Chiropractic pediatric patient management and interdisciplinary collaboration: a descriptive cross-sectional study of chiropractors in Quebec
Abstract Background Worldwide, many patients, including minors, seek chiropractic care. The purpose of this study was to investigate the practice characteristics of chiropractors who treat pediatric patients in Quebec, Canada. Methods We conducted a web-based cross-sectional survey of all licensed c...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | Chiropractic & Manual Therapies |
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| Online Access: | https://doi.org/10.1186/s12998-022-00464-y |
| _version_ | 1798005487882469376 |
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| author | Chantale Doucet Élisa Dubuc Camille Imbeau Katherine A. Pohlman Marc-André Blanchette |
| author_facet | Chantale Doucet Élisa Dubuc Camille Imbeau Katherine A. Pohlman Marc-André Blanchette |
| author_sort | Chantale Doucet |
| collection | DOAJ |
| description | Abstract Background Worldwide, many patients, including minors, seek chiropractic care. The purpose of this study was to investigate the practice characteristics of chiropractors who treat pediatric patients in Quebec, Canada. Methods We conducted a web-based cross-sectional survey of all licensed chiropractors working in Quebec (Canada). Data were collected using an adapted questionnaire. Descriptive statistics were produced for all the variables collected. Results Among our 245 participants (response rate: 21%), 63% were women, and half defined themselves as general musculoskeletal (MSK) health care practitioners. Nearly all participants reported seeing 0–5 new pediatric patients/week, and the most common pediatric age group was 6–12 years old (57%). Pediatric patients were most commonly referred by family members and “word of mouth”. The respondents most frequently indicated that they strongly agreed with statements affirming their confidence in their own diagnostic capacities regarding MSK disorders with respect to all age groups as well as non-MSK disorders with regard to young teens. They reported a moderate level of agreement with similar statements concerning the diagnosis of non-MSK disorders in newborns, preschoolers, and children. Chiropractors rarely referred their pediatric patients to a nurse/family doctor or a pediatrician. When presented with potential pediatric red flags, the respondents commonly indicated that they would refer the patient to a physician in an emergency situation or for comanagement. Conclusion Chiropractors in Quebec are confident in their diagnoses of pediatric MSK conditions and refer patients to physicians in the rare event of a worrisome presentation. However, some chiropractors may have expectations that are unsupported by evidence regarding the diagnosis and management of non-MSK complaints. |
| first_indexed | 2024-04-11T12:40:21Z |
| format | Article |
| id | doaj.art-a0abbcded2244c4e9a30992c0c72eba7 |
| institution | Directory Open Access Journal |
| issn | 2045-709X |
| language | English |
| last_indexed | 2024-04-11T12:40:21Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Chiropractic & Manual Therapies |
| spelling | doaj.art-a0abbcded2244c4e9a30992c0c72eba72022-12-22T04:23:31ZengBMCChiropractic & Manual Therapies2045-709X2022-12-0130111110.1186/s12998-022-00464-yChiropractic pediatric patient management and interdisciplinary collaboration: a descriptive cross-sectional study of chiropractors in QuebecChantale Doucet0Élisa Dubuc1Camille Imbeau2Katherine A. Pohlman3Marc-André Blanchette4Département de Chiropratique, Université du Québec à Trois-Rivières (UQTR)Département de Chiropratique, Université du Québec à Trois-Rivières (UQTR)Département de Chiropratique, Université du Québec à Trois-Rivières (UQTR)Center, Parker UniversityDépartement de Chiropratique, Université du Québec à Trois-Rivières (UQTR)Abstract Background Worldwide, many patients, including minors, seek chiropractic care. The purpose of this study was to investigate the practice characteristics of chiropractors who treat pediatric patients in Quebec, Canada. Methods We conducted a web-based cross-sectional survey of all licensed chiropractors working in Quebec (Canada). Data were collected using an adapted questionnaire. Descriptive statistics were produced for all the variables collected. Results Among our 245 participants (response rate: 21%), 63% were women, and half defined themselves as general musculoskeletal (MSK) health care practitioners. Nearly all participants reported seeing 0–5 new pediatric patients/week, and the most common pediatric age group was 6–12 years old (57%). Pediatric patients were most commonly referred by family members and “word of mouth”. The respondents most frequently indicated that they strongly agreed with statements affirming their confidence in their own diagnostic capacities regarding MSK disorders with respect to all age groups as well as non-MSK disorders with regard to young teens. They reported a moderate level of agreement with similar statements concerning the diagnosis of non-MSK disorders in newborns, preschoolers, and children. Chiropractors rarely referred their pediatric patients to a nurse/family doctor or a pediatrician. When presented with potential pediatric red flags, the respondents commonly indicated that they would refer the patient to a physician in an emergency situation or for comanagement. Conclusion Chiropractors in Quebec are confident in their diagnoses of pediatric MSK conditions and refer patients to physicians in the rare event of a worrisome presentation. However, some chiropractors may have expectations that are unsupported by evidence regarding the diagnosis and management of non-MSK complaints.https://doi.org/10.1186/s12998-022-00464-yChildrenPediatricChiropracticInterdisciplinaryPracticeSurvey |
| spellingShingle | Chantale Doucet Élisa Dubuc Camille Imbeau Katherine A. Pohlman Marc-André Blanchette Chiropractic pediatric patient management and interdisciplinary collaboration: a descriptive cross-sectional study of chiropractors in Quebec Chiropractic & Manual Therapies Children Pediatric Chiropractic Interdisciplinary Practice Survey |
| title | Chiropractic pediatric patient management and interdisciplinary collaboration: a descriptive cross-sectional study of chiropractors in Quebec |
| title_full | Chiropractic pediatric patient management and interdisciplinary collaboration: a descriptive cross-sectional study of chiropractors in Quebec |
| title_fullStr | Chiropractic pediatric patient management and interdisciplinary collaboration: a descriptive cross-sectional study of chiropractors in Quebec |
| title_full_unstemmed | Chiropractic pediatric patient management and interdisciplinary collaboration: a descriptive cross-sectional study of chiropractors in Quebec |
| title_short | Chiropractic pediatric patient management and interdisciplinary collaboration: a descriptive cross-sectional study of chiropractors in Quebec |
| title_sort | chiropractic pediatric patient management and interdisciplinary collaboration a descriptive cross sectional study of chiropractors in quebec |
| topic | Children Pediatric Chiropractic Interdisciplinary Practice Survey |
| url | https://doi.org/10.1186/s12998-022-00464-y |
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