Evidence map›Paper›PMID 27647141›Full record

SynthesisJournal of occupational rehabilitation2017

Systematic Review of Prognostic Factors for Return to Work in Workers with Sub Acute and Chronic Low Back Pain.

Ivan A Steenstra, Claire Munhall, Emma Irvin, Nelson Oranye, Steven Passmore, Dwayne Van Eerd, Quenby Mahood, Sheilah Hogg-Johnson

Registry-linked trialAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of occupational rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03502187 (Home-based Approaches for Subacute Low Back Pain in Active Duty), which is not on this map. Cited by 90 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 10 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.

NCT03502187 nacompletednot on this mapstarted 2018, after this paper: background citation

Home-based Approaches for Subacute Low Back Pain in Active Duty: Randomized, Controlled Trial

TypeinterventionalSponsorUniversity of TennesseeRan2018 to 2020Enrolled133ConditionsSubacute Low Back PainArmsProgressive Exercise Plan, NeuromuscularElectricalStimulation(NMES), Primary Care Management (PCM)
3 · Its place in the literature

Who cites it

90 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Biopsychosocial Factors for Chronicity in Individuals with Non-Specific Low Back Pain: An Umbrella Review.International journal of environmental research and public health · 2022
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  13. Expectations affect pain sensitivity changes during massage.The Journal of manual & manipulative therapy · 2023
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30 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.

Ivan A SteenstraInstitute for Work and Health, Toronto, ON, Canada. ivan.steenstra@ryerson.ca.ORCID 0000-0002-1262-9741
Claire MunhallInstitute for Work and Health, Toronto, ON, Canada.
Emma IrvinInstitute for Work and Health, Toronto, ON, Canada.
Nelson OranyeUniversity of Manitoba, Winnipeg, MB, Canada.
Steven PassmoreUniversity of Manitoba, Winnipeg, MB, Canada.
Dwayne Van EerdInstitute for Work and Health, Toronto, ON, Canada.
Quenby MahoodInstitute for Work and Health, Toronto, ON, Canada.
Sheilah Hogg-JohnsonInstitute for Work and Health, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose We systematically reviewed the evidence on factors that predict duration of sick leave in workers after 6 weeks low back pain (LBP) related sick leave. We hypothesized that different factors affect the duration of the leave depending on the time away from work. Methods The review occurred in seven phases: (1) developing the central question, (2) conducting the literature search, (3) identifying relevant publications, (4) quality appraisal, (5) data extraction, (6) evidence synthesis, and (7) knowledge translation. We searched for studies that reported episodes of LBP and sick leave that lasted more than 6 weeks. All included studies reported at least one prognostic factor where return to work was the outcome. Results We identified twenty-two relevant publications. The impact of pain, functional status and radiating pain seems to change with duration of work disability. Workers' recovery expectations remain important after 6 weeks. Modified duties are rarely studied in later phases of work disability. Depression/mental health did not appear to be an important factor in later phases. Workplace physical factors remain important. There is insufficient evidence that pain catastrophising and fear avoidance are predictive factors in later phases. There was moderate evidence for age in the later phases. Functional capacity and claim related factors were supported by some evidence. Discusion Physical demands in the workplace are preventing workers from getting back to work in a timely fashion across phases. The psychosocial work environment is understudied in later phases. Overall, we cannot conclude that prognostic factors change over time.

Indexed as

Acute PainChronic PainLow Back PainReturn to WorkSick LeaveAge FactorsDisability EvaluationFemaleHumansInjury Severity ScoreMalePrognosisSelf ReportSex FactorsTime FactorsDisabilityDisability evaluationPrognosisReviewSick leaveSystematic

Identifiers

PMID27647141
PMCPMC5591348

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.