Evidence map›Paper›PMID 26244668›Full record

SynthesisPloS one2015

The Effectiveness of Cognitive Behavioural Treatment for Non-Specific Low Back Pain: A Systematic Review and Meta-Analysis.

Helen Richmond, Amanda M Hall, Bethan Copsey, Zara Hansen, Esther Williamson, Nicolette Hoxey-Thomas, Zafra Cooper, Sarah E Lamb

Open access · goldAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 13 pooled it
14.3field-weighted citation impact, top 1% 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

85 citing papers in PubMed, 13 syntheses or guidelines pooled it, 207 citations in OpenAlex.

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  7. The influence of cognitive behavioral therapy on lumbar spine surgery outcomes: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021
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  9. Acupuncture for the Management of Low Back Pain.Current pain and headache reports · 2021
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  16. Identifying mechanisms that link pain to smoking relapse during a quit attempt.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2021
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25 more citing papers are in PubMed but not listed here.

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

8 authors at 4 institutions in 1 country.

Helen RichmondCentre for Rehabilitation Research, Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, England, United Kingdom.
Amanda M HallCentre for Rehabilitation Research, Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, England, United Kingdom; The George Institute for Global Health, University of Oxford, Oxford, England, United Kingdom.
Bethan CopseyCentre for Rehabilitation Research, Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, England, United Kingdom.
Zara HansenCentre for Rehabilitation Research, Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, England, United Kingdom.
Esther WilliamsonCentre for Rehabilitation Research, Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, England, United Kingdom.
Nicolette Hoxey-ThomasCentre for Rehabilitation Research, Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, England, United Kingdom.
Zafra CooperDepartment of Psychiatry, Medical Sciences Division, Warneford Hospital, Oxford, United Kingdom.
Sarah E LambCentre for Rehabilitation Research, Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, England, United Kingdom.
Nuffield Orthopaedic Centre · GBUniversity of Oxford · GBGeorge Institute for Global Health · GBWarneford Hospital · GB

Funding

Department of Health 01/75/01
6 · The paper itself

Abstract

objectivesTo assess whether cognitive behavioural (CB) approaches improve disability, pain, quality of life and/or work disability for patients with low back pain (LBP) of any duration and of any age.

methodsNine databases were searched for randomised controlled trials (RCTs) from inception to November 2014. Two independent reviewers rated trial quality and extracted trial data. Standardised mean differences (SMD) and 95% confidence intervals were calculated for individual trials. Pooled effect sizes were calculated using a random-effects model for two contrasts: CB versus no treatment (including wait-list and usual care (WL/UC)), and CB versus other guideline-based active treatment (GAT).

resultsThe review included 23 studies with a total of 3359 participants. Of these, the majority studied patients with persistent LBP (>6 weeks; n=20). At long term follow-up, the pooled SMD for the WL/UC comparison was -0.19 (-0.38, 0.01) for disability, and -0.23 (-0.43, -0.04) for pain, in favour of CB. For the GAT comparison, at long term the pooled SMD was -0.83 (-1.46, -0.19) for disability and -0.48 (-0.93, -0.04) for pain, in favour of CB. While trials varied considerably in methodological quality, and in intervention factors such as provider, mode of delivery, dose, duration, and pragmatism, there were several examples of lower intensity, low cost interventions that were effective.

conclusionCB interventions yield long-term improvements in pain, disability and quality of life in comparison to no treatment and other guideline-based active treatments for patients with LBP of any duration and of any age. SYSTEMATIC REVIEW REGISTRATION: PROSPERO protocol registration number: CRD42014010536.

Indexed as

Cognitive Behavioral TherapyDisability EvaluationHumansLow Back PainPain MeasurementQuality of LifeRandomized Controlled Trials as TopicTreatment Outcome

Identifiers

PMID26244668
PMCPMC4526658
OpenAlexW1903507600

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.