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Is High-Utilization Chiropractic Treatment Efficacious in Whiplash?
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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In a recent article by Côté et al,1 the authors appeared at first blush to demonstrate that chiropractic management of whiplash injuries might delay recovery. Superficially, it suggests that patients who see general practitioners in "low-utilization" settings recover from their injuries more quickly compared with those who see general practitioners in "high-utilization" settings and that patients who see chiropractors and a medical practitioner have slower recoveries. Those who see only chiropractors in the "high-utilization" setting have the slowest recovery.
If one looks closer at this study, several troubling details emerge. The first is the definition of "recovery." As the same authors have done in previous studies, claim closure, which is essentially an administrative decision made by the Saskatchewan Government Insurance (SGI), was considered a proxy for "recovery."2 The authors did not have any contact with the claimants. All data used was from SGI files. There were no telephone interviews, no . . . [Full Text of this Article] AUTHOR INFORMATION
Arthur C. Croft, PhD (cand), DC, MSc, MPH
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