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Compensation Mechanisms01:28

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The human body employs intricate mechanisms to counteract changes in blood pH, preventing conditions like acidosis (pH < 7.35) and alkalosis (pH > 7.45). These compensatory responses aim to restore normal arterial blood pH by engaging respiratory or renal systems, depending on the source of the imbalance.
Respiratory Compensation
This mechanism addresses metabolic-induced pH imbalances by adjusting breathing rates. Respiratory compensation begins within minutes of detecting a pH...
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Compensation claims for chiropractic in Denmark 2013-2022.

Amalie Horstmann Nøddeskou-Fink1,2,3, Martin Skoumann Jørgensen4,5,6, Jan Hartvigsen4,5

  • 1Center for Muscle and Joint Health, Department of Sport Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark. amalie.f@hotmail.com.

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|February 24, 2026
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Summary
This summary is machine-generated.

Chiropractor compensation claims in Denmark rose from 2013-2022, though most were denied. Cervical artery dissection claims had the highest approval and compensation rates, highlighting communication needs.

Keywords:
Adverse eventsCervical artery dissectionChiropracticCompensation claimsHealthcareInjuriesManual therapyPrimary careSide effects

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Area of Science:

  • Healthcare policy and patient safety.
  • Musculoskeletal medicine and chiropractic practice.
  • Health services research and claims analysis.

Background:

  • Patient injuries during healthcare consultations are a growing concern, with increasing compensation claims.
  • Research on primary care injuries is limited compared to the secondary sector.
  • This study focuses on compensation claims involving chiropractors in Denmark.

Purpose of the Study:

  • To describe compensation claims related to chiropractic care in Denmark from 2013 to 2022.
  • To analyze claim characteristics, injury types, and outcomes.
  • To investigate cervical artery dissection claims in detail.

Main Methods:

  • Retrospective analysis of chiropractor-related claims from the Danish Patient Compensation Association Register (2013-2022).
  • Utilized the Healthcare Complaints Analysis Tool for data extraction and categorization.
  • Examined patient demographics, injury types, processing times, decisions, appeals, and financial compensation, with a specific focus on cervical artery dissection.

Main Results:

  • 535 chiropractor-related claims were identified; 519 were analyzed.
  • Claims per 100,000 consultations increased from 1.03 in 2013 to 3.57 in 2022.
  • Only 6% of claims were approved; cervical artery dissection claims had the highest approval rate (29%) and accounted for 94% of total compensation (€3,025,000).

Conclusions:

  • Compensation claims for chiropractic care in Denmark have increased, but approval rates remain low.
  • Most claims relate to treatment outcomes or symptom worsening; cervical artery dissection claims are significant for compensation.
  • Improved patient-chiropractor communication regarding treatment expectations and outcomes is recommended to reduce claims.