To raise funds to fund and promote clinical and laboratory research into the premise, hypothesis, principles and efficacy of the science, art and practice of chiropractic, including but not limited to research into neurological impacts, pathways and visceral effects associated with chiropractic health care and its delivery systems and mechanisms, and nutrition related to attending patients and the public in general. Such research may involve scientific laboratory studies, controlled clinical trials, randomised controlled trials, case controlled studies, specific case studies, cohort and epidemiological studies. PCS may also fund the development, recording and publishing of expert opinion related to specific practice approaches and procedures that have been shown to be effective (or ineffective) and various forms of patient or public education programs.
DONATIONS TO PCS ARE TAX DEDUCTIBLE UNDER ATO ITEM 1 FROM JANUARY 15, 2020.
While millions of patients accept the efficacy and benefits of chiropractic health care, after 120+ years of the chiropractic profession's existence, limited clinical evidence has been compiled. Chiropractors are sole practitioners, with no or little access to public funded multi-practitioner clinics and hospitals, so much of the future research must be conducted in each practice by the individual chiropractor. It is imperative that future research accommodates the fundamental mode of Chiropractic practice. Correctly structured case studies are the most appropriate, relevant, cost effective and valid mechanism to advance research into the chiropractic premise and general health matters.
Initially, PCS aims to encourage every practising chiropractor worldwide regardless of technique to record interesting cases following the CARE Guidelines. Send your study to PCS where the Keywords will then be used by special computer programs to compile significant cohort studies and systematic reviews that results in a consilience of the evidence established by many individual case studies. This exercise will significantly contribute to the confirmation the efficacy of Chiropractic over a vast array of health conditions across all age groups. The value of this approach is described in a video interview of a PCS Member Patron, Dr Phillip Ebrall, chiropractic academic and researcher. Use this link to view:
Participate in the generation of multiple case studies each year. PCS would like to see 3 to 4 from each DC each year! Send PCS an email to receive a Patron membership application form and instructions about CARE Case Study Guidelines.
Case studies will be peer reviewed and published in a new, dedicated online journal co-sponsored by PCS; the International Journal for Practising Chiropractors, that will provide access via search engines to students, chiropractors and researchers: www.IJPConline.org
PCS also requests that members and the public provide notification of any studies or research that may assist in the advancement of the PCS objectives.
Additional PCS Objectives
PCS Media Releases & Education
Your support of the PCS initiatives is urgently needed and appreciated. Chiropractic and general public depends on the generation of relevant research that is suited to the limitations and scope of normal clinical chiropractic practice. We encourage you to generate multiple case studies based on the CARE Guidelines. PCS is a not for profit international organisation with a Board of Directors (unpaid) representing many of the countries where a significant number of chiropractors conduct practice.
Clinical data collection from the point of care informs the delivery of high-quality individualized healthcare, integrating clinical expertise with external evidence. The CARE guidelines for case reports help authors reduce bias, increase transparency, and provide early signals of what works, for which patients, and under which circumstances
The CARE guidelines, developed by an international group of experts, were designed to increase the accuracy, transparency, and usefulness of case reports. Since the 2013 and 2017 CARE publications in the Journal of Clinical Epidemiology, these guidelines have been endorsed by multiple medical journals and translated into more than ten languages. The CARE guidelines support the efforts of the Equator Network to improve the transparency and accuracy of health research reporting. Online training in writing case reports following the CARE guidelines is available from Scientific Writing in Health and Medicine (SWIHM).
Here are how some healthcare stakeholder groups benefit when CARE informed case reports are written:
1. Patients can review transparent information on therapeutic options.
2. Clinicians improve peer-to-peer communication.
3. Researchers use testable hypotheses from clinical settings.
4. Educators have examples to support case-based learning.
5. Authors receive guidance on writing accurate and transparent case reports.
6. Medical Journals support for the evaluation of case reports.
The CARE guidelines and checklist provide authors tools to write accurate and transparent case reports. They also provide editors and peer reviewers tools to critically evaluate case reports. The CARE tools include the 2013 and 2017 CARE publications, the CARE checklist, case report writing tools, and translations.
Normal cervical alignment rarely observed in a chiropractic office
1. Title – The area of focus and “case report” should appear in the title
2. Key Words – Two to five key words that identify topics in this case report
3. Abstract – (structured or unstructured)
o Introduction – WHAT is unique and WHY this finding may be associated with a particular intervention?
o The patient’s main concerns and important clinical findings.
o The primary chiropractic and if relevant medical diagnoses, interventions, and outcomes.
o Conclusion—What are one or more “take-away” lessons?
4. Introduction – Briefly summarize why this case is unique with medical literature references.
5. Patient Information
o De-identified demographic and other patient information.
o Main concerns and symptoms of the patient.
o Medical, family, and psychosocial history including genetic information.
o Relevant past interventions and their outcomes.
