Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Withdrawal rates as a consequence of disclosure of risk associated with manipulation of the cervical spine. | Langworthy and Forrest Chiropractic Osteopathy 2010 18 27 http content 18 1 27 CHIROPRACTIC OSTEOPATHY RESEARCH Open Access Withdrawal rates as a consequence of disclosure of risk associated with manipulation of the cervical spine Jennifer M Langworthy Lianne Forrest Abstract Background The risk associated with cervical manipulation is controversial. Research in this area is widely variable but as yet the risk is not easily quantifiable. This presents a problem when informing the patient of risks when seeking consent and information may be withheld due to the fear of patient withdrawal from care. As yet there is a lack of research into the frequency of risk disclosure and consequent withdrawal from manipulative treatment as a result. This study seeks to investigate the reality of this and to obtain insight into the attitudes of chiropractors towards informed consent and disclosure. Methods Questionnaires were posted to 200 UK chiropractors randomly selected from the register of the General Chiropractic Council. Results A response rate of 46 n 92 was achieved. Thirty-three per cent n 30 respondents were female and the mean number of years in practice was 10. Eighty-eight per cent considered explanation of the risks associated with any recommended treatment important when obtaining informed consent. However only 45 indicated they always discuss this with patients in need of cervical manipulation. When asked whether they believed discussing the possibility of a serious adverse reaction to cervical manipulation could increase patient anxiety to the extent there was a strong possibility the patient would refuse treatment 46 said they believed this could happen. Nonetheless 80 said they believed they had a moral ethical obligation to disclose risk associated with cervical manipulation despite these concerns. The estimated number of withdrawals throughout respondents time in practice was estimated at 1 patient withdrawal for every 2 years in .
