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Swiss chiropractic cohort (Swiss ChiCo) pilot study: feasibility for a musculoskeletal cohort study conducted within a nationwide practice-based research network.

Authors :
Lalji, Rahim
Hofstetter, Léonie
Kongsted, Alice
von Wyl, Viktor
Braun, Julia
Puhan, Milo A.
Hincapié, Cesar A.
Bidlingmeyer, Aline
Fingal, Andreas
Maire, Anja
Gassner, Antonia
Kurmann, Astrid
Pulver, Bernhard
Beetschen, Carole
Chervet, Christian
Padua, Christina
Schmid, Christof
Noirat-Berdat, Clarisse
Illi, Claude
Faas, Colette
Source :
European Spine Journal; May2024, Vol. 33 Issue 5, p2068-2078, 11p
Publication Year :
2024

Abstract

Purpose: Practice-based research networks are collaborations between clinicians and researchers to advance primary care research. This study aims to assess the feasibility for longitudinal data collection within a newly established chiropractic PBRN in Switzerland. Methods: A prospective observational cohort feasibility study was performed. PBRN participating chiropractors were asked to recruit patients seeking new conservative health care for musculoskeletal pain from March 28, 2022, to September 28, 2022. Participants completed clinically oriented survey questions and patient-reported outcome measures before the initial chiropractic assessment as well as 1 h, 2 weeks, 6 weeks, and 12 weeks thereafter. Feasibility was assessed through a variety of process, resource, and management metrics. Patient clinical outcomes were also assessed. Results: A total of 76 clinicians from 35 unique primary care chiropractic clinics across Switzerland participated. A total of 1431 patients were invited to participate, of which 573 (mean age 47 years, 51% female) were enrolled. Patient survey response proportions were 76%, 64%, 61%, and 56%, at the 1-h, 2-, 6-, and 12-week survey follow-ups, respectively. Evidence of an association was found between increased patient age (OR = 1.03, 95%CI 1.01–1.04), patient from a German-speaking region (OR = 1.81, 95%CI 1.17–2.86), non-smokers (OR = 1.89, 95%CI 1.13–3.17), and increased pain impact score at baseline (OR = 1.18, 95%CI 1.01–1.38) and response to all surveys. Conclusion: The Swiss ChiCo pilot study exceeded its prespecified feasibility objectives. Nationwide longitudinal data capture was highly feasible. Similar to other practice-based cohorts, participant retention remains a challenge. Trial registration Swiss chiropractic cohort (Swiss ChiCo) pilot study (ClinicalTrials.gov identifier: NCT05116020). [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09406719
Volume :
33
Issue :
5
Database :
Complementary Index
Journal :
European Spine Journal
Publication Type :
Academic Journal
Accession number :
177925761
Full Text :
https://doi.org/10.1007/s00586-024-08175-z