ChiroJC @ChiroJC1

Memory lane. My goodness, how I love this game 🥰

NCAA Women's Volleyball @NCAAVolleyball

5 years ago

Memory lane. My goodness, how I love this game 🥰

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Evaluating the nitty gritty of a scientific journal article requires detail -- but worth the effort for an article of interest to you. A gut-check test for the quality of an article -- even an article of "Level 1 evidence" -- is risky business.

Critical appraisal of any meta-analysis (including network meta-analyses) requires use of the PRISMA guidelines. Find them here:👇 prisma-statement.org/Extensions/Net…

ChiroJC @ChiroJC1

6 years ago

Critical appraisal of any meta-analysis (including network meta-analyses) requires use of the PRISMA guidelines. Find them here:👇 prisma-statement.org/Extensions/Net…

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Which specific exercises are effective for treating low back pain? See this meta-analysis:bjsm.bmj.com/content/early/…

Backing out to 30,000 ft view of this paper, what is it about? Some of us are interested in nutrition. Do you recommend Vit K to people with signs of early OA? If not, should you start based on this paper? What next steps would you take? Pls tweet to the club. :-)

I = Intervention There was no intervention or treatment. The MRIs performed on bilateral knees of participants and controls, and WOMAC pain subscales, were outcomes. “O” in PICO = outcome. What are other outcomes in this study? We’re the measures used reliable and valid? Why?

P=Population. For the prevalence data in yr 2, population is 640 participants drawn from the Health ABC study. The “C” in PICO is “Comparison group.” For the prevalence/cross-sectional part of this study, comparator = 505 controls.

Yr 2 was “baseline.” Our paper reports “cross-sectional” data for yr 2: data at 1 specific point in time. Cross-sectional data measures PREVALENCE. If you’d like, Google this: “incidence vs. prevalence.”

Let’s say you have to present the salient features of our 1st paper to your local journal club. In PICO, P = Population (sample). This study is a substudy of the “Health ABC” cohort study, an ongoing study. Our paper used data at yrs 2 and 5.

P.S. Facebook has been suggested as a helpful platform. Great idea -- thanks to Cliff Tao, DC, DACBR for the suggestion. I'm working on it.

ChiroJC @ChiroJC1

6 years ago

P.S. Facebook has been suggested as a helpful platform. Great idea -- thanks to Cliff Tao, DC, DACBR for the suggestion. I'm working on it.

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FIRST JOURNAL CLUB ARTICLE POSTED! Dear Chiro Journal Club: Our first open access paper is here. As promised, an OA article. Rules: This club is for PRACTICE. We all need it! So -- please do! First task: Apply PICO (See Nov 14 Tweet for essential info.) ncbi.nlm.nih.gov/pmc/articles/P…

Midweek Crickets... No worries. The answer is not trivial. In addition to clinical research (generally 3 broad design categories: Case Control, Cohort, or Randomized Trial) there are reviews, process research (testing a test) and others. The paper in question is a REVIEW. :-)

ChiroJC @ChiroJC1

6 years ago

Midweek Crickets... No worries. The answer is not trivial. In addition to clinical research (generally 3 broad design categories: Case Control, Cohort, or Randomized Trial) there are reviews, process research (testing a test) and others. The paper in question is a REVIEW. :-)

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Trick question: @DavidRadford9 posted a paper here on 11/16/19. How would you classify that paper after reading Katherine Chew’s summary? Was her summary helpful in this case?

ChiroJC @ChiroJC1

6 years ago

Trick question: @DavidRadford9 posted a paper here on 11/16/19. How would you classify that paper after reading Katherine Chew’s summary? Was her summary helpful in this case?

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A good first question to ask when you encounter an interesting title is: What kind of study is this? Thanks to Katherine Chew at the University of Minnesota for some helpful basics on study design to help answer that question. #LearnTheLanguage hsl.lib.umn.edu/biomed/help/un…

Are some articles better than others? No hard and fast rules on this, but "hierarchy of evidence" pyramids are useful. Even when reading a paper higher on the pyramid -- we still need to assess its true quality/believability. We'll practice assessing papers together!

Why read journal articles at all? 1. To answer a specific clinical question regarding a patient. (How soon can I return to sport after a high ankle sprain?) 2. To learn more about a condition or health care topic. (What home exercises are best for whiplash patients?)

Thank you for the great summary article Dr. Radford. Berenbaum et al (reference 92 in the article you supplied) have several interesting papers on this topic. Looking forward to your participation @ChiroJC1 !

Laying groundwork for upcoming Chiro Journal Club. Thank you Murdoch Univ! libguides.murdoch.edu.au/systematic/PICO

With the aging of populations worldwide, osteoarthritis (OA) is on the rise. What do you think: Is OA degenerative due to wear-and-tear, or is it inflammatory? Our first journal club is in the planning stages, and will relate to this question!

The Chiropractic profession needs an online journal club. Here it is! #ChiroJC