Evidence map›Paper›PMID 30560041›Full record

ReviewGlobal spine journal2018

Treatment Efficacy, Clinical Utility, and Cost-Effectiveness of Multidisciplinary Biopsychosocial Rehabilitation Treatments for Persistent Low Back Pain: A Systematic Review.

Cornelia Rolli Salathé, Markus Melloh, Rebecca Crawford, Stephanie Scherrer, Norbert Boos, Achim Elfering

Open access · goldAbstract readReview
In one paragraph

Review in Global spine journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  5. Article
  6. Article
  7. Article
  8. Article
  9. Wellness of patients with chronic pain is not only about pain intensity.Pain practice : the official journal of World Institute of Pain · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Pain, Sleep, and Health-Related Quality of Life after Multidisciplinary Intervention for Chronic Pain.International journal of environmental research and public health · 2021
    Article
  15. Article
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  17. Article
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  19. Article
  20. Observational
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

6 authors at 5 institutions in 2 countries.

Cornelia Rolli SalathéUniversity of Bern, Bern, Switzerland.
Markus MellohZurich University of Applied Sciences, Winterthur, Switzerland.
Rebecca CrawfordCurtin University, Bentley, Western Australia, Australia.
Stephanie ScherrerUniversity of Bern, Bern, Switzerland.
Norbert BoosProdorso Centre for Spinal Medicine, Zurich, Switzerland.
Achim ElferingUniversity of Bern, Bern, Switzerland.
University of Bern · CHCenter for Pediatric Endocrinology Zurich · CHCurtin University · AUUniversity of Geneva · CHUniversity of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designSystematic review.

objectivesTo review the current literature on the treatment efficacy, clinical utility, and cost-effectiveness of multidisciplinary biopsychosocial rehabilitation (MBR) for patients suffering from persistent (nonspecific) lower back pain (LBP) in relation to pain intensity, disability, health-related quality of life, and work ability/sick leave.

methodsWe carried out a systematic search of Web of Science, Cochrane Library, PubMed Central, EMBASE, and PsycINFO for English- and German-language literature published between January 2010 and July 2017. Study selection consisted of exclusion and inclusion phases. After screening for duplication, studies were excluded on the basis of criteria covering study design, number of participants, language of publication, and provision of information about the intervention. All the remaining articles dealing with the efficacy, utility, or cost-effectiveness of intensive (more than 25 hours per week) MBR encompassing at least 3 health domains and cognitive behavioral therapy-based psychological education were included.

resultsThe search retrieved 1199 publications of which 1116 were duplicates or met the exclusion criteria. Seventy of the remaining 83 articles did not meet the inclusion criteria; thus 13 studies were reviewed. All studies reporting changes in pain intensity or disability over 12 months after MBR reported moderate effect sizes and/or

conclusionsMBR is an effective treatment for nonspecific LBP, but there is room for improvement in cost-effectiveness and impact on sick leave, where the evidence was less compelling.

Indexed as

cognitive behavioral therapycost-effectivenessefficacymultidisciplinary rehabilitationpersistent low back painsystematic reviewtreatment utility

Identifiers

PMID30560041
PMCPMC6293434
OpenAlexW2801834579

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.