Evidence map›Paper›PMID 26893824›Full record

ArticleChiropractic & manual therapies2016

Absence of low back pain to demarcate an episode: a prospective multicentre study in primary care.

Andreas Eklund, Irene Jensen, Malin Lohela-Karlsson, Charlotte Leboeuf-Yde, Iben Axén

Abstract read
In one paragraph

Article in Chiropractic & manual therapies, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

5 authors.

Andreas EklundUnit of Intervention and Implementation Research, Karolinska Institutet, Institute of Environmental Medicine, Nobels v 13, S-171 77 Stockholm, Sweden.
Irene JensenUnit of Intervention and Implementation Research, Karolinska Institutet, Institute of Environmental Medicine, Nobels v 13, S-171 77 Stockholm, Sweden.
Malin Lohela-KarlssonUnit of Intervention and Implementation Research, Karolinska Institutet, Institute of Environmental Medicine, Nobels v 13, S-171 77 Stockholm, Sweden.
Charlotte Leboeuf-YdeResearch Department, Spine Center of Southern Denmark, Institute for Regional Health Research, Hospital Lillebælt, University of Southern Denmark, Østre Hougvej 55, DK-5500 Middelfart, Denmark.
Iben AxénUnit of Intervention and Implementation Research, Karolinska Institutet, Institute of Environmental Medicine, Nobels v 13, S-171 77 Stockholm, Sweden ; Research Department, Spine Center of Southern Denmark, Institute for Regional Health Research, Hospital Lillebælt, University of Southern Denmark, Østre Hougvej 55, DK-5500 Middelfart, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been proposed that an episode of low back pain (LBP) be defined as: "a period of pain in the lower back lasting for more than 24 h preceded and followed by a period of at least 1 month without LBP". Previous studies have tested the definition in the general population and in secondary care populations with distinctly different results. The objectives of this study (in a primary care population) were to investigate the prevalence of 1) the number of consecutive weeks free from bothersome LBP, 2) the prevalence of at least four consecutive weeks free from bothersome LBP at any time during the study period, and 3) the prevalence of at least four consecutive weeks free from bothersome LBP at any time during the study period among subgroups that reported >30 days or ≤30 days of LBP the preceding year.

methodIn this prospective multicentre study subjects with LBP (n = 262) were consecutively recruited from chiropractic primary care clinics in Sweden. The number of days with bothersome LBP was collected through weekly automated text messages. The maximum number of weeks in a row without bothersome LBP and the number of periods of at least four consecutive weeks free from bothersome LBP was counted for each individual and analysed as proportions.

resultsData from 222 recruited subjects were analysed, of which 59 % reported at least one period of four consecutive weeks free from bothersome LBP. The number of consecutive pain free weeks ranged from 82 (at least one) to 31 % (9 or more). In subjects with a total duration of LBP of ≤ 30 days the previous year, 75 % reported a period of 4 consecutive weeks free from bothersome LBP during the study period whereas this was reported by only 48 % of subjects with a total duration of LBP of >30 days the previous year.

conclusionPrevalence of four consecutive pain free weeks is found in the majority of subjects in this population logically reflects duration of LBP within the sample and may be applied on patients in primary care to demarcate a LBP episode.

Indexed as

AbsenceChiropracticDefinitionDemarcationEpisodeLBPLow back painNon-episodePrimary careRecovery

Identifiers

PMID26893824
PMCPMC4758002

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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.