Evidence map›Paper›PMID 22127268›Full record

ReviewSpine2012

Identifying neck and back pain in administrative data: defining the right cohort.

Patricia L Sinnott, Andrew M Siroka, Andrea C Shane, Jodie A Trafton, Todd H Wagner

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Spine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00054847 (CSP #474 - Radial Artery vs. Saphenous Vein Grafts in Coronary Artery Bypass Surgery), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.1field-weighted citation impact, top 22% 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.

NCT00054847 nacompletednot on this map

CSP #474 - Radial Artery vs. Saphenous Vein Grafts in Coronary Artery Bypass Surgery (Radial Artery)

TypeinterventionalSponsorUS Department of Veterans AffairsRan2003 to 2010Enrolled733ConditionsCardiovascular Disease, Coronary Artery DiseaseArmssaphenous vein graft, radial artery graft
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Impact of reported NSAID "allergies" on opioid use disorder in back pain.The Journal of allergy and clinical immunology · 2021
    Article
  5. Identifying cases of chronic pain using health administrative data: A validation study.Canadian journal of pain = Revue canadienne de la douleur · 2020
    Article
  6. Article
  7. Article
  8. The bird's-eye view: A data-driven approach to understanding patient journeys from claims data.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
  9. Article
  10. Classifying clinical notes with pain assessment using machine learning.Medical & biological engineering & computing · 2018
    Article
  11. Article
  12. Article
  13. Observational
  14. Classification of patients with incident non-specific low back pain: implications for research.The spine journal : official journal of the North American Spine Society · 2016
    Article
  15. Observational
  16. Article
  17. Using electronic health records data to identify patients with chronic pain in a primary care setting.Journal of the American Medical Informatics Association : JAMIA · 2013
    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

5 authors at 1 institution in 1 country.

Patricia L SinnottVA Health Economics Resource Center, Menlo Park, CA 94025, USA. patricia.sinnott@va.gov
Andrew M Siroka
Andrea C Shane
Jodie A Trafton
Todd H Wagner
Care Resource · US

Funding

UCLA/RAND HEALTH SERVICES RESEARCH TRAINING PROGRAMT32HS000046 · AHRQ · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI EISENBERG, DANIEL · 1992 to 2024
$8.7M
Musculoskeletal Spine Pain in VA: Description and Guideline AdherenceI01HX000156 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI SINNOTT, PATRICIA L., WAGNER, TODD H · 2009 to 2011
–
AHRQ HHS T32 HS000046HSRD VA I01 HX000156
6 · The paper itself

Abstract

STUDY

designWe reviewed existing methods for identifying patients with neck and back pain in administrative data. We compared these methods using data from the Department of Veterans Affairs.

objectiveTo answer the following questions: (1) what diagnosis codes should be used to identify patients with neck pain and back pain in administrative data; (2) because the majority of complaints are characterized as nonspecific or mechanical, what diagnosis codes should be used to identify patients with nonspecific or mechanical problems in administrative data; and (3) what procedure and surgical codes should be used to identify patients who have undergone a surgical procedure on the neck or back. SUMMARY OF BACKGROUND DATA: Musculoskeletal neck and back pain are pervasive problems, associated with chronic pain, disability, and high rates of health care utilization. Administrative data have been widely used in formative research, which has largely relied on the original work of Volinn, Cherkin, Deyo, and Einstadter and the Back Pain Patient Outcomes Assessment Team first published in 1992. Significant variation in reports of incidence, prevalence, and morbidity associated with these problems may be due to nonstandard or conflicting methods to define study cohorts.

methodsA literature review produced 7 methods for identifying neck and back pain in administrative data. These code lists were used to search Veterans Health Administration data for patients with back and neck problems, and to further categorize each case by spinal segment involved, as nonspecific/mechanical and as surgical or not.

resultsThere is considerable overlap in most algorithms. However, gaps persist.

conclusionGaps are evident in existing methods and a new framework to identify patients with neck pain and back pain in administrative data is proposed.

Indexed as

United States Department of Veterans AffairsBack PainClinical CodingCohort StudiesDatabases, FactualHumansNeck PainPain MeasurementStatistics as TopicUnited States

Identifiers

PMID22127268
PMCPMC5596507
OpenAlexW2025084309

What OpenQuestion holds

Textmetadata
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.