ArticleBMJ open2015
Barriers to primary care clinician adherence to clinical guidelines for the management of low back pain: protocol of a systematic review and meta-synthesis of qualitative studies.
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 19 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Individual, health system, and contextual barriers and facilitators for the implementation of clinical practice guidelines: a systematic metareview.Health research policy and systems · 2020Pooled it
- The Effectiveness of a Physician-Led Web Portal on Back Pain: A Cluster Randomized Controlled Trial.Deutsches Arzteblatt international · 2025Trial
- Effects of X-ray-based diagnosis and explanation of knee osteoarthritis on patient beliefs about osteoarthritis management: A randomised clinical trial.PLoS medicine · 2025Trial
- Effect of diagnostic labelling on management intentions for non-specific low back pain: A randomized scenario-based experiment.European journal of pain (London, England) · 2022Trial
- Internet and Telerehabilitation-Delivered Management of Rotator Cuff-Related Shoulder Pain (INTEL Trial): Randomized Controlled Pilot and Feasibility Trial.JMIR mHealth and uHealth · 2020Trial
- Confidence, attitudes, beliefs and determinants of implementation behaviours among physiotherapists towards clinical management of low back pain before and after implementation of the BetterBack model of care.BMC health services research · 2020Trial
- The economic impact of a physician-introduced web portal on lower back pain: results from a cluster-randomized trial.Cost effectiveness and resource allocation : C/E · 2026Article
- Translating evidence into practice in primary care management of adolescents and women with polycystic ovary syndrome: a mixed-methods study.Family practice · 2024Article
- Barriers and facilitators to reducing low-value care for the management of low back pain in Iran: a qualitative multi-professional study.BMC public health · 2024Article
- Barriers and enablers to implementing clinical practice guidelines in primary care: an overview of systematic reviews.BMJ open · 2023Review
- Appropriateness of specialized care referrals for LBP: a cross-sectional analysis.Frontiers in medicine · 2023Article
- The Acceptance, Usability, and Utility of a Web Portal for Back Pain as Recommended by Primary Care Physicians: Qualitative Interview Study With Patients.JMIR formative research · 2022Article
- Development of a Patient-Oriented Intervention to Support Patient-Provider Conversations about Unnecessary Lower Back Pain Imaging.International journal of environmental research and public health · 2021Article
- Clinician's Commentary on Benny and EvansPhysiotherapy Canada. Physiotherapie Canada · 2020Article
- Well informed physician-patient communication in consultations on back pain - study protocol of the cluster randomized GAP trial.BMC family practice · 2019Article
- Imaging use for low back pain by Ontario primary care clinicians: protocol for a mixed methods study - the Back ON study.BMC musculoskeletal disorders · 2019Article
- Using behaviour change theory and preliminary testing to develop an implementation intervention to reduce imaging for low back pain.BMC health services research · 2018Article
- A mega-ethnography of eleven qualitative evidence syntheses exploring the experience of living with chronic non-malignant pain.BMC medical research methodology · 2017Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionLow back pain is the highest ranked condition contributing to years lived with disability, and is a significant economic and societal burden. Evidence-based clinical practice guidelines are designed to improve quality of care and reduce practice variation by providing graded recommendations based on the best available evidence. Studies of low back pain guideline implementation have shown no or modest effects at changing clinical practice.
objectivesTo identify enablers and barriers to adherence to clinical practice guidelines for the management of low back pain. METHODS AND ANALYSIS: A systematic review and meta-synthesis of qualitative studies that will be conducted and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement guidelines. Eight databases will be searched using a priori inclusion/exclusion criteria. Two independent reviewers will conduct a structured review and meta-synthesis, and a third reviewer will arbitrate where there is disagreement. This protocol has been registered on PROSPERO 2014. ETHICS AND DISSEMINATION: Ethical approval is not required. The systematic review will be published in a peer-reviewed journal. The review will also be disseminated electronically, in print and at conferences. Updates of the review will be conducted to inform and guide healthcare translation into practice. TRIAL REGISTRATION NUMBER: PROSPERO 2014:CRD42014012961. Available from http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42014012961.
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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.