Evidence map›Paper›PMID 33901699›Full record

ReviewTranslational research : the journal of laboratory and clinical medicine2021

Back and neck pain: in support of routine delivery of non-pharmacologic treatments as a way to improve individual and population health.

Steven Z George, Trevor A Lentz, Christine M Goertz

Open access · hybridAbstract readReview
In one paragraph

Review in Translational research : the journal of laboratory and clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

28 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Patterns of initial treatment and subsequent care escalation among medicare beneficiaries with neck pain: a retrospective cohort study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

3 authors at 2 institutions in 1 country.

Steven Z GeorgeDepartment of Orthopaedic Surgery and Duke Clinical Research Institute, Duke University, Durham, North Carolina.
Trevor A LentzDepartment of Orthopaedic Surgery and Duke Clinical Research Institute, Duke University, Durham, North Carolina.
Christine M GoertzDepartment of Orthopaedic Surgery and Duke Clinical Research Institute, Duke University, Durham, North Carolina.
Duke University · USClinical Research Institute · US

Funding

Pain Management Collaboratory Coordinating Center (PMC3)U24AT009769 · NCCIH · YALE UNIVERSITY · PI WILLIAM C BECKER, Alicia Heapy · 2017 to 2026
$16.4M
Chiropractic Care for Veterans: A Pragmatic Randomized Trial Addressing Dose Effects for cLBPUH3AT009761 · NCCIH · PALMER COLLEGE OF CHIROPRACTIC · PI GOERTZ, CHRISTINE MARIE, LONG, CYNTHIA R · 2019 to 2024
$7.2M
AIM BACK UH3 TransitionUH3AT009790 · NCCIH · DUKE UNIVERSITY · PI GEORGE, STEVEN Z, HASTINGS, SUSAN NICOLE · 2020 to 2023
$6.4M
Improving Veteran Access To Integrated Management of Chronic Back PainUG3AT009790 · NCCIH · DUKE UNIVERSITY · PI GEORGE, STEVEN Z, HASTINGS, SUSAN NICOLE · 2017 to 2019
$1.9M
NCCIH NIH HHS U24 AT009769NCCIH NIH HHS UG3 AT009790NCCIH NIH HHS UH3 AT009761NCCIH NIH HHS UH3 AT009790
6 · The paper itself

Abstract

Chronic back and neck pain are highly prevalent conditions that are among the largest drivers of physical disability and cost in the world. Recent clinical practice guidelines recommend use of non-pharmacologic treatments to decrease pain and improve physical function for individuals with back and neck pain. However, delivery of these treatments remains a challenge because common care delivery models for back and neck pain incentivize treatments that are not in the best interests of patients, the overall health system, or society. This narrative review focuses on the need to increase use of non-pharmacologic treatment as part of routine care for back and neck pain. First, we present the evidence base and summarize recommendations from clinical practice guidelines regarding non-pharmacologic treatments. Second, we characterize current use patterns for non-pharmacologic treatments and identify potential barriers to their delivery. Addressing these barriers will require coordinated efforts from multiple stakeholders to prioritize evidence-based non-pharmacologic treatment approaches over low value care for back and neck pain. These stakeholders include patients, health care providers, health care organizations, administrators, payers, policymakers and researchers.

Indexed as

Back PainChronic PainEvidence-Based MedicineHumansNeck PainPain ManagementPractice Guidelines as TopicTranslational Research, Biomedical

Identifiers

PMID33901699
PMCPMC8340679
OpenAlexW3157578135

What OpenQuestion holds

Textmetadata
LicenceTDM
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.