The association between guideline adherent radiographic imaging by chiropractic students and the diagnostic yield of clinically significant findings

Shangavi Parthipan, Chris Bowles, Katie de Luca, Hazel Jenkins

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Radiographic guidelines aim to increase the diagnostic yield of clinically relevant imaging findings whilst minimising risk. This study assessed the appropriateness of radiographic referrals made by student chiropractors and explored the association between guideline appropriate imaging and clinically significant radiographic findings.

Methods: Radiographic referral and report findings (n=437) from 2018 were extracted from Macquarie University chiropractic clinics. Appropriateness of radiographic referrals was assessed according to current radiographic guidelines. Radiographic findings were assessed for clinical significance. The association between guideline appropriate radiographic referral and clinically significant radiographic findings was assessed using logistic regression analysis and odds ratios were estimated.

Results: The proportion of guideline appropriate imaging was 55.8% (95%CI: 51.2-60.4). An association between guideline appropriate radiographs and clinically significant findings was found (OR: 2.2; 95%CI: 1.3-4.1).

Conclusions: Approximately half of all radiographic referrals made by chiropractic students were guideline concordant. Guideline appropriate imaging was associated with an increase in clinically significant radiographic findings.
Original languageEnglish
Pages (from-to)66-75
Number of pages10
JournalJournal of the Canadian Chiropractic Association
Volume65
Issue number1
Publication statusPublished - Apr 2021

Keywords

  • chiropractic
  • radiographs
  • guidelines
  • diagnostic yield
  • appropriate use

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