Evidence map›Paper›PMID 33313735›Full record

ArticlePain medicine (Malden, Mass.)2020

Resolving the Burden of Low Back Pain in Military Service Members and Veterans (RESOLVE): Protocol for a Multisite Pragmatic Clinical Trial.

Shawn Farrokhi, Elizabeth Russell Esposito, Danielle McPherson, Brittney Mazzone, Rachel Condon, Charity G Patterson, Michael Schneider, Carol M Greco, Anthony Delitto, M Jason Highsmith and 3 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Pain medicine (Malden, Mass.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 1 country.

Shawn FarrokhiDOD-VA Extremity Trauma and Amputation Center of Excellence, Falls Church, Virginia.
Elizabeth Russell EspositoDOD-VA Extremity Trauma and Amputation Center of Excellence, Falls Church, Virginia.
Danielle McPhersonNaval Medical Center San Diego, San Diego, California.
Brittney MazzoneDOD-VA Extremity Trauma and Amputation Center of Excellence, Falls Church, Virginia.
Rachel CondonNaval Medical Center San Diego, San Diego, California.
Charity G PattersonUniversity of Pittsburgh, Pittsburgh, Pennsylvania.
Michael SchneiderUniversity of Pittsburgh, Pittsburgh, Pennsylvania.
Carol M GrecoUniversity of Pittsburgh, Pittsburgh, Pennsylvania.
Anthony DelittoUniversity of Pittsburgh, Pittsburgh, Pennsylvania.
M Jason HighsmithUS Department of Veterans Affairs, Tampa, Florida.
Brad D HendershotDOD-VA Extremity Trauma and Amputation Center of Excellence, Falls Church, Virginia.
Jason MaikosUS Department of Veterans Affairs New York Harbor Healthcare System, New York, New York, USA.
Christopher L DearthDOD-VA Extremity Trauma and Amputation Center of Excellence, Falls Church, Virginia.
University of Pittsburgh · USNaval Medical Center San Diego · USUniformed Services University of the Health Sciences · USHenry M. Jackson Foundation · USUniversity of South Florida · USVA NY Harbor Healthcare System · USWalter Reed National Military Medical Center · US

Funding

Pain Management Collaboratory Coordinating Center (PMC3)U24AT009769 · NCCIH · YALE UNIVERSITY · PI WILLIAM C BECKER, Alicia Heapy · 2017 to 2026
$16.4M
NCCIH NIH HHS U24 AT009769
6 · The paper itself

Abstract

backgroundPhysical therapy (PT) is frequently used for the management of low back pain (LBP) within the US Departments of Defense (DOD) and Veterans Affairs (VA). However, variations in PT practice patterns and use of ineffective interventions lower the quality and increase the cost of care. Although adherence to the clinical practice guidelines (CPGs) can improve the outcomes and cost-effectiveness of LBP care, PT CPG adherence remains below 50%. The Resolving the Burden of Low Back Pain in Military Service Members and Veterans (RESOLVE) trial will evaluate the effectiveness of an active PT CPG implementation strategy using an education, audit, and feedback model for reducing pain, disability, medication use, and cost of LBP care within the DOD and VA health care systems.

designThe RESOLVE trial will include 3,300 to 7,260 patients with LBP across three DOD and two VA medical facilities using a stepped-wedge study design. An education, audit, and feedback model will be used to encourage physical therapists to better adhere to the PT CPG recommendations. The Oswestry Disability Index and the Defense and Veterans Pain Rating Scale will be used as primary outcomes. Secondary outcomes will include the LBP-related medication use, medical resource utilization, and biopsychosocial predictors of outcomes. Statistical analyses will be based on the intention-to-treat principle and will use linear mixed models to compare treatment conditions and examine the interactions between treatment and subgrouping status (e.g., limb loss). SUMMARY: The RESOLVE trial will provide a pragmatic approach to evaluate whether better adherence to PT CPGs can reduce pain, disability, medication use, and LBP care cost within the DOD and VA health care systems.

Indexed as

Low Back PainVeteransCost-Benefit AnalysisHumansPain MeasurementPhysical Therapy ModalitiesClinical Practice GuidelinesMilitaryPhysical TherapyPsychologically Informed PracticeVeterans Affairs

Identifiers

PMID33313735
PMCPMC7825002
OpenAlexW3113294972

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.