Evidence map›Paper›PMID 25763198›Full record

ArticleIranian Red Crescent medical journal2014

The etiologies of low back pain in patients with lumbar disk herniation.

Fariborz Samini, Mohammad Gharedaghi, Mahdi Khajavi, Mohammad Samini

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Iranian Red Crescent medical journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06989632 (Total Lumbar Disc Prosthesis and Subsequent Work Activity 5 Years After Total Lumbar Disc Replacement), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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.

NCT06989632 completednot on this map

Total Lumbar Disc Prosthesis and Subsequent Work Activity 5 Years After Total Lumbar Disc Replacement

TypeobservationalSponsorUniversity of ValenciaRan2008 to 2025Enrolled130ConditionsLumbar Disc Degeneration, Lumbar Disc Disease, Sciatica, Lumbar Disc HerniationArmsTotal lumbar disc prosthesis (Baguera®L, Spineart, Switzerland)
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Fariborz SaminiDepartment of Neurosurgery, Trauma Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Mohammad GharedaghiDepartment of Neurosurgery, Trauma Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Mahdi KhajaviFaculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Mohammad SaminiResearch Center of Orthopedic, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Mashhad University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow back pain (LBP) is a common complaint in population that lowers the quality of life. The main etiology of LBP is recognized in about 20% of patients while it is attributed to lumbar disk herniation (LDH) in 80% of cases and causes some unnecessary lumbar surgeries without realizing the definite cause.

objectivesThis study was planned to evaluate the etiologies of LBP in patients who had LDH to clarify whether the disc herniation is the main cause of patients` pain or other diseases were responsible for this kind of pain. MATERIALS AND

methodsIn this cross-sectional study, we analyzed the medical profiles of the patients with proven LDH in a private clinic in Mashhad City, Iran, between 2005 and 2012, for demographic and the etiologies of LBP with clinical and paraclinical studies. We also calculated the incidence of each etiology by SPSS 13.

resultsIn our study, among 1250 patients with proven LDH by MRI, 500 patients (40%) had chronic LBP and the most common causes of LBP were heavy constant working (40.2%), osteoporosis (35.6%), and sacroiliac joint pain (34.6%), consecutively. Interestingly, LDH had the ninth rank among the common cause of LBP.

conclusionsIn this study, we found that in spite of previous beliefs, discopathies were not common etiologies of LBP. Thus, even in patients with proven LDH by imaging studies, the physician should perform a thorough evaluation for other causes of LBP to avoid unnecessary lumbar surgeries.

Indexed as

Intervertebral DiscLow Back PainLumbar Disc Herniation

Identifiers

PMID25763198
PMCPMC4329753
OpenAlexW2131721157

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.