Evidence map›Paper›PMID 31902002›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2020

Cross-cultural adaption and validation of the Swedish version of the Core Outcome Measures Index for low-back pain.

Hannah Granström, Anna Langborg, Anne F Mannion, Eva Rasmussen-Barr

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Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

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

6 citing papers in PubMed.

  1. Observational
  2. How reliable are the Core Outcome Measures Index and Global Treatment Outcome as measures of treatment success after surgery for central lumbar spinal canal stenosis?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article
  3. Cross-cultural adaptation and validation of the Thai version of the core outcome measures index for the back (COMI-back) in patients with low back pain.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article
  4. Article
  5. Cross-cultural adaptation and validation of the Traditional Chinese version of the Core Outcome Measures Index in patients with low back pain.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
    Article
  6. Cross-cultural adaptation and validation of the Arabic version of the Core Outcome Measures Index for the back (COMI-back) in patients with non-specific low back pain.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020
    Article
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

4 authors.

Hannah GranströmDepartment of Neurobiology, Caring Sciences, and Society, Division of Physiotherapy, Karolinska Institutet, 144 83, Huddinge, Sweden.
Anna LangborgDepartment of Neurobiology, Caring Sciences, and Society, Division of Physiotherapy, Karolinska Institutet, 144 83, Huddinge, Sweden.
Anne F MannionDepartment of Teaching, Research and Development, Spine Center Division, Schulthess Klinik, Lengghalde 2, 8008, Zurich, Switzerland.
Eva Rasmussen-BarrDepartment of Neurobiology, Caring Sciences, and Society, Division of Physiotherapy, Karolinska Institutet, 144 83, Huddinge, Sweden. eva.rasmussen.barr@ki.se.ORCID 0000-0003-3015-1232

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is a wide selection of instruments and questionnaires available, but many are time consuming in their administration, for patients, practitioners and researchers alike. The Core Outcome Measures Index (COMI) is a short, self-administrated, multidimensional instrument translated into several languages that covers five domains recommended in the assessment of outcome in patients with low-back pain. The purpose of this study was to cross-culturally adapt the COMI from English to Swedish and to test the face and construct validity and reproducibility of its results in patients with low-back pain.

methodsParticipants (n = 102) were included from primary and secondary care. The participants reported moderate pain and disability levels. All participants filled in the COMI, the Oswestry Disability Index and the EQ5D at baseline. Forty-nine filled in the COMI again after 7 days for the reproducibility part of the study.

resultsThe instrument was successfully forward and back-translated. In the validation process, there were low floor/ceiling effects, with the exception of the symptom-specific well-being (floor) and work disability (ceiling) items. The specific COMI domains and whole score correlated significantly with the chosen reference scale scores to the hypothesised extent (Rho 0.30-0.60 and > 0.60 respectively). COMI reached ICC 0.63 (95% CI 0.42-0.77) in the reproducibility test and the separate items, ICC 0.41-0.78.

conclusionsThe Swedish COMI shows acceptable psychometric properties and is thus suitable to use as a short instrument for measuring important domains in patients with low-back pain. A future study should investigate the instrument's sensitivity to measure change after treatment. These slides can be retrieved under Electronic Supplementary Material.

Indexed as

Cross-Cultural ComparisonLanguageOutcome Assessment, Health CareDisability EvaluationHumansPain MeasurementPsychometricsReproducibility of ResultsSurveys and QuestionnairesSwedenClinometricCOMIInstrumentRehabilitationReproducibility of results

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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.