Evidence map›Paper›PMID 24351499›Full record

SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners2013

Patients' experiences of chronic non-malignant musculoskeletal pain: a qualitative systematic review.

Francine Toye, Kate Seers, Nick Allcock, Michelle Briggs, Eloise Carr, JoyAnn Andrews, Karen Barker

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 6 pooled it
6.4field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 6 syntheses or guidelines pooled it, 146 citations in OpenAlex.

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  16. Recognition at the Heart of the Complex Situations Experienced by People With Chronic Musculoskeletal Pain.Health expectations : an international journal of public participation in health care and health policy · 2025
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10 more citing papers are in PubMed but not listed here.

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

7 authors at 6 institutions in 2 countries.

Francine ToyeNuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Oxford, UK.
Kate SeersRoyal College of Nursing Research Institute, School of Health and Social Studies, University of Warwick, Coventry, UK.
Nick AllcockSchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
Michelle BriggsInstitute of Health and Wellbeing, Leeds Metropolitan University, Leeds, UK.
Eloise CarrFaculty of Nursing, University of Calgary, Calgary, Alberta, Canada.
JoyAnn AndrewsNuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Oxford, UK.
Karen BarkerNuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Oxford, UK.
Nuffield Orthopaedic Centre · GBGlasgow Caledonian University · GBLeeds Beckett University · GBOxford University Hospitals NHS Trust · GBRoyal College of Nursing · GBUniversity of Calgary · CA

Funding

Department of Health 09/2001/09Department of Health PDA/01/05/010
6 · The paper itself

Abstract

backgroundMusculoskeletal (MSK) pain is one of the most predominant types of pain and accounts for a large portion of the primary care workload.

aimTo systematically review and integrate the findings of qualitative research to increase understanding of patients' experiences of chronic non-malignant MSK pain. DESIGN AND

settingSynthesis of qualitative research using meta-ethnography using six electronic databases up until February 2012 (Medline, Embase, Cinahl, Psychinfo, Amed and HMIC).

methodDatabases were searched from their inception until February 2012, supplemented by hand-searching contents lists of specific journals for 2001-2011 and citation tracking. Full published reports of qualitative studies exploring adults' own experience of chronic non-malignant MSK pain were eligible for inclusion.

resultsOut of 24 992 titles, 676 abstracts, and 321 full texts were screened, 77 papers reporting 60 individual studies were included. A new concept of pain as an adversarial struggle emerged. This adversarial struggle was to: 1) affirm self; 2) reconstruct self in time; 3) construct an explanation for suffering; 4) negotiate the healthcare system; and 5) prove legitimacy. However, despite this struggle there is also a sense for some patients of 6) moving forward alongside pain.

conclusionsThis review provides a theoretical underpinning for improving patient experience and facilitating a therapeutic collaborative partnership. A conceptual model is presented, which offers opportunities for improvement by involving patients, showing them their pain is understood, and forming the basis to help patients move forward alongside their pain.

Indexed as

Adaptation, PsychologicalAdolescentAdultAgedAged, 80 and overChronic PainHumansInterpersonal RelationsMiddle AgedMusculoskeletal PainPatient Acceptance of Health CareQualitative ResearchSelf ConceptStress, PsychologicalYoung Adult

Identifiers

PMID24351499
PMCPMC3839392
OpenAlexW2091768352

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.