6. Clinical Findings – Relevant physical examination (PE) and other clinical findings.
7. Timeline – Relevant data from this episode of care organized as a timeline (figure or table).
8. Diagnostic Assessment
o Diagnostic methods (PE, laboratory testing, imaging, surveys).
o Diagnostic challenges.
o Diagnostic reasoning including a differential diagnosis.
o Prognostic characteristics when applicable.
9. Therapeutic Intervention
o Types of intervention (pharmacologic, surgical, preventive).
o Administration of intervention (dosage, strength, duration).
o Changes in the interventions with explanations.
10. Follow-up and Outcomes
o Clinician- and patient-assessed outcomes when appropriate.
o Important follow-up diagnostic and other test results.
o Intervention adherence and tolerability (how was this assessed?)
o Adverse and unanticipated events.
o Strengths and limitations in your approach to this case.
o Discussion of the relevant medical literature.
o The rationale for your conclusions possibly including neurological pathways.
o The primary “take-away” lessons from this case report.
12. Patient Perspective – The patient should share their perspective on their case by acknowledging the case study content and outcomes.
13. Informed Consent – The patient should give informed consent.
NOTE, THE PATIENT PERSPECTIVE EFFECTIVELY ELEVATES YOUR CASE STUDY TO A LEGAL DOCUMENT AS PRIMA FACIE EVIDENCE OF EFFICACY IN THIS PARTICULAR CASE
X-ray, an important tool to establish the primary spinal problem
In addition to the facilitation and encouragement of multiple case study generation based on CARE Guidelines, PCS’s additional object is to pursue the following charitable purposes:
PCS may also support various forms of patient or public education programs. The recent Safer Care Victoria (SCV) Review in Australia into chiropractic care for children under 12 years is a case in point. This review was entirely unnecessary and was effectively a witch-hunt promoted by political medicine without any basis or evidence of harm. Accordingly, PCS made a detailed submission to SCV to provide evidence of a lack of harm to this group of patients at the hands of registered chiropractors, evidence of a high degree of harm and death to this group of patients at the hands of medical practitioners, and fully referenced evidence of benefit from chiropractic care to children under 12 years. A copy of this submission is available to PCS members and supporters upon email request. As it turned out, the SCV Review found no evidence of harm to children, no evidence of malpractice claims and noted exceptional satisfaction ratings arising from patient responses and submissions.
Intriguingly, the SCV Review was triggered by a case where an infant's spine had been damaged following necessary emergency resuscitation procedures during the hospital birth arising from the chest compressions which traumatised the infant's mid-thoracic spine leading to a severe case of colic. This condition was not resolved by any medical care, yet when a chiropractor gave a single specific spinal adjustment and the condition immediately resolved, hysteria was promoted and spread by political medicine to the media and some ill-informed political groups, including the Victorian Minister for Health, thereby triggering the SCV Review. Strangely, this incident of a successful chiropractic treatment outcome coincided with news of multiple infant deaths resulting from medical errors at a local Victorian hospital.
PCS must also raise valid concerns relating to public health. At this time, the COVID-19 issue is presenting many areas of concern, particularly some Government actions based on poor or misunderstood evidence or research, that is leading to many social, health and economic hardships. The concept of a rushed, poorly tested vaccine for Covid-19 raises many areas of concern, particularly where this vaccine is mandatory. PCS plans to devote significant resources to lobby and educate that any such vaccine must have been adequately tested, both in animal and human trials, where the subjects are later exposed to the wild virus. A number of coronavirus vaccines (SARS, MRES) have been trialled since 2005, but every one to date have triggered dreadful enhanced immune responses (EIR), where once exposed to the wild virus after vaccination, the symptoms and outcomes are often worse than the actual disease. Many test animals died. A Covid-19 vaccine must be broadly tested on a significant number of human subjects, who are then exposed to the wild virus, to gauge if the EIR, and the subsequent cytokine storm may be an issue. If instances of serious adverse reactions begin to develop in the vaccinated population, care must be taken to ensure these reactions do not outnumber or exceed health issues posed by a Covid infection. If this occurs, governments must be effective in the rapid withdrawal of such vaccines. In the current climate, this area will be a major focus of PCS activity.
Clearly, dealing with such inequitable reactions, responses, decisions and reporting on matters pertaining to public health issues must also form a major part of the PCS scope.
Simply copy this format and complete the sections as shown.
If student, list subject of study:___________________________________________
Of (mailing address)________________________________________________________
Post code or Zip:__________________
Phone including country code:______________________________________
Hereby apply for Patron Member status of this organisation on the basis that no obligations will attach to my participation and involvement and I agree to abide by the Association Rules. A AU$20 (US$15) once only membership fee is required.
Any contributions I make will be purely on a voluntary and non-binding basis.
Such contributions must entirely be utilised for research, education and the advancement of the Chiropractic profession worldwide.
Email your application to: firstname.lastname@example.org
Upon receipt of an application the PCS Association Rules and the complete CARE Guideline package and any newsletters will be emailed to you.
Disc stresses with bending and lifting
Copyright © 2019 Patrons of Chiropractic Science - All Rights Reserved.