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In November of 1998, following review by ECRI, the CCP Guidelines were accepted for inclusion within the National Guideline Clearinghouse.

Overview of the Development of the 1998 Guidelines

In harmony with the general principles of guideline development at the time, the CCP originally created a multidisciplinary panel, supported by staff, and led by a project director. The guidelines were produced with input from methodologists familiar with guidelines development.

The first meeting of the Council on Chiropractic Practice took place on June 8, 1995 in Chandler, Arizona and the Council was subsequently incorporated as a non-profit organization. The first endeavor of the panel was to analyze available scientific evidence revolving around a model, which depicts the safest and most efficacious delivery of chiropractic care to the consumer. A contingent of panelists, chosen for their respective skills, directed the critical review of numerous studies and other evidence.

The process began with a detailed literature search which was broad in nature utilizing both electronic search vehicles including Medline and MANTIS, the Cumulative Index to Nursing and Allied Health Literature (CINAHL) as well as stack searches to ensure that all applicable literature relevant to vertebral subluxation in chiropractic clinical practice was gathered. To further ensure that all relevant literature and evidence was gathered and reviewed the panel held a second meeting to interview technique developers to ascertain the degree to which their procedures can be expressed in an evidence-based format. Individuals representing over thirty-five named techniques participated. Others made written submissions to the panel. The technique developers presented the best available evidence they had to substantiate their protocols and assessment methods.

A primary goal of the panel was to stimulate and encourage field practitioners to adapt their practices to improve patient outcomes. To achieve this objective, it was necessary to involve as many practitioners as possible in the development of workable guidelines. It was also important to the panel to secure input from field practitioners who would be one class of the end users of any guidelines produced.

Consistent with the recommendations of AHCPR (now AHRQ), an “Open Forum” was held where any interested individual could participate. Practitioners offered their opinions and insights in regard to the progress of the panel. Field practitioners who were unable to attend the Open Forum session were encouraged to make written submissions. Consumer and attorney participants offered their input. A meeting was also held with chiropractic consultants and organizational leadership to secure their participation and gather feedback.


_________________________________________________________ Council on Chiropractic Practice Clinical Practice Guideline Number 1 Vertebral Subluxation in Chiropractic Practice – 2003 Update & Revision

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