Evidence map›Paper›PMID 25795697›Full record

ArticleBMJ open2015

Initial healthcare and coping preferences are associated with outcome 1 year after whiplash trauma: a multicentre 1-year follow-up study.

Solbjørg Makalani Myrtveit, Tina Carstensen, Helge Kasch, Eva Ørnbøl, Lisbeth Frostholm

Erratum issuedOpen access · goldAbstract readMulticenter Study
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. An erratum has been issued. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

Solbjørg Makalani MyrtveitDepartment of Clinical Science, University of Bergen, Bergen, Norway Division of Mental Health, Norwegian Institute of Public Health, Bergen, Norway.
Tina CarstensenThe Research Clinic for Functional Disorders, Aarhus University Hospital, Aarhus, Denmark.
Helge KaschDepartment of Neurology, Danish Pain Research Centre, Aarhus University Hospital, Aarhus, Denmark.
Eva ØrnbølThe Research Clinic for Functional Disorders, Aarhus University Hospital, Aarhus, Denmark.
Lisbeth FrostholmThe Research Clinic for Functional Disorders, Aarhus University Hospital, Aarhus, Denmark.
Aarhus University Hospital · DKDanish Pain Research Center · DKNorwegian Institute of Public Health · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIndividuals exposed to whiplash collisions have to cope with the stressful event as well as early physical symptoms. As in other chronic pain conditions, coping has been associated with outcome after whiplash. In this study, our aim was to examine whether initial coping preferences were associated with the development of chronic whiplash.

designProspective study.

settingPrimary care.

methods740 acute whiplash patients were recruited from emergency units and general practitioners after car collisions in Denmark. Within 10 days postinjury, participants were asked what they believed could help them get better. At 12-month follow-up, the level of neck pain and capability to work was obtained. Whether coping preferences (baseline) were associated with outcome was investigated using multiple regression analyses.

resultsPersistent neck pain was most strongly associated with preferring medications (mean difference=1.24 (95% CI 0.67 to 1.82)) and sickness absence (mean difference=1.18 (95% CI 0.53 to 1.82)). Reduced work capability was most strongly associated with preferring medications (OR=3.53 (95% CI 2.13 to 5.86)), sickness absence (OR=3.05 (95% CI 1.80 to 5.17)) and being referred to a physiotherapist/chiropractor (OR=3.03 (95% CI 1.33 to 6.91)). Active coping was associated with better outcomes: Participants preferring to change their lifestyle were protected against reduced work capability (OR=0.11 (95% CI 0.01 to 0.78)). Individuals who wanted to keep living as usual only (no other preference reported) were protected against neck pain (mean difference -1.62 (95% CI -2.39 to -0.84)) and reduced work capability (OR=0.09 (95% CI 0.01 to 0.64)).

conclusionsA simple nine-item measure of coping preferences is associated with the development of chronic neck pain and reduced capability to work following whiplash trauma and may be used to identify individuals at risk of poor recovery.

Indexed as

Patient PreferenceAccidents, TrafficAdultChronic PainDenmarkFemaleFollow-Up StudiesHumansLife StyleMaleManipulation, ChiropracticMiddle AgedNeck PainPhysical Therapy ModalitiesProspective StudiesReferral and ConsultationACCIDENT & EMERGENCY MEDICINEEPIDEMIOLOGYMENTAL HEALTHPUBLIC HEALTHTRAUMA MANAGEMENT

Identifiers

PMID25795697
PMCPMC4368905
OpenAlexW2139800330

What OpenQuestion holds

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LicenceCC BY-NC
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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.