Evidence map›Paper›PMID 32238185›Full record

ArticleChiropractic & manual therapies2020

BAck complaints in the elders - chiropractic (BACE-C): protocol of an international cohort study of older adults with low back pain seeking chiropractic care.

Alan D Jenks, Trynke Hoekstra, Iben Axén, Katie de Luca, Jonathan Field, Dave Newell, Jan Hartvigsen, Simon D French, Bart Koes, Maurits W van Tulder and 1 more

Open access · goldAbstract read
In one paragraph

Article in Chiropractic & manual therapies, 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
2.3field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 24 citations in OpenAlex.

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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

11 authors at 6 institutions in 5 countries.

Alan D JenksDepartment of Health Sciences and Amsterdam Movement Science, Faculty of Science, Vrije Universiteit, De Boelelaan 1085, room WN U601, 1081HV, Amsterdam, The Netherlands. a.d.jenks@vu.nl.ORCID 0000-0002-7346-1655
Trynke HoekstraDepartment of Health Sciences and Amsterdam Public Health research institute, Faculty of Science, Vrije Universiteit, Amsterdam, Netherlands.
Iben AxénUnit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Katie de LucaDepartment of Chiropractic, Faculty of Science and Engineering, Macquarie University, Sydney, Australia.
Jonathan FieldBack Active, Private Practice, Southsea, Portsmouth, UK.
Dave NewellAECC University College, Bournemouth, UK.
Jan HartvigsenDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense M, Denmark.
Simon D FrenchDepartment of Chiropractic, Faculty of Science and Engineering, Macquarie University, Sydney, Australia.
Bart KoesDepartment of General Practice, Erasmus University Medical Center, Rotterdam, The Netherlands.
Maurits W van TulderDepartment of Health Sciences and Amsterdam Movement Science, Faculty of Science, Vrije Universiteit, De Boelelaan 1085, room WN U601, 1081HV, Amsterdam, The Netherlands.
Sidney M RubinsteinDepartment of Health Sciences and Amsterdam Movement Science, Faculty of Science, Vrije Universiteit, De Boelelaan 1085, room WN U601, 1081HV, Amsterdam, The Netherlands.
Vrije Universiteit Amsterdam · NLMacquarie University · AUUniversity of Southern Denmark · DKAarhus University Hospital · DKHealth Sciences University · GBKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow back pain is a common condition among older adults that significantly influences physical function and participation. Compared to their younger counterparts, there is limited information available about the clinical course of low back pain in older people, in particularly those presenting for chiropractic care. Improving our understanding of this patient population and the course of their low back pain may provide input for studies researching safer and more effective care than is currently provided.

objectivesThe primary objectives are to examine the clinical course over one year of pain intensity, healthcare costs and pain, functional status and recovery rates of low back pain in people 55 years and older who visit a chiropractor for a new episode of low back pain.

methodsAn international prospective, multi-center cohort study with one-year follow-up. Chiropractic practices are to be recruited in the Netherlands, Sweden, United Kingdom and Australia. Treatment will be left to the discretion of the chiropractor. Inclusion/Exclusion criteria: Patients aged 55 and older who consult a chiropractor for a new episode of low back pain, meaning low back pain for the first time or those patients who have not been to a chiropractor in the previous six months. This is independent of whether they have seen another type of health care provider for the current episode. Patients who are unable to complete the web-based questionnaires because of language restrictions or those with computer literacy restrictions will be excluded as well as those with cognitive disorders. In addition, those with a suspected tumor, fracture, infection or any other potential red flag or condition considered to be a contraindication for chiropractic care will be excluded. Data will be collected using online questionnaires at baseline, and at 2 and 6 weeks and at 3, 6, 9 and 12 months. DISCUSSION: This study, to our knowledge, is the first large-scale, prospective, multicenter, international cohort study to be conducted in a chiropractic setting to focus on older adults with low back pain consulting a chiropractor. By understanding the clinical course, satisfaction and safety of chiropractic treatment of this common debilitating condition in the aged population, this study will provide input for informing future clinical trials.

trial registrationNederlandse Trial Registrar NL7507.

Indexed as

AgedDisability EvaluationGeriatric AssessmentHumansLow Back PainManipulation, ChiropracticMiddle AgedMulticenter Studies as TopicPain MeasurementProspective StudiesResearch DesignSelf ReportAgedAgeingChiropracticChronic painElderlyEpidemiologyLow back painSpinal manipulation

Identifiers

PMID32238185
PMCPMC7110664
OpenAlexW3014997870

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.