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CCGPP General Guidelines for Practice
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==CCGPP General Guidelines for professional practice
In 2008 the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) embarked upon an ambitious project to help clarify treatment guidelines related to low back disorders. Although a number of guidelines addressing manipulation exist, none to that point in time had incorporated a broad-based consensus of chiropractic research and clinical experts representing mainstream chiropractic practice into a practical document designed to provide standardized parameters of care. Following a RAND/UCLA methodology for consensus development, this broad-based panel of experienced chiropractors was able to reach a high level (80%) of consensus regarding specific aspects of the chiropractic approach to care for patients with low back pain, based on both the scientific evidence and their clinical experience. In general, if the patient is improving up to two rounds of up to 12 visits per round were deemed appropriate. [1]
In 2010 CCGPP researchers conducted another Delphi panel again following the RAND/UCLA protocol for consensus development, and sought to address the issue of proper treatment related to the management of chronic spine-related conditions. Chronic spine-related conditions are very problematic in terms of treatment and indemnity costs, diagnostic complexity, and appropriate case management. The purpose of this project was to develop a broad-based multidisciplinary consensus of medical and chiropractic clinical experts representing mainstream medical and chiropractic practice to produce a document designed to provide standardized parameters of care and documentation. After a very tedious process, a multidisciplinary panel of experienced practitioners was able to reach a high level (80%) of consensus regarding specific aspects of the chiropractic approach to care for complex patients with chronic spine-related conditions, based on both the scientific evidence and their clinical experience. In general this panel concluded that conservative management of chronic spine-related disorders could include "episodic" treatment (ex. 1-6 visits for a mild episode of chronic pain flare-up), to "scheduled" chronic pain management, which could include up to 1-4 treatments per month, to be re-evaluated at a minimum every 12 visits. [2]
References
- ↑ Globe, G; Morris, CE; Whalen, WM; Farabaugh, RJ; Hawk, C (2008 Nov-Dec). "Chiropractic management of low back disorders: report from a consensus process". JMPT 31 (9): 651-8. http://www.ncbi.nlm.nih.gov/pubmed/?term=Chiropractic+Management+of+Low+Back+Disorders%3A+Report+from+a+Consensus+Process. Retrieved 3/09/2013.
- ↑ Farabaugh, RJ; Dehen, MD; Hawk, C (2010 Sept). "Management of chronic spine-related conditions: consensus recommendations of a multidisciplinary panel.". JMPT 33 (7): 484-92. http://www.ncbi.nlm.nih.gov/pubmed/?term=Farabaugh%3A+Chronic+Spine+Pain%3A. Retrieved 3/09/2013.
