Evidence map›Paper›PMID 26867930›Full record

Trial reportBMC musculoskeletal disorders2016

Do psychological and behavioral factors classified by the West Haven-Yale Multidimensional Pain Inventory (Swedish version) predict the early clinical course of low back pain in patients receiving chiropractic care?

Andreas Eklund, Gunnar Bergström, Lennart Bodin, Iben Axén

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01539863 (Chiropractic Maintenance Care of Persistent or Recurrent Low Back Pain. A Randomized Controlled Trial With 1 Year Follow up), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 22% 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.

NCT01539863 nacompletednot on this map

Chiropractic Maintenance Care of Persistent or Recurrent Low Back Pain. A Randomized Controlled Trial With 1 Year Follow up

TypeinterventionalSponsorKarolinska InstitutetRan2012 to 2016Enrolled328ConditionsRecurrent Low Back Pain, Persistent Low Back Pain, Chronic Low Back PainArmsmaintenance care, Treatment as needed
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
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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

4 authors at 1 institution in 2 countries.

Andreas EklundInstitute of Environmental Medicine, Karolinska Institutet, SE-171 77, Stockholm, Sweden. andreas.eklund@ki.se.
Gunnar BergströmInstitute of Environmental Medicine, Karolinska Institutet, SE-171 77, Stockholm, Sweden. gunnar.bergstrom@ki.se.
Lennart BodinInstitute of Environmental Medicine, Karolinska Institutet, SE-171 77, Stockholm, Sweden. lennart.bodin@ki.se.
Iben AxénInstitute of Environmental Medicine, Karolinska Institutet, SE-171 77, Stockholm, Sweden. iben.axen@ki.se.
Karolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate if psychological and behavioral factors (as determined by the Swedish version of the West Haven-Yale Multidimensional Pain Inventory, MPI-S) can predict the early clinical course of Low Back Pain (LBP).

methodsMPI-S data from patients (18-65 years of age) seeking chiropractic care for recurrent and persistent LBP were collected at the 1(st) visit. A follow-up questionnaire was administered at the 4(th) visit. The predictive value of the MPI-S subgroups Adaptive Copers (AC), Interpersonally Distressed (ID) and Dysfunctional (DYS) was calculated against the subjective improvement at the 4(th) visit and clinically relevant difference in pain intensity between the 1(st) and 4(th) visit.

resultsOf the 666 subjects who were included at the 1(st) visit, 329 completed the questionnaire at the 4(th) visit. A total of 64.7 % (AC), 68.0 % (ID) and 71.3 % (DYS) reported a definite improvement. The chance of "definite improvement", expressed as relative risk (95 % CI) with the AC group as reference, was 1.05 (.87-1.27) for the ID and 1.10 (.93-1.31) for the DYS groups, respectively. The DYS and ID groups reported higher values in pain intensity both at the 1(st) and the 4(th) visit. The proportion of subjects who reported an improvement in pain intensity of 30 % or more (clinically relevant) were 63.5 % AC, 72.0 % ID and 63.2 % DYS. Expressed as relative risk (95 % CI) with the AC group as reference, this corresponded to 1.26 (.91-1.76) for the ID and 1.09 (.78-1.51) for the DYS groups, respectively.

conclusionsThe MPI-S instrument could not predict the early clinical course of recurrent and persistent LBP in this sample of chiropractic patients.

trial registrationClinical trials.gov; NCT01539863 , February 22, 2012.

Indexed as

Adaptation, PsychologicalAdultEarly DiagnosisFemaleFollow-Up StudiesHumansLow Back PainMaleManipulation, ChiropracticMiddle AgedPain MeasurementPredictive Value of TestsProspective StudiesSurveys and QuestionnairesSweden

Identifiers

PMID26867930
PMCPMC4751747
OpenAlexW2258729711

What OpenQuestion holds

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LicenceCC BY
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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.