Evidence map›Paper›PMID 18088435›Full record

ArticleBMC complementary and alternative medicine2007

Use of complementary alternative medicine for low back pain consulting in general practice: a cohort study.

Jean-François Chenot, Annette Becker, Corinna Leonhardt, Stefan Keller, Norbert Donner-Banzhoff, Erika Baum, Michael Pfingsten, Jan Hildebrandt, Heinz-Dieter Basler, Michael M Kochen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC complementary and alternative medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04744883 (Evaluating Specific and Non-Specific Mechanisms in Two Distinct Complementary/Integrative Interventions for Chronic Pain), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
8.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04744883 early_phase1active not recruitingnot on this mapstarted 2020, after this paper: background citation

Evaluating Specific and Non-Specific Mechanisms in Two Distinct Complementary/Integrative Interventions for Chronic Pain

TypeinterventionalSponsorRush University Medical CenterRan2020 to 2026Enrolled140ConditionsChronic Low-back PainArmsSpinal Manipulation Therapy (SMT), Naloxone, Placebo, Mindfulness Based Stress Reduction Therapy (MT)
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Quality of complementary and alternative medicine recommendations in low back pain guidelines: a systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020
    Pooled it
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  9. Patients' perceived needs for allied health, and complementary and alternative medicines for low back pain: A systematic scoping review.Health expectations : an international journal of public participation in health care and health policy · 2018
    Article
  10. Chiropractic spinal manipulation and the risk for acute lumbar disc herniation: a belief elicitation study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018
    Article
  11. Complementary and alternative medicine therapies for chronic pain.Chinese journal of integrative medicine · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Jean-François ChenotDpt. of General Practice, University of Göttingen, Humboldtallee 38, 37073 Göttingen, Germany. jchenot@gwdg.de
Annette Becker
Corinna Leonhardt
Stefan Keller
Norbert Donner-Banzhoff
Erika Baum
Michael Pfingsten
Jan Hildebrandt
Heinz-Dieter Basler
Michael M Kochen
Philipps University of Marburg · DEUniversity of Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough back pain is considered one of the most frequent reasons why patients seek complementary and alternative medical (CAM) therapies little is known on the extent patients are actually using CAM for back pain.

methodsThis is a post hoc analysis of a longitudinal prospective cohort study embedded in a RCT. General practitioners (GPs) recruited consecutively adult patients presenting with LBP. Data on physical function, on subjective mood, and on utilization of health services was collected at the first consultation and at follow-up telephone interviews for a period of twelve months

resultsA total of 691 (51%) respectively 928 (69%) out of 1,342 patients received one form of CAM depending on the definition. Local heat, massage, and spinal manipulation were the forms of CAM most commonly offered. Using CAM was associated with specialist care, chronic LBP and treatment in a rehabilitation facility. Receiving spinal manipulation, acupuncture or TENS was associated with consulting a GP providing these services. Apart from chronicity disease related factors like functional capacity or pain only showed weak or no association with receiving CAM.

conclusionThe frequent use of CAM for LBP demonstrates that CAM is popular in patients and doctors alike. The observed association with a treatment in a rehabilitation facility or with specialist consultations rather reflects professional preferences of the physicians than a clear medical indication. The observed dependence on providers and provider related services, as well as a significant proportion receiving CAM that did not meet the so far established selection criteria suggests some arbitrary use of CAM.

Indexed as

Acupuncture TherapyAdultChronic DiseaseCohort StudiesComplementary TherapiesFamily PracticeFemaleHumansLongitudinal StudiesLow Back PainMaleManipulation, SpinalMassageMiddle AgedPatient SatisfactionPrimary Health Care

Identifiers

PMID18088435
PMCPMC2222227
OpenAlexW1990252060

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.