The proposed merger of the National Board of Chiropractic Examiners and Federation of Chiropractic Licensing Boards was approved by NBCE delegates and FCLB members at their respective annual meetings, held jointly in Atlanta, Ga., this year. Per the new bylaws, the new entity takes the NBCE name, with FCLB continuing as a department within NBCE. The federation will continue to enjoy Board of Directors representation on what will be a single, expanded board.
| Digital ExclusiveLess Medicine, More Surgery
The conventional paradigm for treating neck and back problems is medical treatment (usually drugs), and/or surgery. A recent study found a sharp decrease in medical treatment, but an alarming increase in surgery:
Hospital Admissions (per 100,000 adults) for Medically Treated and Surgically Treated Neck and Back Problems
| Medical Treatment | 1982 | 1987 | 1992 |
| Ontario | 242.8 | 180.2 | 117.1 |
| U.S. | 586.3 | 383.6 | 143.7 |
Surgically Treated
| Ontario | 72.1 | 72.4 | 82.3 |
| U.S. | 160.5 | 194.1 | 217.2 |
The researchers suggest that "higher admission rates for surgery in the U.S. may reflect a larger supply of surgical specialists and imaging units."
------------------ SOURCE: Lavis JN, Anderson GM, Taylor VM, Deyo RA, Bombardier C, Axcell T, Kreuter W. Trends in hospital use for mechanical neck and back problems in Ontario and the United States: discretionary care in different health care systems. Can Med Assoc J 1998;158:29-36.