[SPAM]Re: Fw: Chiropractic overutilization (corrected)

[Guest guest]

Before we hail " The God of Research and Outcomes Research, may we

humbly give the gift of healing we have so wonderfully available.

We should not whip out the reams of " God of Research Statistics " .

Fraud is rampant in research, what they have exposed recently is

truly alarming. If they have uncovered this startling amount of

research fraud in the most prestigious Journals, (BMJ, AMA, Lancet)

how much have they not found, and how much has gone on for years?

So, the Holy Grail of Research, is more " full of holes " , than Holy.

See the excerpt below:

G.D. Smalling, D.C., C.C.S.T.

[ " Fraud and misconduct in medical research. 3rd edition.

Lock, Wells, Farthing (eds). (280 pages, £40.)

BMJ Publishing Group, 2001. ISBN 0-7279-1508-8.

Professor of General Practice and Primary Care, GKT School of

Medicine, Kings College London and Editor of Family Practice

Fraud and misconduct are, it seems, endemic in scientific research.

Even Galileo, Newton and Mendel appear to have fudged some of their

results. From palaeontology to nanotechnology, scientific fraud

reappears with alarming regularity. The Office of Research Integrity

in the USA investigated 127 serious allegations of scientific fraud

last year. The reasons for conducting fraudulent research and

misrepresenting research in scientific publications are complex. The

pressures to publish and to achieve career progression and promotion

and the lure of fame and money may all play a part, but deeper forces

often seem to be at work.

How important are fraud and misconduct in primary care research? As

far as Family Practice goes, mercifully rare, as I pointed out in a

recent editorial. Sadly, however, there are examples, all along the

continuum from the beginning of a clinical trial to submission of a

final manuscript, of dishonesty and deceit in general practice and

primary care research. Patients have been invented to increase

numbers (and profits) in clinical trials, ethical guidance on consent

and confidentiality have been breached, and `salami' and duplicate

publication crop up from time to time.

It is important for us all to be aware of the legal and ethical

frameworks within which research is undertaken and of the steps that

are available to prevent fraudulent and dishonest research being

undertaken and written up. This excellent book, originally put

together by Lock, an editor of the British Medical Journal,

and now revised extensively by Farthing, editor of the

gastroenterology journal Gut, provides a superb overview of the

entire topic. " ]

>

> I think there are plenty of studies showing that people have

more pain and disability with structural issues such as scoliosis,

thoracic hyperkyphosis, cervical & lumbar hypolordosis & kyphosis.

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> The problem is that our profession cannot come together and

properly define " dysfunctional spine " . If we could agree on that,

then some great research could be done.

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> Ask 10 chiropractors what's wrong with a patient, you'll get

10 different explanations and 10 different treatments.

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> Jamey Dyson, D.C.

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> Salem

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> Chiropractic overutilization

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> You may recall that I was geting in touch with the

Institute of Medicine in DC for something they put in a lengthy

document tittled " Crossing the Quality Chasm " . Here is what it

stated:

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> " Overuse of health care services is common. Examples

include the following:

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> performance of chiropractic spinal manipulation for certain

back conditions for which there is no evidence of benefit. "

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> Here is the study they site as the reson behind these

statements:

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> - I was not involved in this study, but later in this

appendix, the committee cited the following study:

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> Shekelle, P.G., I. Coulter, E.L. Hurwitz, et al. 1998.

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> Congruence Between Decisions to Initiate Chiropractic

Spinal Manipulation for Low Back Pain and Appropriateness Criteria in

North America.

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> ls of Internal Medicine 129:9–17.

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> Thank you -

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> Anybody familiar with this study? I have been trying to

push my eyes over this document with only some success. Having a

hard time figuring out what criteria the experts use to determine

when adjusting was appropriate, equivical or inappropriate.

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> Robins, DC

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> Robins, DC

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