. The Clinician Opinion and Experience on Chiropractic Radiography (COECR) scale was designed to analyze survey responses. This valid and reliable scale demonstrated good internal consistency using confirmatory factor analysis and the Rasch model. Survey responses show that 73.3% of respondents utilize PROTS in practice and 26.7% refer patients out for PROTS. Survey responses show that, among US DCs, 91.9% indicate PROTS has value beyond identification of pathology, 86.7% indicate that PROTS is important regarding biomechanical analysis of the spine, 82.9% indicate that PROTS is vital to practice, 67.4% indicate that PROTS aids in measuring outcomes, 98.6% indicate the opinion that PROTS presents very low to no risk to patients, and 93.0% indicate that sharing clinical findings from PROTS studies with patients is beneficial to clinical outcomes. The results of the study indicated that based on clinical experience, the majority of DCs find PROTS to be vital to practice and valuable beyond the identification of red flags. |
| first_indexed | 2024-03-11T06:22:48Z |
| format | Article |
| id | doaj.art-2a05f4e37068445e9ac626a4de0ba0f7 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T06:22:48Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-2a05f4e37068445e9ac626a4de0ba0f72023-11-17T11:49:00ZengMDPI AGJournal of Clinical Medicine2077-03832023-03-01126216910.3390/jcm12062169Examining Clinical Opinion and Experience Regarding Utilization of Plain Radiography of the Spine: Evidence from Surveying the Chiropractic ProfessionPhilip A. Arnone0Steven J. Kraus1Derek Farmen2Douglas F. Lightstone3Jason Jaeger4Christine Theodossis5The Balanced Body Center, Matthews, NC 28105, USABiokinemetrics, Inc., Carroll, IA 51401, USAThe Balanced Body Center, Matthews, NC 28105, USAInstitute for Spinal Health and Performance, Folsom, CA 95630, USACommunity Based Internship Program, Associate Faculty, Southern California University of Health Sciences, Whittier, CA 90604, USAChair, Radiology Department, Sherman College of Chiropractic, Boiling Springs, SC 29316, USAPlain Radiography of the spine (PROTS) is utilized in many forms of healthcare including the chiropractic profession; however, the literature reflects conflicting opinions regarding utilization and value. Despite being an essential part of Evidence-Based Practice (EBP), few studies assess Doctors of Chiropractic (DCs) clinical opinions and experience regarding the utilization of (PROTS) in practice. In this study, DCs were surveyed regarding utilization of PROTS in practice. The survey was administered to an estimated 50,000 licensed DCs by email. A total of 4301 surveys were completed, of which 3641 were United States (US) DCs. The Clinician Opinion and Experience on Chiropractic Radiography (COECR) scale was designed to analyze survey responses. This valid and reliable scale demonstrated good internal consistency using confirmatory factor analysis and the Rasch model. Survey responses show that 73.3% of respondents utilize PROTS in practice and 26.7% refer patients out for PROTS. Survey responses show that, among US DCs, 91.9% indicate PROTS has value beyond identification of pathology, 86.7% indicate that PROTS is important regarding biomechanical analysis of the spine, 82.9% indicate that PROTS is vital to practice, 67.4% indicate that PROTS aids in measuring outcomes, 98.6% indicate the opinion that PROTS presents very low to no risk to patients, and 93.0% indicate that sharing clinical findings from PROTS studies with patients is beneficial to clinical outcomes. The results of the study indicated that based on clinical experience, the majority of DCs find PROTS to be vital to practice and valuable beyond the identification of red flags.https://www.mdpi.com/2077-0383/12/6/2169X-ray utilizationEvidence-Based Practice (EBP)chiropractic practiceclinical opinionchiropractic surveyradiographs |
| spellingShingle | Philip A. Arnone Steven J. Kraus Derek Farmen Douglas F. Lightstone Jason Jaeger Christine Theodossis Examining Clinical Opinion and Experience Regarding Utilization of Plain Radiography of the Spine: Evidence from Surveying the Chiropractic Profession Journal of Clinical Medicine X-ray utilization Evidence-Based Practice (EBP) chiropractic practice clinical opinion chiropractic survey radiographs |
| title | Examining Clinical Opinion and Experience Regarding Utilization of Plain Radiography of the Spine: Evidence from Surveying the Chiropractic Profession |
| title_full | Examining Clinical Opinion and Experience Regarding Utilization of Plain Radiography of the Spine: Evidence from Surveying the Chiropractic Profession |
| title_fullStr | Examining Clinical Opinion and Experience Regarding Utilization of Plain Radiography of the Spine: Evidence from Surveying the Chiropractic Profession |
| title_full_unstemmed | Examining Clinical Opinion and Experience Regarding Utilization of Plain Radiography of the Spine: Evidence from Surveying the Chiropractic Profession |
| title_short | Examining Clinical Opinion and Experience Regarding Utilization of Plain Radiography of the Spine: Evidence from Surveying the Chiropractic Profession |
| title_sort | examining clinical opinion and experience regarding utilization of plain radiography of the spine evidence from surveying the chiropractic profession |
| topic | X-ray utilization Evidence-Based Practice (EBP) chiropractic practice clinical opinion chiropractic survey radiographs |
| url | https://www.mdpi.com/2077-0383/12/6/2169 |
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