Evidence map›Paper›PMID 27820794›Full record

ArticleSpine2017

Epidemiological Differences Between Localized and Nonlocalized Low Back Pain.

David Coggon, Georgia Ntani, Karen Walker-Bone, Keith T Palmer, Vanda E Felli, Raul Harari, Lope H Barrero, Sarah A Felknor, David Gimeno, Anna Cattrell and 47 more

Open access · greenAbstract read
In one paragraph

Article in Spine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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  9. Clinical Effectiveness and Efficacy of Chiropractic Spinal Manipulation for Spine Pain.Frontiers in pain research (Lausanne, Switzerland) · 2021
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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

57 authors at 20 institutions in 19 countries.

David CoggonMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Georgia NtaniMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Karen Walker-BoneMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Keith T PalmerMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Vanda E FelliSchool of Nursing, University of São Paulo, São Paulo, Brazil.
Raul HarariCorporación para el Desarrollo de la Producción y el Medio Ambiente Laboral - IFA (Institute for the Development of Production and the Work Environment), Quito, Ecuador.
Lope H BarreroDepartment of Industrial Engineering, School of Engineering, Pontificia Universidad Javeriana, Bogotá, Colombia.
Sarah A FelknorSouthwest Center for Occupational and Environmental Health, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX.
David GimenoSouthwest Center for Occupational and Environmental Health, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX.
Anna CattrellNorth East London NHS Foundation Trust, Goodmayes Hospital, Ilford, Essex, UK.
Sergio Vargas-PradaCenter for Research in Occupational Health (CiSAL), Universitat Pompeu Fabra, Barcelona, Spain.
Matteo BonziniEpidemiology and Preventive Medicine Research Centre, Department of Clinical and Experimental Medicine, University of Insubria, Varese, Italy.
Eleni SolidakiDepartment of Social Medicine, Medical School, University of Crete, Heraklion, Greece.
Eda MerisaluInstitute of Technology, Estonian University of Life Sciences, Tartu, Estonia.
Rima R HabibDepartment of Environmental Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Farideh SadeghianDepartment of Occupational Health, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran.
M Masood KadirDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
Sudath Sp WarnakulasuriyaDepartment of Allied Health Sciences, Faculty of Medical Sciences, University of Sri Jayawardenepura, Gangodawila, Nugegoda, Sri Lanka.
Ko MatsudairaDepartment for Medical Research and Management for Musculoskeletal Pain, 22 Century Medical and Research Center, Faculty of Medicine, The University of Tokyo Hospital, Tokyo, Japan.
Busisiwe NyantumbuNational Institute for Occupational Health, National Health Laboratory Service, Johannesburg, South Africa.
Malcolm R SimDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Helen HarcombeDepartment of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
Ken CoxMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Leila M M SarquisFederal University of Paraná, Curitiba-PR, Brazil.
Maria H MarzialeSchool of Nursing of Ribeirão Preto, University of São Paulo, São Paulo, Brazil.
Florencia HarariCorporación para el Desarrollo de la Producción y el Medio Ambiente Laboral - IFA (Institute for the Development of Production and the Work Environment), Quito, Ecuador.
Rocio FreireCorporación para el Desarrollo de la Producción y el Medio Ambiente Laboral - IFA (Institute for the Development of Production and the Work Environment), Quito, Ecuador.
Natalia HarariCorporación para el Desarrollo de la Producción y el Medio Ambiente Laboral - IFA (Institute for the Development of Production and the Work Environment), Quito, Ecuador.
Magda V MonroyDepartment of Industrial Engineering, School of Engineering, Pontificia Universidad Javeriana, Bogotá, Colombia.
Leonardo A QuintanaDepartment of Industrial Engineering, School of Engineering, Pontificia Universidad Javeriana, Bogotá, Colombia.
Marianela RojasProgram Health, Work and Environment in Central America, Institute for Studies on Toxic Substances (IRET), National University of Costa Rica, Heredia, Costa Rica.
Elizabeth Clare HarrisMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Consol SerraCenter for Research in Occupational Health (CiSAL), Universitat Pompeu Fabra, Barcelona, Spain.
José Miguel MartinezServicio de Investigación y Análisis IT/EP, Departamento de Investigación y Análisis de Prestaciones, MC Mutual, Barcelona, Spain.
George DelclosSouthwest Center for Occupational and Environmental Health, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX.
Fernando G BenavidesCenter for Research in Occupational Health (CiSAL), Universitat Pompeu Fabra, Barcelona, Spain.
Michele CarugnoDepartment of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy.
Marco M FerrarioEpidemiology and Preventive Medicine Research Centre, Department of Clinical and Experimental Medicine, University of Insubria, Varese, Italy.
Angela C PesatoriDepartment of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy.
Leda ChatziDepartment of Social Medicine, Medical School, University of Crete, Heraklion, Greece.
Panos BitsiosDepartment of Psychiatry, Medical School, University of Crete, Heraklion, Greece.
Manolis KogevinasCIBER of Epidemiology and Public Health, Barcelona, Spain.
Kristel OhaNorth Estonia Medical Centre, Tallinn, Estonia.
Tiina FreimannTartu University Hospital, Tartu, Estonia.
Ali SadeghianKlinikum Leverkusen, Leverkusen, Germany.
Roshini J Peiris-JohnDepartment of Physiology, Faculty of Medical Sciences, University of Sri Jayewardenepura, Gangodawila, Nugegoda, Sri Lanka.
Nalini SathiakumarDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL.
A Rajitha WickremasingheFaculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka.
Noriko YoshimuraDepartment of Joint Disease Research, 22 Century Medical and Research Center, University of Tokyo, Tokyo, Japan.
Helen L KelsallDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Victor C W HoeCentre for Occupational and Environmental Health, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Donna M UrquhartDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Sarah DerrettInjury Prevention Research Unit, Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
David McBrideDepartment of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
Peter HerbisonDepartment of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
Andrew GrayDepartment of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
Eduardo J Salazar VegaHealth Safety and Environment Department, AkzoNobel, Houston, TX.
University of Otago · NZMonash University · AUPontificia Universidad Javeriana · COUniversity of Crete · GRCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESNIHR Southampton Biomedical Research Centre · GBSouthwest Center for Educational Excellence · USUniversidade de São Paulo · BRUniversity of Insubria · ITUniversity of Southampton · GBUniversity of Sri Jayewardenepura · LKAga Khan University · PKAmerican University of Beirut · LBCenter for Research in Environmental Epidemiology · ESEstonian University of Life Sciences · EEFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITGoodmayes Hospital · GBHospital Del Mar · ESKlinikum Leverkusen · DEMedical Research Council · GB

