The ICA Best Practices and Practice Guidelines Accepted by National Guideline Clearinghouse

May 30, 2009 · Filed Under Main Content · Comment 

icaThe International Chiropractors Association (ICA) is very pleased to announce that the landmark 640-page ICA Best Practices and Practice Guidelines have now been accepted for inclusion in the National Guideline Clearinghouse (NGC). The National Guideline Clearinghouse is a comprehensive database of evidence-based clinical practice guidelines and related documents. NGC is an initiative of the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services.

This important recognition represents the culmination of a three-year effort, involving thousands of hours of study, research and analysis on the part of a team of several dozen doctors of chiropractic from around the world, chaired by Dr. Don Harrison. “We are very excited about the ICA Best Practices being accepted for inclusion by the National Guideline Clearinghouse,” said Dr. Harrison. “To see this ICA Guidelines reach this point is, indeed, historic. It was no simple feat to produce these guidelines. I feel this document and its future revisions will benefit thousands of chiropractors for generations to come, as well as enhance the quality of patient care for countless millions.”

According to the agency’s website, “The NGC mission is to provide physicians, nurses, and other health professionals, health care providers, health plans, integrated delivery systems, purchasers and others an accessible mechanism for obtaining objective, detailed information on clinical practice guidelines and to further their dissemination, implementation and use.” Over 1,400 clinical papers were reviewed by multiple analysts as a basis for the guidelines decisions made by the team, more than utilized by any other guidelines effort in chiropractic’s history.

All levels of evidence were included in an effort to gain a comprehensive and balanced foundation for the guidelines, from the randomized controlled trial to the individual case report. In addition, the draft document was available for review and comment on the Internet for nearly a full year, yielding hundreds of comments and recommendations from doctors of chiropractic worldwide.

The guidelines document and grade the clinical evidence of the efficacy of the chiropractic adjustment for 339 specific health challenges.

“The chiropractic profession owes a tremendous debt of gratitude to Dr. Don Harrison, Dr. Leonard Siskin, Dr. Deed Harrison, Dr. Joseph Betz, Dr. Dwight George, Dr. Stephanie Cheney, Dr. Eric Huntington and many others who devoted their selfless energy and meticulous attention over a period of many years to this project,” said ICA President Dr. Gary L. Walsemann.

The Guidelines text has been published in a limited hardback edition available by contacting ICA at 1-800-423-4690. The full text of the document will also be available on the NGC website in the coming months.

“The level of professionalism and objectivity that went into this process is astounding and reflects a commitment to excellence rare in any professional endeavor,” said Dr. Walsemann. “I believe we can clearly attribute this exceptionally high standard to the Guidelines Committee Chair, Dr. Don Harrison.”

Donald D. Harrison, DC, PhD, MSE, received his DC degree from Western States Chiropractic College in 1979. He received his MSE (Mechanical Engineering) in 1997 and his PhD (Mathematics) in 1998, both from the University of Alabama in Huntsville. He originated CBP Technique in 1980 and is the author of numerous textbooks and clinical manuals and more than 50 articles in peer-reviewed indexed journals. He has served on ICA’s Board of Directors and was ICA’s Chiropractor of the Year in 2006.