Evidence map›Paper›PMID 33272228›Full record

ArticleBMC musculoskeletal disorders2020

A multisite longitudinal evaluation of patient characteristics associated with a poor response to non-surgical multidisciplinary management of low back pain in an advanced practice physiotherapist-led tertiary service.

Shaun O'Leary, Maree Raymer, Peter Window, Patrick Swete Kelly, Darryl Lee, Linda Garsden, Rebecca Tweedy, Ben Phillips, Will O'Sullivan, Anneke Wake and 19 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
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

29 authors at 10 institutions in 1 country.

Shaun O'LearySchool of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia. s.oleary@uq.edu.au.ORCID http://orcid.org/0000-0002-2574-129X
Maree RaymerPhysiotherapy Department, Royal Brisbane and Women's Hospital, Brisbane, Australia.
Peter WindowPhysiotherapy Department, Royal Brisbane and Women's Hospital, Brisbane, Australia.
Patrick Swete KellyPhysiotherapy Department, Royal Brisbane and Women's Hospital, Brisbane, Australia.
Darryl LeePhysiotherapy Department, Royal Brisbane and Women's Hospital, Brisbane, Australia.
Linda GarsdenPhysiotherapy Department, Royal Brisbane and Women's Hospital, Brisbane, Australia.
Rebecca TweedyPhysiotherapy Department, Royal Brisbane and Women's Hospital, Brisbane, Australia.
Ben PhillipsPhysiotherapy Department, Townsville Hospital, Townsville, Australia.
Will O'SullivanPhysiotherapy Department, Townsville Hospital, Townsville, Australia.
Anneke WakePhysiotherapy Department, Townsville Hospital, Townsville, Australia.
Alison SmithPhysiotherapy Department, Cairns Hospital, Cairns, Australia.
Sheryl PahorPhysiotherapy Department, Princess Alexandra Hospital, Brisbane, Australia.
Luen PearcePhysiotherapy Department, Princess Alexandra Hospital, Brisbane, Australia.
Rod McLeanPhysiotherapy Department, Princess Alexandra Hospital, Brisbane, Australia.
David ThompsonPhysiotherapy Department, Princess Alexandra Hospital, Brisbane, Australia.
Erica WilliamsPhysiotherapy Department, Princess Alexandra Hospital, Brisbane, Australia.
Damien NolanPhysiotherapy Department, Princess Alexandra Hospital, Brisbane, Australia.
Jody AnningPhysiotherapy Department, Princess Alexandra Hospital, Brisbane, Australia.
Ian SeelsPhysiotherapy Department, Nambour Hospital, Nambour, Australia.
Daniel WickinsPhysiotherapy Department, Redcliffe Hospital, Redcliffe, Australia.
Darryn MarksPhysiotherapy Department, Gold Coast Hospital, Gold Coast, Australia.
Brendan DiplockPhysiotherapy Department, Logan Hospital, Logan, Australia.
Vicki ParraviciniPhysiotherapy Department, Logan Hospital, Logan, Australia.
Linda ParnwellPhysiotherapy Department, Logan Hospital, Logan, Australia.
Bill VicenzinoSchool of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia.
Tracy ComansCentre for Health Services Research, University of Queensland, Brisbane, Australia.
Michelle CottrellSchool of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia.
Asaduzzaman KhanSchool of Health and Rehabilitation Sciences, University of Queensland, Brisbane, Australia.
Steven McPhailClinical Informatics Directorate, Metro South Hospital and Health Service, Brisbane, Australia.
Princess Alexandra Hospital · AURoyal Brisbane and Women's Hospital · AUThe University of Queensland · AULogan Hospital · AUTownsville Hospital · AUBond University · AUCairns Hospital · AUNambour General Hospital · AUQueensland University of Technology · AURedcliffe Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-surgical multidisciplinary management is often the first pathway of care for patients with chronic low back pain (LBP). This study explores if patient characteristics recorded at the initial service examination have an association with a poor response to this pathway of care in an advanced practice physiotherapist-led tertiary service.

methodsTwo hundred and forty nine patients undergoing non-surgical multidisciplinary management for their LBP across 8 tertiary public hospitals in Queensland, Australia participated in this prospective longitudinal study. Generalised linear models (logistic family) examined the relationship between patient characteristics and a poor response at 6 months follow-up using a Global Rating of Change measure.

resultsOverall 79 of the 178 (44%) patients completing the Global Rating of Change measure (28.5% loss to follow-up) reported a poor outcome. Patient characteristics retained in the final model associated with a poor response included lower Formal Education Level (ie did not complete school) (Odds Ratio (OR (95% confidence interval)) (2.67 (1.17-6.09), p = 0.02) and higher self-reported back disability (measured with the Oswestry Disability Index) (OR 1.33 (1.01-1.77) per 10/100 point score increase, p = 0.046).

conclusionsA low level of formal education and high level of self-reported back disability may be associated with a poor response to non-surgical multidisciplinary management of LBP in tertiary care. Patients with these characteristics may need greater assistance with regard to their comprehension of health information, and judicious monitoring of their response to facilitate timely alternative care if no benefits are attained.

Indexed as

Low Back PainPhysical TherapistsAustraliaDisability EvaluationHumansLongitudinal StudiesPain MeasurementProspective StudiesLow back painNon-surgical managementOutcomeRisk factorsTertiary care

Identifiers

PMID33272228
PMCPMC7713165
OpenAlexW3109731671

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.