Evidence map›Paper›PMID 33040598›Full record

Trial reportClinical rehabilitation2021

The effect of an integrated multidisciplinary rehabilitation programme for patients with chronic low back pain: Long-term follow up of a randomised controlled trial.

Anne Mette Schmidt, Trine Bay Laurberg, Line Thorndal Moll, Berit Schiøttz-Christensen, Thomas Maribo

Abstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in Clinical rehabilitation, 2021. 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. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. 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

5 authors.

Anne Mette SchmidtDepartment of Public Health, Centre for Rehabilitation Research, Aarhus University, Aarhus C, Denmark.ORCID https://orcid.org/0000-0002-3077-4985
Trine Bay LaurbergSano, Højbjerg, Denmark.
Line Thorndal MollSpine Centre, Diagnostic Centre, Silkeborg Regional Hospital, Silkeborg, Denmark.
Berit Schiøttz-ChristensenSpine Centre of Southern Denmark, University Hospital Lillebælt, Middelfart, Denmark.
Thomas MariboDepartment of Public Health, Centre for Rehabilitation Research, Aarhus University, Aarhus C, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the long-term effectiveness of an integrated rehabilitation programme with an existing rehabilitation programme, in terms of back-specific disability, in patients with chronic low back pain.

designA single-centre, pragmatic, two-arm parallel, randomised controlled trial.

settingA rheumatology rehabilitation centre in Denmark. SUBJECTS: A total of 165 adults (aged ⩾ 18 years) with chronic low back pain.

interventionsAn integrated programme (a pre-admission day, two weeks at home, two weeks inpatient followed by home-based activities, plus two 2-day inpatient booster sessions, and six-month follow-up visit) was compared with an existing programme (four-week inpatient, and six-month follow-up visit). MAIN MEASURE: The primary outcome was disability measured using the Oswestry Disability Index after one year. Secondary outcomes included pain intensity (Numerical Rating Scale), pain self-efficacy (Pain Self-Efficacy Questionnaire), health-related quality of life (EuroQol-5 Domain 5-level (EQ-5D)), and depression (Major Depression Inventory). Analysis was by intention-to-treat, using linear mixed models.

results303 patients were assessed for eligibility of whom 165 patients (mean age 50 years (SD 13) with a mean Oswestry Disability Index score of 42 (SD 11)) were randomly allocated (1:1 ratio) to the integrated programme (

conclusionThe integrated programme was not more effective in reducing long-term disability in patients with chronic low back pain than the existing programme.

Indexed as

AdultAgedAged, 80 and overChronic PainDelivery of Health Care, IntegratedFemaleFollow-Up StudiesHumansLow Back PainMaleMiddle AgedPatient Care TeamQuality of LifeRehabilitation CentersTreatment OutcomeYoung Adultbiopsychosocial approachChronic low back paincomplex interventionsmultidisciplinary rehabilitation

Identifiers

PMID33040598
PMCPMC7874370

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.