SynthesisImplementation science : IS2017
Clinical practice guidelines for the management of chronic musculoskeletal pain in primary healthcare: a systematic review.
Synthesis in Implementation science : IS, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- A systematic review and meta analysis of open label placebo effects in chronic musculoskeletal pain.Scientific reports · 2025Pooled it
- Recommendations for managing adults with chronic non-cancer pain in primary care: A systematic clinical guideline review.Journal of evaluation in clinical practice · 2025Pooled it
- Effects of acupuncture on musculoskeletal pain: an evidence map.Frontiers in medicine · 2025Pooled it
- Migrant Healthcare Guidelines: A Systematic Quality Assessment.Journal of immigrant and minority health · 2019Pooled it
- Article
- Validation and Reliability of the Slovenian Translation of the Adherence to Exercise for Musculoskeletal Pain Tool (ATEMPT).Zdravstveno varstvo · 2026Article
- Article
- Determinants of Complementary and Integrative Health Approaches: A Cross-Sectional Study Using the All of Us Research Program.Journal of integrative and complementary medicine · 2025Article
- An Evaluation of the Design of Multimedia Patient Education Materials in Musculoskeletal Health Care: Systematic Review.JMIR rehabilitation and assistive technologies · 2024Review
- Context factors for implementation of clinical recommendations for chronic musculoskeletal pain.African journal of primary health care & family medicine · 2024Article
- Understanding Needs for Chronic Musculoskeletal Pain Management in a Northern Dene and Métis Community: A Community Based Needs Assessment.Canadian journal of pain = Revue canadienne de la douleur · 2024Article
- The challenge of pharmacotherapy for musculoskeletal pain: an overview of unmet needs.Therapeutic advances in musculoskeletal disease · 2024Review
- Clinical recommendations for chronic musculoskeletal pain in South African primary health care.African journal of primary health care & family medicine · 2023Article
- Physiotherapists clinical reasoning to prescribe exercise for patients with chronic pain: A qualitative study research protocol.PloS one · 2023Article
- Applying the behavioural change wheel to guide the implementation of a biopsychosocial approach to musculoskeletal pain care.Frontiers in pain research (Lausanne, Switzerland) · 2023Article
- A cluster randomised effectiveness-implementation trial of an intervention to increase the adoption of PAX Good Behaviour Game, a mental health prevention program, in Australian primary schools: Study protocol.Contemporary clinical trials communications · 2022Article
- More than one third of clinical practice guidelines on low back pain overlap in AGREE II appraisals. Research wasted?BMC medical research methodology · 2022Article
- Clinician's Commentary on Meade et al.Physiotherapy Canada. Physiotherapie Canada · 2022Article
- Knowledge, attitudes and practice of clinicians managing chronic pain in a tertiary care facility.The South African journal of physiotherapy · 2022Article
- Management of Musculoskeletal Pain: An Update with Emphasis on Chronic Musculoskeletal Pain.Pain and therapy · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUp-to-date, high quality, evidence-based clinical practice guidelines (CPGs) that are applicable for primary healthcare are vital to optimize services for the population with chronic musculoskeletal pain (CMSP). The study aimed to systematically identify and appraise the available evidence-based CPGs for the management of CMSP in adults presenting in primary healthcare settings.
methodsA systematic review was conducted. Twelve guideline clearinghouses and six electronic databases were searched for eligible CPGs published between the years 2000 and May 2015. CPGs meeting the inclusion criteria were appraised by three reviewers using the Appraisal of Guidelines Research and Evaluation (AGREE) II.
resultsOf the 1082 records identified, 34 were eligible, and 12 CPGs were included based on the inclusion and exclusion criteria. The methodological rigor of CPG development was highly variable, and the median domain score was 66%. The median score for stakeholder involvement was 64%. The lowest median score was obtained for the domain applicability (48%). There was inconsistent use of frameworks to aggregate the level of evidence and the strength of the recommendation in the included CPGs. The scope and content of the included CPGs focussed on opioid prescription.
conclusionNumerous CPGs that are applicable for the primary healthcare of CMSP exists, varying in their scope and methodological quality. This study highlights specific elements to enhance the development and reporting of CPGs, which may play a role in the uptake of guidelines into clinical practice. These elements include enhanced reporting of methodological aspects, the use of frameworks to enhance decision making processes, the inclusion of patient preferences and values, and the consideration of factors influencing applicability of recommendations.
trial registrationPROSPERO CRD42015022098 .
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What OpenQuestion holds
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.