NCT04923308

The Effect of Chiropractor-informed Triage on Low Back Pain Patient Outcomes and Trajectories

The Effect of Chiropractor-informed Triage Versus Usual Medical Management on Low Back Pain Patient Outcomes and Trajectories in Tertiary Care Settings: a Controlled Clinical Study.

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 118 (actual)
• Sponsor: Université du Québec à Trois-Rivières · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Almost everyone will have low back pain (LBP) at some point in their lives. LBP is a complex multifactorial condition for which diagnosis and clinical management remains a challenge. Factors such as wait times, delays in diagnosis or proper referral can result in Canadian patients having difficulty getting the care that they need. The overall objective of this project is to explore how chiropractors, who specialize in the diagnosis and clinical management of spinal conditions, can transform healthcare trajectories and improve the health of patients with LBP by integrating medical specialist team.To do so, patients with low back pain seeking medical care within the public health system will be first seen by chiropractors. Chiropractors will play a key role in identifying the type of low back pain and subsequently offering guidance to medical specialists with regard to the best treatment and management options that are currently recommended. Participating patients will be followed over a year while extensive health-related data will be collected and compared to non-triage patients with LBP.

Conditions

• Low Back Pain
• Triage

Interventions

Type	Name	Description
OTHER	Triage results disclosed	Following the chiropractor triage assessment, the working diagnosis and risk stratification or referral need will be communicated to the specialist using a standardized clinical note, prior to the patient's consultation and without further discussion.
OTHER	Triage results undisclosed	Following the chiropractor triage assessment, the working diagnosis and risk stratification or referral need will not be communicated to the specialist.

Timeline

• Start date: 2021-07-06
• Primary completion: 2024-11-27
• Completion: 2024-11-27
• First posted: 2021-06-11
• Last updated: 2025-03-28

Locations

1 site across 1 country: Canada