Evidence map›Paper›PMID 26667939›Full record

ArticleJournal of occupational rehabilitation2016

Clinical Decision Support Tools for Selecting Interventions for Patients with Disabling Musculoskeletal Disorders: A Scoping Review.

Douglas P Gross, Susan Armijo-Olivo, William S Shaw, Kelly Williams-Whitt, Nicola T Shaw, Jan Hartvigsen, Ziling Qin, Christine Ha, Linda J Woodhouse, Ivan A Steenstra

Open access · hybridAbstract readScoping Review
In one paragraph

Article in Journal of occupational rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

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  4. Factors influencing referral decisions for patients with chronic low back pain: a scoping review.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 · 2026
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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

10 authors at 6 institutions in 3 countries.

Douglas P GrossDepartment of Physical Therapy, University of Alberta, 2-50 Corbett Hall, Edmonton, AB, T6G 2G4, Canada. dgross@ualberta.ca.
Susan Armijo-OlivoFaculty of Rehabilitation Medicine, University of Alberta, 3-62 Corbett Hall, Edmonton, AB, T6G 2G4, Canada.
William S ShawLiberty Mutual Research Institute for Safety, 71 Frankland Road, Hopkinton, MA, 01748, USA.
Kelly Williams-WhittUniversity of Lethbridge, Calgary Campus, Suite S6032, 345 - 6th Avenue SE, Calgary, AB, T2G 4V1, Canada.
Nicola T ShawAlgoma University, 1520 Queen Street East, CC 303, Sault Ste. Marie, ON, P2A 2G4, Canada.
Jan HartvigsenUniversity of Southern Denmark, Odense, Denmark.
Ziling QinFaculty of Rehabilitation Medicine, University of Alberta, 3-62 Corbett Hall, Edmonton, AB, T6G 2G4, Canada.
Christine HaFaculty of Rehabilitation Medicine, University of Alberta, 3-62 Corbett Hall, Edmonton, AB, T6G 2G4, Canada.
Linda J WoodhouseDepartment of Physical Therapy, University of Alberta, 2-50 Corbett Hall, Edmonton, AB, T6G 2G4, Canada.
Ivan A SteenstraInstitute for Work & Health, 481 University Avenue, Suite 800, Toronto, ON, M5G 2E9, Canada.
University of Alberta · CAAlgoma University · CAInstitute for Work & Health · CALiberty Mutual Research Institute for Safety · USNordisk Institut for Kiropraktik og Klinisk Biomekanik · DKUniversity of Lethbridge · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose We aimed to identify and inventory clinical decision support (CDS) tools for helping front-line staff select interventions for patients with musculoskeletal (MSK) disorders. Methods We used Arksey and O'Malley's scoping review framework which progresses through five stages: (1) identifying the research question; (2) identifying relevant studies; (3) selecting studies for analysis; (4) charting the data; and (5) collating, summarizing and reporting results. We considered computer-based, and other available tools, such as algorithms, care pathways, rules and models. Since this research crosses multiple disciplines, we searched health care, computing science and business databases. Results Our search resulted in 4605 manuscripts. Titles and abstracts were screened for relevance. The reliability of the screening process was high with an average percentage of agreement of 92.3 %. Of the located articles, 123 were considered relevant. Within this literature, there were 43 CDS tools located. These were classified into 3 main areas: computer-based tools/questionnaires (n = 8, 19 %), treatment algorithms/models (n = 14, 33 %), and clinical prediction rules/classification systems (n = 21, 49 %). Each of these areas and the associated evidence are described. The state of evidentiary support for CDS tools is still preliminary and lacks external validation, head-to-head comparisons, or evidence of generalizability across different populations and settings. Conclusions CDS tools, especially those employing rapidly advancing computer technologies, are under development and of potential interest to health care providers, case management organizations and funders of care. Based on the results of this scoping review, we conclude that these tools, models and systems should be subjected to further validation before they can be recommended for large-scale implementation for managing patients with MSK disorders.

Indexed as

Decision Support Systems, ClinicalDisability EvaluationHumansMusculoskeletal DiseasesPersons with DisabilitiesReturn to WorkBack painDecision-makingDecision support techniquesMusculoskeletalReturn to workSick leave

Identifiers

PMID26667939
PMCPMC4967425
OpenAlexW2256822958

What OpenQuestion holds

Textmetadata
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.