%0 Journal Article
%T Clinical Practice Guideline for Best Practice Management of Pediatric Patients by Chiropractors: Results of a Delphi Consensus Process.
%A Keating G
%A Hawk C
%A Amorin-Woods L
%A Amorin-Woods D
%A Vallone S
%A Farabaugh R
%A Todd A
%A Ferrance R
%A Young J
%A O'Neill Bhogal S
%A Sexton H
%A Alevaki H
%A Miller J
%A Parkin-Smith G
%A Schielke A
%A Robinson A
%A Thompson R
%J J Integr Complement Med
%V 30
%N 3
%D 2024 Mar 30
%M 37902954
暂无%R 10.1089/jicm.2023.0010
%X Objective: To build upon existing recommendations on best practices for chiropractic management of children by conducting a formal consensus process and best evidence synthesis. Design: Best practice guide based on recommendations from current best available evidence and formal consensus of a panel of experienced practitioners, consumers, and experts for chiropractic management of pediatric patients. Methods: Synthesis of results of a literature search to inform the development of recommendations from a multidisciplinary steering committee, including experts in pediatrics, followed by a formal Delphi panel consensus process. Results: The consensus process was conducted June to August 2022. All 60 panelists completed the process and reached at least 80% consensus on all recommendations after three Delphi rounds. Recommendations for best practices for chiropractic care for children addressed these aspects of the clinical encounter: patient communication, including informed consent; appropriate clinical history, including health habits; appropriate physical examination procedures; red flags/contraindications to chiropractic care and/or spinal manipulation; aspects of chiropractic management of pediatric patients, including infants; modifications of spinal manipulation and other manual procedures for pediatric patients; appropriate referral and comanagement; and appropriate health promotion and disease prevention practices. Conclusion: This set of recommendations represents a general framework for an evidence-informed and reasonable approach to the management of pediatric patients by chiropractors.