Funding

INTERNATIONAL TRAINING AND RESEARCH PROGRAMD43TW000644 · FIC · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI DELCLOS, GEORGE L · 1995 to 2011
$2.0M
Arthritis Research UK 20665FIC NIH HHS D43 TW000644Medical Research Council MC_PC_15015Medical Research Council MC_UU_12011/5
6 · The paper itself

Abstract

STUDY

designA cross-sectional survey with a longitudinal follow-up.

objectivesThe aim of this study was to test the hypothesis that pain, which is localized to the low back, differs epidemiologically from that which occurs simultaneously or close in time to pain at other anatomical sites SUMMARY OF BACKGROUND DATA.: Low back pain (LBP) often occurs in combination with other regional pain, with which it shares similar psychological and psychosocial risk factors. However, few previous epidemiological studies of LBP have distinguished pain that is confined to the low back from that which occurs as part of a wider distribution of pain.

methodsWe analyzed data from CUPID, a cohort study that used baseline and follow-up questionnaires to collect information about musculoskeletal pain, associated disability, and potential risk factors, in 47 occupational groups (office workers, nurses, and others) from 18 countries.

resultsAmong 12,197 subjects at baseline, 609 (4.9%) reported localized LBP in the past month, and 3820 (31.3%) nonlocalized LBP. Nonlocalized LBP was more frequently associated with sciatica in the past month (48.1% vs. 30.0% of cases), occurred on more days in the past month and past year, was more often disabling for everyday activities (64.1% vs. 47.3% of cases), and had more frequently led to medical consultation and sickness absence from work. It was also more often persistent when participants were followed up after a mean of 14 months (65.6% vs. 54.1% of cases). In adjusted Poisson regression analyses, nonlocalized LBP was differentially associated with risk factors, particularly female sex, older age, and somatizing tendency. There were also marked differences in the relative prevalence of localized and nonlocalized LBP by occupational group.

conclusionFuture epidemiological studies should distinguish where possible between pain that is limited to the low back and LBP that occurs in association with pain at other anatomical locations. LEVEL OF EVIDENCE: 2.

Indexed as

AdultAge DistributionCohort StudiesCross-Sectional StudiesFemaleHumansIncidenceLow Back PainMaleMiddle AgedOccupational DiseasesPrevalenceRisk FactorsSex CharacteristicsSurveys and Questionnaires

Identifiers

PMID27820794
PMCPMC5418102
OpenAlexW2547188931

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.