Evidence map›Paper›PMID 36283654›Full record

ArticleThe journal of pain2023

Definitions of Chronic Low Back Pain From a Scoping Review, and Analyses of Narratives and Self-Reported Health of Adults With Low Back Pain.

Patricia M Herman, Nabeel Qureshi, Susan D Arick, Maria O Edelen, Ron D Hays, Anthony Rodriguez, Rebecca L Weir, Ian D Coulter

Registry-linked trialAbstract readScoping Review
In one paragraph

Article in The journal of pain, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04426812 (Measuring Chronic Pain Impact), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–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.

NCT04426812 completednot on this map

Measuring Chronic Pain Impact

TypeobservationalSponsorRANDRan2021 to 2024Enrolled11,146ConditionsChronic PainArmsNo intervention, just data collection
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Impact of education in patients undergoing physiotherapy for lower back pain: a level I systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Pooled it
  2. Article
  3. A multicenter study on the prediction model for chronic low back pain after lumbar decompression surgery in patients with diabetes mellitus: integration of metabolic and paraspinal muscle features.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 · 2026
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  12. Morphological characteristics of the thoracolumbar fascia: relationship to chronic low back pain and back extension strength.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
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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.

Patricia M HermanRAND Corporation, Santa Monica, California. Electronic address: pherman@rand.org.
Nabeel QureshiRAND Corporation, Santa Monica, California.
Susan D ArickRAND Corporation, Santa Monica, California.
Maria O EdelenRAND Corporation, Boston, Massachusetts.
Ron D HaysRAND Corporation, Santa Monica, California; Department of Medicine, University of California, Los Angeles, California.
Anthony RodriguezRAND Corporation, Boston, Massachusetts.
Rebecca L WeirRAND Corporation, Santa Monica, California.
Ian D CoulterRAND Corporation, Santa Monica, California.

Funding

Measuring Chronic Pain ImpactR01AT010402 · NCCIH · RAND CORPORATION · PI HAYS, RONALD DALE, HERMAN, PATRICIA M · 2020 to 2023
$2.5M
NCCIH NIH HHS R01 AT010402
6 · The paper itself

Abstract

Among those with low back pain (LBP), individuals with chronic LBP (CLBP) face different treatment recommendations and incur the majority of suffering and costs. However, the way CLBP has been defined varies greatly. This study used a scoping review and qualitative and quantitative analyses of data from LBP patients to explore this variation. CLBP in most recent randomized controlled trials (RCTs) was defined by duration of pain, most commonly ≥3 months. However, individuals with LBP most often define CLBP by frequency. CLBP has also been defined using a combination of duration and frequency (16% of RCTs and 20% of individuals), including 6% of recent RCTs that followed the NIH Pain Consortium research task force (RTF) definition. Although not a defining characteristic of CLBP for individuals, almost 15% of recent RCTs required CLBP to have a healthcare provider diagnosis. In our LBP sample moving from ≥3 months to the RTF definition reduced the CLBP group size by 25% and resulted in a group that used more pain management options and reported worse health across all outcome measures. A pain duration definition offers ease of application. However, refinements to this definition (eg, RTF) can identify those who may be better intervention targets. PERSPECTIVE: This article presents the definitions used for CLBP by researchers and individuals, and the impact of these definitions on pain management and health outcomes. This information may help researchers choose better study inclusion criteria and clinicians to better understand their patients' beliefs about CLBP.

Indexed as

Chronic PainLow Back PainAdultHumansOutcome Assessment, Health CarePain MeasurementResearch DesignSelf Reportback pain outcomesChronic low back painpain managementqualitative analysisscoping review

Identifiers

PMID36283654
PMCPMC10414544

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.