Evidence map›Paper›PMID 25762227›Full record

ArticleBMJ open2015

Evidence-based development of a post-surgical lumbar discectomy leaflet intervention: a Delphi consensus study.

P C Goodwin, C C Wright, C Allan, L Crowther, C Darley, A Heap, E Paul, L White, A Rushton

Abstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

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

9 citing papers in PubMed.

  1. Trial
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  6. Development of pain science education for chronic low back pain in India.The Journal of manual & manipulative therapy · 2025
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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

9 authors.

P C GoodwinDepartment of Health Professions, Manchester Metropolitan University, Manchester, UK.
C C WrightSchool of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, UK.
C AllanPhysiotherapy Department, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK.
L CrowtherPhysiotherapy Department, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle, UK.
C DarleyPhysiotherapy Department, The Robert Jones and Agnes Hunt Orthopaedic and District Hospital NHS Trust, Oswestry, UK.
A HeapPhysiotherapy Department, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
E PaulPhysiotherapy Department, Salford Royal NHS Foundation Trust, Salford, UK.
L WhitePhysiotherapy Department, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
A RushtonSchool of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of Birmingham, Birmingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo produce free, expert-informed postoperative information for lumbar discectomy patients, satisfying UK National Health Service Information Standards.

designA mixed methods approach utilising the Delphi technique and focus groups.

settingFive spinal centres across the UK.

participantsPanel members included 23 physiotherapists, 11 patients and 17 spinal surgeons.

interventionThree rounds of questionnaires including open and closed questions and attendance at a clinician/patient focus group.

resultsResponse rates of 85%, 26% and 35% were achieved for the Delphi rounds. Ten clinicians and six patients participated in the focus groups. Consensus for leaflet sections was achieved in round 1 and content in round 3. The focus groups informed further revisions.

conclusionsA consensually agreed, Information Standard compliant, patient lumbar discectomy leaflet was produced containing: (1) normal spine anatomy; (2) anatomy disc herniation and surgery; (3) back protection strategies and (4) frequently asked questions. Illustrations of exercises enable tailoring to the individual patient.

Indexed as

ConsensusDiskectomyExercise TherapyActivities of Daily LivingDelphi TechniqueFocus GroupsHumansIntervertebral Disc DisplacementLow Back PainLumbar VertebraePamphletsPatient Education as TopicPhysical TherapistsPhysical Therapy SpecialtySelf CareSpineREHABILITATION MEDICINE

Identifiers

PMID25762227
PMCPMC4360785

What OpenQuestion holds

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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.