Evidence map›Paper›PMID 32367389›Full record

ArticleJournal of general internal medicine2020

A Simple Scale for Screening Lower-Extremity Arterial Disease as a Possible Cause of Low Back Pain: a Cross-sectional Study Among 542 Subjects.

M Gahier, J Hersant, J F Hamel, Y Sempore, A Bruneau, S Henni, P Abraham

Open access · bronzeAbstract read
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Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

M GahierSports Medicine and Exercise Investigations, University Hospital, Angers, France. matthieu.gahier@hotmail.fr.ORCID 0000-0002-8846-7742
J HersantVascular Medicine, University Hospital, Angers, France.
J F HamelMethodology and Biostatistics Department, Angers University Hospital, Angers, France.
Y SemporeSports Medicine and Exercise Investigations, University Hospital, Angers, France.
A BruneauSports Medicine and Exercise Investigations, University Hospital, Angers, France.
S HenniVascular Medicine, University Hospital, Angers, France.
P AbrahamSports Medicine and Exercise Investigations, University Hospital, Angers, France.
Université d'Angers · FRCentre National de la Recherche Scientifique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpidemiological, imaging, and anatomical studies suggest an association between proximal arterial atherosclerosis and development of low back pain (LBP).

objectivesWe aimed to define (1) the frequency and (2) factors associated with exercise-induced proximal ischemia (EIPI) in individuals with LBP and (3) develop a clinical screening scale.

designMonocentric cross-sectional study.

participantsAll patients with history of ongoing LBP referred to our exercise investigation laboratory for exercise transcutaneous oximetry (ex-tcPO MAIN MEASURES: EIPI was defined as a decrease from rest of oxygen pressure (DROP) below - 15 mmHg on the lumbar and/or buttock probes. Ex-tcPO KEY

resultsEIPI was diagnosed in 282 patients (52%). Age ≤ 70 years (OR, 2.22; 95% CI, 1.35-3.57; p = 0.002), a history of proximal revascularization (OR, 2.64; 95% CI, 1.50-4.65; p = 0.001), use of antiplatelet medication (OR, 1.71; 95% CI, 0.96-3.06; p = 0.069), a relationship between exercise and LBP (OR, 2.61; 95% CI, 1.49-4.57; p = 0.001), and an abnormal ankle to brachial index (OR, 2.87; 95% CI, 1.77-4.66; p < 0.0001) were identified as EIPI predictors. Using these items, we developed a screening scale that showed an area under the receiver operating characteristics curve of .756. At a score of ≥ 3, the sensitivity, specificity, and accuracy for EIPI were 84%, 55%, and 71%, respectively.

conclusionsEIPI was common among our patients with LBP undergoing ex-TcPO

Indexed as

Low Back PainAgedBlood Gas Monitoring, TranscutaneousCross-Sectional StudiesFemaleHumansIschemiaMaleMiddle AgedRetrospective Studiescardiovascular diseaselow back painmass screeningperipheral arterial disease

Identifiers

PMID32367389
PMCPMC7351938
OpenAlexW3023580409

What OpenQuestion holds

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Registered trials

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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.