{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T21:51:38Z","timestamp":1788385898210,"version":"build-2803163510"},"reference-count":40,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T00:00:00Z","timestamp":1754611200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Can. J. Aging"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>There are limited data on chiropractic care for older adults, specifically from medically underserved communities. This study describes the characteristics, clinical management, and patient-reported outcomes of older adults with spinal pain who present for chiropractic care at a publicly funded community health centre serving marginalized populations. This retrospective analysis utilized quality assurance data from chiropractic encounters at Mount Carmel Clinic between January 2011 and June 2020 of adults aged 45 and older. Descriptive statistics summarized the study population and their self-reported pain severity scores. Student\u2019s t-tests and repeated-measures ANOVA explored relationships between pain outcomes, age, and clinical characteristics. The sample included 240 middle-aged (45\u201359\u00a0years) and older adults (\u226560\u00a0years) who recorded baseline and discharge pain scores following chiropractic treatment. Over half of middle-aged participants self-identified as Indigenous or as people with disabilities. Statistically and clinically important improvements in pain were noted across spinal regions and extremities for both cohorts.<\/jats:p>","DOI":"10.1017\/s0714980825100135","type":"journal-article","created":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T08:44:50Z","timestamp":1754642690000},"page":"465-472","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Utilization of Chiropractic Services among Older Adults with Spine Pain at a Publicly Funded Canadian Healthcare Facility: A Retrospective Study"],"prefix":"10.1017","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2087-1536","authenticated-orcid":false,"given":"Andrea K.","family":"Albertson","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00186jw56","id-type":"ROR","asserted-by":"publisher"}],"name":"Northwestern Health Sciences University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Maiers","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00186jw56","id-type":"ROR","asserted-by":"publisher"}],"name":"Northwestern Health Sciences University"},{"id":[{"id":"https:\/\/ror.org\/00186jw56","id-type":"ROR","asserted-by":"publisher"}],"name":"RAND Research Across Complementary and Integrative Health Institutions (REACH) Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ganesh","family":"Tailor","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02gfys938","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Manitoba"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Passmore","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02gfys938","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Manitoba"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,8,8]]},"reference":[{"key":"S0714980825100135_r30","first-page":"363","article-title":"Initial integration of chiropractic services into a provincially funded inner city community health Centre: A program description","volume":"59","author":"Passmore","year":"2015","journal-title":"Journal of the Canadian Chiropractic Association"},{"key":"S0714980825100135_r32","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l689"},{"key":"S0714980825100135_r39","doi-asserted-by":"publisher","DOI":"10.1186\/s12998-022-00415-7"},{"key":"S0714980825100135_r6","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001719"},{"key":"S0714980825100135_r23","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-28753-4_75"},{"key":"S0714980825100135_r16","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30489-6"},{"key":"S0714980825100135_r17","volume-title":"Meeting the care needs of Canada\u2019s aging population\u2014July 2018","author":"Gibbard","year":"2018"},{"key":"S0714980825100135_r3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60240-2"},{"key":"S0714980825100135_r24","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctcp.2019.03.013"},{"key":"S0714980825100135_r1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2016.04.009"},{"key":"S0714980825100135_r8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2017.12.004"},{"key":"S0714980825100135_r36","unstructured":"Statistics Canada. (2021). 2021 census profile: Winnipeg [Data file]. Retrieved June 14, 2024, from https:\/\/www12.statcan.gc.ca\/census-recensement\/2021\/dp-pd\/prof\/details\/page.cfm?Lang=E&GENDERlist=1,2,3&STATISTIClist=1,4&HEADERlist=0&DGUIDlist=2021A00054611040&SearchText=Winnipeg"},{"key":"S0714980825100135_r9","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2019.03.023"},{"key":"S0714980825100135_r14","doi-asserted-by":"publisher","DOI":"10.1007\/s40122-021-00235-2"},{"key":"S0714980825100135_r38","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2016.01.006"},{"key":"S0714980825100135_r4","volume-title":"Seniors in transition: Exploring pathways across the care continuum","year":"2017"},{"key":"S0714980825100135_r21","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-019-0918-1"},{"key":"S0714980825100135_r28","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31815e3a10"},{"key":"S0714980825100135_r29","first-page":"107","article-title":"A retrospective analysis of pain changes and opioid use patterns temporally associated with a course of chiropractic care at a publicly funded inner-city facility","volume":"66","author":"Passmore","year":"2022","journal-title":"Journal of the Canadian Chiropractic Association"},{"key":"S0714980825100135_r34","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/876306"},{"key":"S0714980825100135_r19","volume-title":"Canadian guidelines for body weight classification in adults","year":"2003"},{"key":"S0714980825100135_r37","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.37371"},{"key":"S0714980825100135_r15","doi-asserted-by":"publisher","DOI":"10.1186\/s12998-024-00533-4"},{"key":"S0714980825100135_r27","doi-asserted-by":"publisher","DOI":"10.17269\/CJPH.106.4747"},{"key":"S0714980825100135_r7","volume-title":"Winnipeg health region community health assessment 2019","author":"Cui","year":"2019"},{"key":"S0714980825100135_r13","doi-asserted-by":"publisher","DOI":"10.1136\/ard.37.4.378"},{"key":"S0714980825100135_r20","first-page":"226","article-title":"Influence of initial provider on health care utilization in patients seeking care for neck pain","volume":"1","author":"Horn","year":"2017","journal-title":"Mayo Clinic Proceedings: Innovations, Quality and Outcomes"},{"key":"S0714980825100135_r25","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2023.04.001"},{"key":"S0714980825100135_r12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2021.05.002"},{"key":"S0714980825100135_r26","unstructured":"Mount Carmel Clinic. (n.d.). Our history. Mount Carmel Clinic. Retrieved December 13, 2023, from https:\/\/www.mountcarmel.ca\/who-we-are\/our-history\/"},{"key":"S0714980825100135_r22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2010.12.002"},{"key":"S0714980825100135_r31","doi-asserted-by":"publisher","DOI":"10.7326\/M16-2367"},{"key":"S0714980825100135_r33","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2003.09.004"},{"key":"S0714980825100135_r35","unstructured":"Statistics Canada. (2016). 2016 census profile: Winnipeg [Data file]. 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Published by Cambridge University Press on behalf of The Canadian Association on Gerontology","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}