Evidence map›Paper›PMID 32914195›Full record

ReviewPain medicine (Malden, Mass.)2020

AAAPT Diagnostic Criteria for Acute Low Back Pain with and Without Lower Extremity Pain.

Andrea L Nicol, Meredith C B Adams, Debra B Gordon, Sohail Mirza, David Dickerson, Sean Mackey, David Edwards, Robert W Hurley

Open access · greenAbstract readReview
In one paragraph

Review in Pain medicine (Malden, Mass.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 13% 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, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Tibetan herbal pain-relieving plaster for low back pain: A systematic review and meta-analysis.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2021
    Pooled it
  3. Article
  4. Article
  5. Article
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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

8 authors at 7 institutions in 1 country.

Andrea L NicolDepartment of Anesthesiology, University of Kansas School of Medicine, Kansas City, Kansas.
Meredith C B AdamsDepartment of Anesthesiology, Wake Forest University School of Medicine, Winston Salem, North Carolina.
Debra B GordonDepartment of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, Washington.
Sohail MirzaDepartment of Orthopedic Surgery, Geisel School of Medicine at Dartmouth University, Hanover, New Hampshire.
David DickersonDepartment of Anesthesiology, NorthShore University Health System, Evanston, Illinois.
Sean MackeyDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Stanford, California.
David EdwardsDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee.
Robert W HurleyDepartment of Anesthesiology, Wake Forest University School of Medicine, Winston Salem, North Carolina.
Wake Forest University · USDartmouth College · USNorthShore University HealthSystem · USStanford University · USUniversity of Kansas · USUniversity of Washington · USVanderbilt University Medical Center · US

Funding

Evaluating Specific and Non-Specific Mechanisms in Two Distinct Complementary/IntR01AT009680 · NCCIH · RUSH UNIVERSITY MEDICAL CENTER · PI BRUEHL, STEPHEN, BURNS, JOHN W. · 2018 to 2023
$4.1M
Single Session Pain Catastrophizing Treatment: Comparative Efficacy & MechanismsR01AT008561 · NCCIH · STANFORD UNIVERSITY · PI DARNALL, BETH DENISE, MACKEY, SEAN C · 2015 to 2019
$3.9M
Reduced Opioid Analgesic Requirements Via Improved Endogenous Opioid FunctionR01DA037891 · NIDA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BRUEHL, STEPHEN, BURNS, JOHN W. · 2015 to 2018
$2.6M
Psychological Risk Factors for Persistent Opioid Use and Prevention of Chronic Opioid Use and Misuse After Surgery: Postoperative Motivational Interviewing and Guided Opioid WeaningR01DA045027 · NIDA · STANFORD UNIVERSITY · PI HAH, JENNIFER · 2018 to 2022
$2.6M
Designing User-Centered Decision Support Tools for Chronic Pain in Primary CareR01HS023306 · AHRQ · INDIANA UNIVERSITY INDIANAPOLIS · PI HARLE, CHRISTOPHER ALBERT · 2015 to 2018
$2.0M
Neuroimaging and Mentoring in Translational Pain ResearchK24DA029262 · NIDA · STANFORD UNIVERSITY · PI MACKEY, SEAN C · 2010 to 2019
$1.9M
Nudging Primary Care Providers toward Guideline-Recommended Opioid Prescribing through Easier and More Convenient EHR Information DesignR33DA046085 · NIDA · INDIANA UNIVERSITY INDIANAPOLIS · PI HARLE, CHRISTOPHER ALBERT, MAZURENKO, OLENA · 2019 to 2021
$1.7M
Central Nervous System Amplification in Lumbar Failed Back Surgery SyndromeK23GM123320 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI CHADWICK, ANDREA LYNN · 2017 to 2022
$1.1M
Identifying opioid response phenotypes in low back pain electronic health dataK08EB022631 · NIBIB · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ADAMS, MEREDITH C. B. · 2017 to 2020
$737k
Nudging Primary Care Providers toward Guideline-Recommended Opioid Prescribing through Easier and More Convenient EHR Information DesignR21DA046085 · NIDA · INDIANA UNIVERSITY INDIANAPOLIS · PI HARLE, CHRISTOPHER ALBERT · 2017 to 2018
$402k
AHRQ HHS R01 HS023306NCCIH NIH HHS R01 AT008561NCCIH NIH HHS R01 AT009680NIAMS NIH HHS L30 AR074165NIBIB NIH HHS K08 EB022631NIDA NIH HHS K24 DA029262NIDA NIH HHS R01 DA037891NIDA NIH HHS R01 DA045027NIDA NIH HHS R21 DA046085NIDA NIH HHS R33 DA046085NIGMS NIH HHS K23 GM123320
6 · The paper itself

Abstract

objectiveLow back pain is one of the most common reasons for which people visit their doctor. Between 12% and 15% of the US population seek care for spine pain each year, with associated costs exceeding $200 billion. Up to 80% of adults will experience acute low back pain at some point in their lives. This staggering prevalence supports the need for increased research to support tailored clinical care of low back pain. This work proposes a multidimensional conceptual taxonomy.

methodsA multidisciplinary task force of the ACTTION-APS-AAPM Pain Taxonomy (AAAPT) with clinical and research expertise performed a focused review and analysis, applying the AAAPT five-dimensional framework to acute low back pain.

resultsApplication of the AAAPT framework yielded the following: 1) Core Criteria: location, timing, and severity of acute low back pain were defined; 2) Common Features: character and expected trajectories were established in relevant subgroups, and common pain assessment tools were identified; 3) Modulating Factors: biological, psychological, and social factors that modulate interindividual variability were delineated; 4) Impact/Functional Consequences: domains of impact were outlined and defined; 5) Neurobiological Mechanisms: putative mechanisms were specified including nerve injury, inflammation, peripheral and central sensitization, and affective and social processing of acute low back pain.

conclusionsThe goal of applying the AAAPT taxonomy to acute low back pain is to improve its assessment through a defined evidence and consensus-driven structure. The criteria proposed will enable more rigorous meta-analyses and promote more generalizable studies of interindividual variation in acute low back pain and its potential underlying mechanisms.

Indexed as

Acute PainLow Back PainAdultHumansLower ExtremityPain MeasurementAcute PainCoping ResponsesLow Back PainPhysical FunctionPsychological FunctionTaxonomy

Identifiers

PMID32914195
PMCPMC8453619
OpenAlexW3086458998

What OpenQuestion holds

Textmetadata
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.