Ali Smith, DC
- Program of Study: Diagnostic Imaging Residency Program
- Institution: Canadian Memorial Chiropractic College
- Project Title: The Adherence to Spinal Imaging Guidelines and the Utilization of Lumbar Spine Diagnostic Imaging for a New Episode of Low Back Pain at the Canadian Memorial Chiropractic College.
- Project Background: Diagnostic imaging is useful for assessing low back pain (LBP) when a clinician is suspicious of serious or specific underlying pathology. There is rising concern that health care professionals are inappropriately recommending diagnostic imaging when there is no clinical indication. This inappropriate use of imaging increases healthcare costs, exposes patients to unnecessary radiation, and negatively impacts patient outcomes. Evidence-based imaging guidelines have been developed to assist clinicians inappropriately in requesting imaging for assessing LBP. A 2004 study conducted at the Canadian Memorial Chiropractic College (CMCC) reported high adherence to three clinical guidelines and a utilization rate of 12.3% in imaging of LBP patients. Since this study, a new diagnostic imaging guideline for spinal disorders has been published and implemented in the CMCC curriculum.
- Project Objectives: The primary aim of our study is to determine the adherence rate to the current Canadian chiropractic imaging guideline, and our secondary aim is to determine the utilization rate of diagnostic imaging in patients with a new episode of LBP, presenting to CMCC clinics.
- Committee Members:
- Silvano Mior DC, PhD, FCCS(C) (CMCC & Ontario Tech University)
- Varsha Kumar BSc (Hons), DACBR, DC, FCCR(C)(CMCC)
- Jeffery Cooley DC, DACBR (Murdoch University)
- Carlo Ammendolia DC, PhD(University of Toronto & Mt. Sinai Hospital)