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Trial registered on ANZCTR
Registration number
ACTRN12616001315404
Ethics application status
Approved
Date submitted
15/09/2016
Date registered
20/09/2016
Date last updated
20/09/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Therapy intervention and imaging utilisation patterns for patients over the age of 50 presenting to a chiropractic teaching clinic.
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Scientific title
Therapy intervention and imaging utilisation patterns for patients over the age of 50 presenting to a chiropractic teaching clinic.
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Secondary ID [1]
290129
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NIL
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Universal Trial Number (UTN)
U1111-1187-4890
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Trial acronym
NA
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Linked study record
NA
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Health condition
Health condition(s) or problem(s) studied:
Spinal Pain
300239
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Condition category
Condition code
Musculoskeletal
300159
300159
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Clinical audit of manual care and imaging patterns
Manual care considered as chiropractic delivery of high velocity low amplitude spinal manipulation (HVLA SMT)
Imaging considered as;
Plain film radiography
CT Scan
MRI
NB: Anatomical region and geographical location acquisition specific for people managed
January 2005 to December 2010
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Intervention code [1]
295880
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
299588
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Proportion of patients who received management
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Assessment method [1]
299588
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Timepoint [1]
299588
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The outcome is assessed by clinical record review.
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Primary outcome [2]
299661
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(Anatomical) Spinal regions undergoing SMT
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Assessment method [2]
299661
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Timepoint [2]
299661
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The outcome is assessed by clinical record review.
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Secondary outcome [1]
327635
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Proportion of people with whom imaging was utilised in their clinical management
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Assessment method [1]
327635
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Timepoint [1]
327635
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The outcome is assessed by clinical record review.
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Secondary outcome [2]
327753
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(Anatomical) Location
If imaging was utilised; for what anatomical region(s)?
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Assessment method [2]
327753
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Timepoint [2]
327753
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The outcome is assessed by clinical record review.
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Secondary outcome [3]
327755
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(Geographical) Location
If imaging was utilised was it acquired on campus or at another location such as a hospital or another radiology facility?
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Assessment method [3]
327755
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Timepoint [3]
327755
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The outcome is assessed by clinical record review.
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Secondary outcome [4]
327756
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Timing
If imaging was utilised was it acquired before or after manual care delivery?
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Assessment method [4]
327756
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Timepoint [4]
327756
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The outcome is assessed by clinical record review.
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Eligibility
Key inclusion criteria
People age 50 or over presenting to a campus based chiropractic clinic
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Minimum age
50
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Under age 50
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Retrospective
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Statistical methods / analysis
Data will be analysed in IBM SPSS v22 (IBM SPSS Inc., 2010, Chicago, IL, www.spss.com), and statistical significance will be set at p<0.05.
Modelling
Frequency tables will be produced for the various clinical questions outlined.
Analysis of the whole data set may also be conducted using logistic regression.
Age will be considered as a continuous variable as well as in groupings from 50-59, 60-69, 70-79, and 80 and over.
Tables showing the odds ratios (OR) and 95% confidence intervals (CI) associated with each patient characteristic, will be produced.
The sample size was determined from a search of clinical records. Since this is an audit, 2054 is the number of cases found to fit the inclusion criteria.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/02/2012
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Date of last participant enrolment
Anticipated
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Actual
1/02/2012
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Date of last data collection
Anticipated
1/02/2012
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Actual
30/06/2012
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Sample size
Target
2054
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Accrual to date
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Final
2054
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment postcode(s) [1]
14277
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6150 - Murdoch
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Funding & Sponsors
Funding source category [1]
294504
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University
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Name [1]
294504
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Murdoch University
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Address [1]
294504
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90 South St
MURDOCH WA 6150
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Country [1]
294504
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Australia
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Primary sponsor type
University
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Name
Murdoch University
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Address
90 South St
MURDOCH WA 6150
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Country
Australia
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Secondary sponsor category [1]
293368
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None
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Name [1]
293368
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Address [1]
293368
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Country [1]
293368
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
295937
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Murdoch University Human Research and Ethics Committee
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Ethics committee address [1]
295937
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Chancellery Building 90 South St MURDOCH WA 6150
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Ethics committee country [1]
295937
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Australia
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Date submitted for ethics approval [1]
295937
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10/01/2012
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Approval date [1]
295937
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30/01/2012
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Ethics approval number [1]
295937
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2012/001
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Summary
Brief summary
An audit of all consultations for patients 50 years and over spanning 2005-2010 was undertaken. Management of patients was categorised according to treatment delivery (yes/no); treatment type (passive care with/without SMT); spinal region (cervical/thoracic/lumbo-pelvic); whether imaging was obtained (yes/no); image timing (prior to care yes/no); and imaging centre (MUCC/external). This study aims to quantify the imaging patterns and practices at a chiropractic teaching clinic and its significance with respect to spinal manipulation. The use of imaging within the chiropractic profession is the subject of significant debate, and especially the question of whether spinal manipulation should be performed in the absence of spinal imaging of the relevant spinal region. There has been, to date little data on the actual frequency of the use of imaging for patients undergoing chiropractic care. Whilst there is not universal agreement as to the significance of age, it does constitute an ideal starting point, a baseline to quantitatively measure imaging behaviour in a clinical setting. This study sets out with the primary clinical question; "How often do students at a chiropractic teaching clinic view images of the region being treated with high velocity low amplitude (HVLA) manipulation of the spine if the patient is age 50 or greater?" A second question is; "If images were viewed, were they obtained prior to HVLA treatment?" Finally "If images were obtained, were they performed on campus or externally, or both
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Trial website
NA
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Trial related presentations / publications
NA
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Public notes
NA
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Contacts
Principal investigator
Name
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Dr Lyndon Gene Amorin-Woods
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Address
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Murdoch University Chiropractic Clinic
Carpark 7
90 South St
MURDOCH WA 6150
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Country
68966
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Australia
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Phone
68966
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+61 8 93601267
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Fax
68966
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Email
68966
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[email protected]
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Contact person for public queries
Name
68967
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Lyndon Gene Amorin-Woods
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Address
68967
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Murdoch University Chiropractic Clinic
Carpark 7
90 South St
MURDOCH WA 6150
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Country
68967
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Australia
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Phone
68967
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+61 8 93601267
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Fax
68967
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Email
68967
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[email protected]
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Contact person for scientific queries
Name
68968
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Lyndon Gene Amorin-Woods
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Address
68968
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Murdoch University Chiropractic Clinic
Carpark 7
90 South St
MURDOCH WA 6150
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Country
68968
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Australia
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Phone
68968
0
+61 8 93601267
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Fax
68968
0
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Email
68968
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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