Evidence map›Paper›PMID 31562162›Full record

Observational studyBMJ open2019

Factors associated with disabling low back pain among nursing personnel at a medical centre in Japan: a comparative cross-sectional survey.

Takahiko Yoshimoto, Hiroyuki Oka, Shuhei Ishikawa, Akatsuki Kokaze, Shingo Muranaga, Ko Matsudaira

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Association of Low Back Pain with Shift Work: A Meta-Analysis.International journal of environmental research and public health · 2023
    Pooled it
  2. Trial
  3. Musculoskeletal disorders in nursing staff.World journal of methodology · 2025
    Article
  4. Article
  5. Low back pain in medical workers and its influencing factors.American journal of translational research · 2024
    Article
  6. Article
  7. An Exploration of the Influence of Non-Biomechanical Factors on Lifting-Related LBP.International journal of environmental research and public health · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Risk of work-related health problems among community health agents.Revista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMT
    Review
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 3 institutions in 2 countries.

Takahiko YoshimotoDepartment of Hygiene, Public Health and Preventive Medicine, Showa University School of Medicine, Shinagawa-ku, Japan yoshimotota@gmail.com.ORCID 0000-0002-3039-6179
Hiroyuki OkaDepartment of Medical Research and Management for Musculoskeletal Pain, The University of Tokyo, Bunkyo-ku, Japan.
Shuhei IshikawaDepartment of Rehabilitation, Kameda Medical Centre, Kamogawa, Japan.
Akatsuki KokazeDepartment of Hygiene, Public Health and Preventive Medicine, Showa University School of Medicine, Shinagawa-ku, Japan.
Shingo MuranagaDepartment of Rehabilitation, Kameda Medical Centre, Kamogawa, Japan.
Ko MatsudairaDepartment of Medical Research and Management for Musculoskeletal Pain, The University of Tokyo, Bunkyo-ku, Japan.
Kameda Medical Center · JPShowa University · JPThe University of Tokyo · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesLow back pain (LBP) is a common cause of disability among nursing personnel. Although many studies regarding the risk factors for LBP among nursing staff have focused on the physical load at work, multidimensional assessments of risk factors are essential to identify appropriate preventive strategies. We aimed to investigate the association of multidimensional factors (individual, physical, psychological and occupational) with disabling LBP among nursing personnel in Japan.

designObservational study with comparative cross-sectional design.

settingData were collected using the self-administered questionnaire at a tertiary medical centre.

participantsAfter excluding participants with missing variables, 718 nursing personnel were included in the analysis. OUTCOME MEASURES: A self-administered questionnaire assessed individual characteristics, rotating night shift data, severity of LBP, previous episode of LBP, sleep problem, kinesiophobia (Tampa Scale for Kinesiophobia), depressive condition (K6), physical flexibility and frequency of lifting at work. A logistic regression model was used to evaluate the factors associated with disabling LBP (LBP interfering with work) among nursing personnel.

resultsOf all participants, 110 (15.3%) reported having disabling LBP. The multivariable logistic regression analysis after adjustment for several confounding factors showed that kinesiophobia (highest tertile, adjusted OR (aOR): 6.13, 95% CI : 3.34 to 11.27), previous episode of LBP (aOR: 4.31, 95% CI: 1.50 to 12.41) and insomnia (aOR: 1.66, 95% CI: 1.05 to 2.62) were significantly associated with disabling LBP.

conclusionsThe present study indicated that kinesiophobia, a previous episode of LBP, and sleep problems were associated with disabling LBP among nursing personnel. In the future, workplace interventions considering assessments of these factors may reduce the incidence of disabling LBP in nursing staff, although further prospective studies are needed.

Indexed as

AdultCross-Sectional StudiesFearFemaleHumansJapanLow Back PainMaleNursing Staff, HospitalOccupational InjuriesPersons with DisabilitiesSeverity of Illness IndexSleep Initiation and Maintenance DisordersSurveys and Questionnaireskinesiophobialow back painnursesleep

Identifiers

PMID31562162
PMCPMC6773308
OpenAlexW2976508487

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.