Factors affecting chiropractor requests for full‐length spinal radiography: A scoping review
Abstract Chiropractors often refer their patients for full‐length (three‐ to four‐region) radiographs of the spine as part of their clinical assessment, which are frequently completed by radiographers in medical imaging practices. Overuse of spinal radiography by chiropractors has previously been re...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-06-01
|
| Series: | Journal of Medical Radiation Sciences |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/jmrs.566 |
| _version_ | 1828528134923747328 |
|---|---|
| author | Thomas R. Readford Melanie Hayes Warren Michael Reed |
| author_facet | Thomas R. Readford Melanie Hayes Warren Michael Reed |
| author_sort | Thomas R. Readford |
| collection | DOAJ |
| description | Abstract Chiropractors often refer their patients for full‐length (three‐ to four‐region) radiographs of the spine as part of their clinical assessment, which are frequently completed by radiographers in medical imaging practices. Overuse of spinal radiography by chiropractors has previously been reported and remains a contentious issue. The purpose of this scoping review was to explore the issues surrounding the utilisation of full‐length spinal radiography by chiropractors and examine the alignment of this practice with current evidence. A search of four databases (AMED, EMBASE, MedLine and Scopus) and a hand search of Google was conducted using keywords. Articles were screened against an inclusion/exclusion criterion for relevance. Themes and findings were extracted from eligible articles, and evidence was synthesised using a narrative approach. In total, 25 articles were identified, five major themes were extracted, and subsequent conclusions drawn by authors were charted to identify confluent findings. This review identified a paucity of literature addressing this issue and an underrepresentation of relevant perspectives from radiographers. Several issues surrounding the use of full‐length spinal radiography by chiropractors were identified and examined, including barriers to the adherence of published guidelines for spinal imaging, an absence of a reporting mechanism for the utilisation of spinal radiography in chiropractic and the existence of a spectrum of beliefs amongst chiropractors about the clinical utility and limitations of full‐length spinal radiography. Further investigation is required to further understand the scope of this issue and its impacts for radiation protection and patient safety. |
| first_indexed | 2024-12-11T21:48:09Z |
| format | Article |
| id | doaj.art-b74ed3a4ef2a4ffea2d46ca1cd6ac544 |
| institution | Directory Open Access Journal |
| issn | 2051-3895 2051-3909 |
| language | English |
| last_indexed | 2024-12-11T21:48:09Z |
| publishDate | 2022-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Medical Radiation Sciences |
| spelling | doaj.art-b74ed3a4ef2a4ffea2d46ca1cd6ac5442022-12-22T00:49:33ZengWileyJournal of Medical Radiation Sciences2051-38952051-39092022-06-0169223624910.1002/jmrs.566Factors affecting chiropractor requests for full‐length spinal radiography: A scoping reviewThomas R. Readford0Melanie Hayes1Warren Michael Reed2Discipline of Medical Imaging Science, Sydney School of Health Sciences, Faculty of Medicine and Health The University of Sydney Camperdown New South Wales AustraliaDiscipline of Work Integrated Learning, Sydney School of Health Sciences, Faculty of Medicine and Health The University of Sydney Camperdown New South Wales AustraliaMedical Imaging Optimisation and Perception Group (MIOPeG), Sydney School of Health Sciences, Faculty of Medicine and Health The University of Sydney Camperdown New South Wales AustraliaAbstract Chiropractors often refer their patients for full‐length (three‐ to four‐region) radiographs of the spine as part of their clinical assessment, which are frequently completed by radiographers in medical imaging practices. Overuse of spinal radiography by chiropractors has previously been reported and remains a contentious issue. The purpose of this scoping review was to explore the issues surrounding the utilisation of full‐length spinal radiography by chiropractors and examine the alignment of this practice with current evidence. A search of four databases (AMED, EMBASE, MedLine and Scopus) and a hand search of Google was conducted using keywords. Articles were screened against an inclusion/exclusion criterion for relevance. Themes and findings were extracted from eligible articles, and evidence was synthesised using a narrative approach. In total, 25 articles were identified, five major themes were extracted, and subsequent conclusions drawn by authors were charted to identify confluent findings. This review identified a paucity of literature addressing this issue and an underrepresentation of relevant perspectives from radiographers. Several issues surrounding the use of full‐length spinal radiography by chiropractors were identified and examined, including barriers to the adherence of published guidelines for spinal imaging, an absence of a reporting mechanism for the utilisation of spinal radiography in chiropractic and the existence of a spectrum of beliefs amongst chiropractors about the clinical utility and limitations of full‐length spinal radiography. Further investigation is required to further understand the scope of this issue and its impacts for radiation protection and patient safety.https://doi.org/10.1002/jmrs.566chiropracticdiagnostic radiographyfull‐length spinal X‐ray |
| spellingShingle | Thomas R. Readford Melanie Hayes Warren Michael Reed Factors affecting chiropractor requests for full‐length spinal radiography: A scoping review Journal of Medical Radiation Sciences chiropractic diagnostic radiography full‐length spinal X‐ray |
| title | Factors affecting chiropractor requests for full‐length spinal radiography: A scoping review |
| title_full | Factors affecting chiropractor requests for full‐length spinal radiography: A scoping review |
| title_fullStr | Factors affecting chiropractor requests for full‐length spinal radiography: A scoping review |
| title_full_unstemmed | Factors affecting chiropractor requests for full‐length spinal radiography: A scoping review |
| title_short | Factors affecting chiropractor requests for full‐length spinal radiography: A scoping review |
| title_sort | factors affecting chiropractor requests for full length spinal radiography a scoping review |
| topic | chiropractic diagnostic radiography full‐length spinal X‐ray |
| url | https://doi.org/10.1002/jmrs.566 |
| work_keys_str_mv | AT thomasrreadford factorsaffectingchiropractorrequestsforfulllengthspinalradiographyascopingreview AT melaniehayes factorsaffectingchiropractorrequestsforfulllengthspinalradiographyascopingreview AT warrenmichaelreed factorsaffectingchiropractorrequestsforfulllengthspinalradiographyascopingreview |