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BAck Complaints in the Elders - Chiropractic (BACE-C): Design of a cohort study in chiropractic care
Iben Axen
Johnathan Field
Bart Koes
Trynke Hoekstra
Katie de Luca
Sidney M Rubinstein
Jan Hartvigsen
Simon French
Alan Jenks
Maurits van Tulder
Dave Newell
Novel Coronavirus
Acceso Abierto
Background: Low back pain is a common condition among older adults that significantly influences physical function and participation. Compared to their younger counterparts, there is limited information available about the clinical course of low back pain in older people, in particularly those presenting for chiropractic care. Improving our understanding of this patient population and the course of their low back pain may provide input for studies researching safer and more effective care than is currently provided. Objectives: The primary objectives are to examine the clinical course over one year of the intensity, healthcare costs and improvement rates of low back pain in people 55 years and older who visit a chiropractor for a new episode of low back pain. Methods: An international prospective, multi-center cohort study with one-year follow-up. Chiropractic practices are to be recruited in the Netherlands, Sweden, United Kingdom and Australia. Treatment will be left to the discretion of the chiropractor. Inclusion/Exclusion criteria: Patients 55 years and older who are accepted for care having presented to a chiropractor with a new episode of low back pain and who have not been to a chiropractor in the previous six months for an episode of low back pain are to be included, independent of whether or not they have seen another type of health care provider. Patients who are unable to complete the web-based questionnaires because of language restrictions or those with computer literacy restrictions will be excluded as well as those with cognitive disorders. In addition, those with a suspected tumor, fracture, infection or any other potential red flag or condition considered to be a contraindication for chiropractic care will be excluded. Data will be collected using online questionnaires at baseline, and at 2 and 6 weeks and at 3, 6, 9 and 12 months. ### Competing Interest Statement ADJ, KD and SMR work as chiropractors in private practice. MvT and SMR received grants from the European Chiropractors’ Union (ECU), the European Centre for Chiropractic Research Excellence (ECCRE), the Belgian Chiropractic Association (BVC) and the Netherlands Chiropractic Association (NCA) for his position at the Vrije Universiteit Amsterdam. JH has received grants from ECCRE and the Danish Chiropractor’s Research Foundation. SDF has received funding from the Canadian Chiropractic Research Foundation, the Australian Chiropractors’ Association and the Chiropractic Australia Research Foundation. IA has received grants from the Institut för Kiropraktisk och Neuromuskuloskeltal forskning. KD has received funding from Australian Chiropractic Association. DN and JF has received funding from the Chiropractic Research Council. ### Clinical Trial Nederlandse Trial Registrar NL7507 ### Funding Statement All research groups have obtained funding for their national study, separately. The Dutch study is funded by European Centre for chiropractic research excellence (ECCRE), located in Odense, Denmark (grant number 01-2016-NL/MvT) as well as funded by the Nederlandse Chiropractic Association (NCA) located in Joure, Netherlands. The Swedish study is funded by Institut för Kiropraktisk och Neuromuskuloskeltal forskning, located in Stockholm, Sweden (grant number 802477-4724). The British study is funded by Chiropractic Research Council, located in Lkangefni Gwynedd, UK (grant number CRC0003). The Australian study is funded by the Australian Chiropractic Association, located in Sydney, Australia. ### Author Declarations All relevant ethical guidelines have been followed and any necessary IRB and/or ethics committee approvals have been obtained. Yes All necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived. Yes Any clinical trials involved have been registered with an ICMJE-approved registry such as and the trial ID is included in the manuscript. Yes I have followed all appropriate research reporting guidelines and uploaded the relevant Equator, ICMJE or other checklist(s) as supplementary files, if applicable. Yes Data sharing is not applicable to this article as no datasets were generated or analyzed during the current study.
Cold Spring Harbor Laboratory Press
Appears in Collections:Artículos científicos

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