Evidence map›Paper›PMID 26650875›Full record

ArticleSpine2016

The Constellation of Chronic Low Back Pain and Other Subjective Symptoms: Does the View Differ From China?

Ernest Volinn, Bangxiang Yang, Nan Chen, Jian Ying, Jing Lin, Xiaoming Sheng, Yunxia Zuo

Open access · greenAbstract read
In one paragraph

Article in Spine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 31% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
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

7 authors at 4 institutions in 3 countries.

Ernest Volinn*University of Utah, Departments of Anesthesiology and Sociology, Pain Research Center, Salt Lake City, UT †Pain Management Department, West China Hospital, Sichuan University, Chengdu, PRC ‡Department of Medical Statistics, West China School of Public Health, Sichuan University, Chengdu, PRC §Department of Internal Medicine, University of Utah, Salt Lake City, UT ¶Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, PRC ||Department of Pediatrics, University of Utah, Salt Lake City, UT.
Bangxiang Yang
Nan Chen
Jian Ying
Jing Lin
Xiaoming Sheng
Yunxia Zuo
May Institute · USSichuan University · CNUniversity of Utah · USWest China Medical Center of Sichuan University · CN

Funding

UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
NCATS NIH HHS 8UL1TR000105NCATS NIH HHS UL1 TR000105NCRR NIH HHS UL1 RR025764NCRR NIH HHS UL1RR025764
6 · The paper itself

Abstract

STUDY

designThis was a pilot, cross-sectional study. Its site was West China Hospital in Chengdu, Sichuan Province.

objectiveAn objective was to explore whether, in China, chronic low back pain (cLBP) characteristically is one symptom among co-occurring subjective symptoms. More basic objectives were to test a supplemented list of symptoms and to reconfigure findings from the literature on co-occurrence of symptoms so that they pertain specifically to cLBP. The governing metaphor was a constellation of symptoms in which cLBP is located. SUMMARY OF BACKGROUND DATA: With the exception of small, isolated societies, previous studies of co-occurrence of symptoms were conducted in the affluent West. Although China's population is larger than the combined populations of affluent countries of the West, research on co-occurring symptoms has been neglected in China. Unknown is whether results from studies conducted in the affluent West may be extended to China.

methodsA survey with the supplemented symptom list was cross-culturally adapted into Chinese and administered to cLBP patients (N = 72) and normal controls (N = 102). Multiple regression analysis was used to determine the effects of covariates (age, gender, education) on symptom reporting.

resultscLBP patients reported higher median numbers of symptoms than normal controls, including total symptoms (9 vs. 3), musculoskeletal symptoms (4 vs. 1), and nonmusculoskeletal symptoms (6 vs. 2.5); differences between cLBP and normal controls were highly significant (p < 0.001). Covariates had a little effect on symptom reporting.

conclusioncLBP characteristically was one symptom in a constellation of symptoms. This finding came from one research site in China. Nevertheless, consistency between studies is notable, with findings from the affluent West supporting the finding from the Chinese site. The tendency to concentrate on a discrete clinical entity, cLBP itself, may obscure the constellation of symptoms. The more expansive view of cLBP has implications for clinical practice and research. LEVEL OF EVIDENCE: N/A.

Indexed as

AdultChinaChronic PainComorbidityCross-Sectional StudiesFemaleHumansLow Back PainMaleMiddle AgedSurveys and QuestionnairesYoung Adult

Identifiers

PMID26650875
PMCPMC4826330
OpenAlexW2317722067

What OpenQuestion holds

Textmetadata
LicenceTDM
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.