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Table 3 Factors associated with statements inconsistent with current radiographic guidelines for LBP

From: Awareness of radiographic guidelines for low back pain: a survey of Australian chiropractors

Outcome Questions

Predictor Variables

 

Year of graduation

New graduate

Further radiographic education

Technique other than diversified

In-house radiographic referrals

Lack of awareness or unsure of radiographic guidelines

Likely to refer for radiographs for LBP:

 New patients

1.01 (0.98, 1.04)

0.98 (0.48, 2.02)

1.62 (0.98, 2.78)

2.35 (1.46, 3.79)*

7.23 (3.86, 13.52)**

1.79 (1.11, 2.90)*

 Suspected biomechanical pathology

1.00 (0.96, 1.02)

1.66 (0.82, 3.37)

1.36 (0.80, 2.32)

1.62 (0.99, 2.68)

4.50 (2.18, 9.27)**

1.81 (1.13, 2.90)*

 Biomechanical analysis

0.99 (0.96, 1.01)

1.28 (0.62, 2.61)

1.55 (0.92, 2.62)

2.21 (1.39, 3.51)*

4.44 (2.59, 7.62)**

1.72 (1.08, 2.76)*

 Screen for contraindications

0.99 (0.96, 1.01)

1.26 (0.62, 2.54)

1.42 (0.85, 2.36)

2.30 (1.46, 3.63)*

3.21 (1.90, 5.42)**

1.08 (0.69, 1.70)

 Full spine without LBP

1.00 (0.97, 1.03)

1.38 (0.65, 2.92)

1.42 (0.82, 2.46)

2.77 (1.72, 4.48)*

3.58 (2.09, 6.11)**

1.55 (0.95, 2.52)

Agree that LBP radiographs may be useful:

 Routinely before spinal manipulative therapy

1.00 (0.97, 1.04)

0.85 (0.37, 1.96)

1.33 (0.73, 2.42)

2.70 (1.60, 4.55)*

6.26 (3.54, 11.06)**

2.14 (1.24, 3.70)*

 Biomechanical analysis

1.00 (0.97, 1.03)

1.20 (0.54, 2.67)

2.09 (1.18, 3.71)**

2.29 (1.38, 3.78)*

5.65 (3.26, 9.79)**

1.33 (0.80, 2.21)

 Acute LBP

1.01 (0.98, 1.04)

0.45 (0.23, 0.90)*

1.28 (0.77, 2.13)

1.80 (1.13, 2.86)*

4.17 (2.28, 7.61)**

1.80 (1.14, 2.82)*

 Neurological symptoms

1.00 (0.97, 1.04)

1.31 (0.51, 3.37)

1.22 (0.60, 2.48)

1.85 (0.91, 3.76)

2.31 (0.92, 5.80)

2.11 (1.12, 4.00)*

 Sciatica

1.00 (0.97, 1.02)

0.74 (0.37, 1.49)

1.53 (0.89, 2.63)

1.22 (0.75, 1.98)

4.99 (2.46, 10.10)**

2.35 (1.47, 3.77)*

 Confirm diagnosis and direct treatment

1.02 (1.00, 1.04)

0.73 (0.38, 1.44)

2.07 (1.24, 3.48)**

0.94 (0.59, 1.50)

4.18 (2.21, 7.92)**

1.35 (0.86, 2.11)

 Screen for contraindications

0.99 (0.96, 1.02)

1.14 (0.58, 2.26)

1.22 (0.73, 2.05)

2.12 (1.32, 3.39)*

5.47 (2.86, 10.43)**

1.77 (1.13, 2.79)*

  1. *Statistically significant (p < 0.05) with a negative association (odds ratio < 1)
  2. **Statistically significant (p < 0.05) with a positive association (odds ratio > 1)