Evidence map›Paper›PMID 21034483›Full record

Trial reportBMC health services research2010

Integrative care for the management of low back pain: use of a clinical care pathway.

Michele J Maiers, Kristine K Westrom, Claire G Legendre, Gert Bronfort

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00567333 (Individualized Chiropractic and Integrative Care for Low Back Pain), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT00567333 nacompletednot on this map

Individualized Chiropractic and Integrative Care for Low Back Pain

TypeinterventionalSponsorNorthwestern Health Sciences UniversityRan2007 to 2013Enrolled201ConditionsSub-Acute and Chronic Low Back PainArmsChiropractic care, Multidisciplinary, integrative care
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Models of care for managing non-specific low back pain.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Psychological Prophylaxis: An Integrated Psychological Services Program in Trauma Care.Journal of clinical psychology in medical settings · 2019
    Review
  8. Article
  9. Article
  10. Opioid prescribing is a surrogate for inadequate pain management resources.Canadian family physician Medecin de famille canadien · 2016
    Article
  11. Article
  12. Observational
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
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

4 authors.

Michele J MaiersNorthwestern Health Sciences University, 2501 W 84th St Bloomington, MN 55431, USA. mmaiers@nwhealth.edu
Kristine K Westrom
Claire G Legendre
Gert Bronfort

Funding

PHS HHS R18HP07639
6 · The paper itself

Abstract

backgroundFor the treatment of chronic back pain, it has been theorized that integrative care plans can lead to better outcomes than those achieved by monodisciplinary care alone, especially when using a collaborative, interdisciplinary, and non-hierarchical team approach. This paper describes the use of a care pathway designed to guide treatment by an integrative group of providers within a randomized controlled trial.

methodsA clinical care pathway was used by a multidisciplinary group of providers, which included acupuncturists, chiropractors, cognitive behavioral therapists, exercise therapists, massage therapists and primary care physicians. Treatment recommendations were based on an evidence-informed practice model, and reached by group consensus. Research study participants were empowered to select one of the treatment recommendations proposed by the integrative group. Common principles and benchmarks were established to guide treatment management throughout the study.

resultsThirteen providers representing 5 healthcare professions collaborated to provide integrative care to study participants. On average, 3 to 4 treatment plans, each consisting of 2 to 3 modalities, were recommended to study participants. Exercise, massage, and acupuncture were both most commonly recommended by the team and selected by study participants. Changes to care commonly incorporated cognitive behavioral therapy into treatment plans.

conclusionThis clinical care pathway was a useful tool for the consistent application of evidence-based care for low back pain in the context of an integrative setting.

trial registrationClinicalTrials.gov NCT00567333.

Indexed as

Critical PathwaysBenchmarkingChronic DiseaseDisease ManagementEvidence-Based MedicineFemaleHumansIntegrative MedicineInterprofessional RelationsLow Back PainMaleOutcome and Process Assessment, Health CarePatient Care Team

Identifiers

PMID21034483
PMCPMC2984498

What OpenQuestion holds

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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.