{Reference Type}: Journal Article
{Title}: Clinical Practice Guideline for Best Practice Management of Pediatric Patients by Chiropractors: Results of a Delphi Consensus Process.
{Author}: Keating G;Hawk C;Amorin-Woods L;Amorin-Woods D;Vallone S;Farabaugh R;Todd A;Ferrance R;Young J;O'Neill Bhogal S;Sexton H;Alevaki H;Miller J;Parkin-Smith G;Schielke A;Robinson A;Thompson R;
{Journal}: J Integr Complement Med
{Volume}: 30
{Issue}: 3
{Year}: 2024 Mar 30
暂无{DOI}: 10.1089/jicm.2023.0010
{Abstract}: 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.