However, opinion from chiropractic scholars on an actual epidemiology of subluxation appears to be mixed. Meeker [17] suggested that clinical epidemiology concepts can be easily related to the chiropractic paradigm linking health, subluxation, and adjustment. Hawk [18] noted that combining chiropractic terminology and the terminology of public health and epidemiology one might be able to conceptualize subluxation as a risk factor for a negative health event since subluxation is not a disease in itself, but is believed to be a contributing factor to disease, illness or negative health conditions. McCoy [19, 20] noted that the epidemiology of subluxation has been researched since the inception of chiropractic over 100 years ago with basic science and clinical research to further elucidate the nature of it and also suggested that research is continuing to this day. These opinions seem to suggest that an epidemiology of the subluxation is apparent and/or that subluxation can be studied using epidemiology terminology and methodology. Nonetheless, Mootz et al [21] confirmed the lack of subluxation epidemiology when they suggested that the agenda for future critical investigation for the chiropractic profession should include the vertebral subluxation complex and epidemiology relating to incidence, prevalence, and natural history. Walker [22] noted that if the subluxation as a measurable entity was valid, it would have to satisfy Hill's Criteria to reach a conclusion of causation between subluxation and visceral disease. Huijbregts [23] noted that many in the manual medicine field do not share the traditional chiropractic theoretical position on the causative or contributory role of spinal and extremity joint dysfunction in the etiology of disease. It is apparent that there is much disagreement amongst authors as to whether or not there is an epidemiology of subluxation or if subluxation can conceptually fit into a model for epidemiological study.
Hennekens Epidemiology In Medicine Pdf Download --
This commentary draws heavily on the INEP Position Statement Conflict-of-Interest and Disclosure in Epidemiology, approved by the INEP Board on 16 September 2020, and which exceeded its endorsement threshold for public release by 24 December 2020 [31]. Mark J.J. McCormack reviewed the manuscript; he advanced some concepts and the idea of developing an app. Michael Power made the connection, through clinical epidemiology, with critical appraisal methods in evidence-based medicine and provided the summary/checklist of the Toolkit Table. Dany Gagnon provided technical and editing support throughout. Lastly, independent constructive reviews, as well as editor-suggested improvements and changes, helped to both refine and focus the manuscript. 2ff7e9595c
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