Evidence map›Paper›PMID 25257627›Full record

ArticleBritish journal of sports medicine2014

Red flags to screen for malignancy and fracture in patients with low back pain.

Aron Downie, Christopher M Williams, Nicholas Henschke, Mark J Hancock, Raymond W J G Ostelo, Henrica C W de Vet, Petra Macaskill, Les Irwig, Maurits W van Tulder, Bart W Koes and 1 more

Abstract read
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Article in British journal of sports medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 3 countries.

Aron DownieGeorge Institute for Global Health, University of Sydney, Sydney, NSW, 2050, Australia Faculty of Science, Macquarie University, Sydney, Australia.
Christopher M WilliamsGeorge Institute for Global Health, University of Sydney, Sydney, NSW, 2050, Australia.
Nicholas HenschkeGeorge Institute for Global Health, University of Sydney, Sydney, NSW, 2050, Australia Institute of Public Health, University of Heidelberg, Germany.
Mark J HancockFaculty of Human Sciences, Macquarie University, Sydney, Australia.
Raymond W J G OsteloDepartment of Health Sciences, EMGO Institute for Health and Care Research, VU University, Amsterdam, Netherlands.
Henrica C W de VetDepartment of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam.
Petra MacaskillScreening and Test Evaluation Program (STEP), School of Public Health, Sydney.
Les IrwigSchool of Public Health, University of Sydney, Sydney, Australia.
Maurits W van TulderDepartment of Health Sciences, Faculty of Earth and Life Sciences, VU University, Amsterdam, Netherlands.
Bart W KoesDepartment of General Practice, Erasmus Medical Centre, Rotterdam, Netherlands.
Christopher G MaherGeorge Institute for Global Health, University of Sydney, Sydney, NSW, 2050, Australia.
University of Sydney · AUEMGO Institute for Health and Care Research · NLAmsterdam UMC Location VUmc · NLErasmus University Rotterdam · NLHeidelberg University · DEMacquarie University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

study questionWhat are the best red flags to indicate the possibility of fracture or malignancy in patients presenting with low back pain in primary, secondary, or tertiary care? SUMMARY ANSWER: Older age, prolonged corticosteroid use, severe trauma, and presence of a contusion or abrasion increase the likelihood of spinal fracture (likelihood was higher with multiple red flags); a history of malignancy increases the likelihood of spinal malignancy.

Identifiers

PMID25257627
OpenAlexW2116143857

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.