Evidence map›Paper›PMID 39929501›Full record

ArticleBMJ open2025

Can physical and psychological factors predict pain recurrence or an exacerbation of persistent non-specific low back pain? A protocol for a systematic review and meta-analysis.

Kanya Wongwitwichote, Cho Wai Geoffrey Yu, Michael Mansfield, Janet Deane, Deborah Falla

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Risk factors and interaction effects in recurrent low back pain.American journal of translational research · 2025
    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

5 authors.

Kanya WongwitwichoteCentre of Precision Rehabilitation for Spinal Pain (CPR Spine), University of Birmingham, Birmingham, UK.
Cho Wai Geoffrey YuCentre of Precision Rehabilitation for Spinal Pain (CPR Spine), University of Birmingham, Birmingham, UK.
Michael MansfieldCentre of Precision Rehabilitation for Spinal Pain (CPR Spine), University of Birmingham, Birmingham, UK.
Janet DeaneCentre of Precision Rehabilitation for Spinal Pain (CPR Spine), University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-0710-2881
Deborah FallaCentre of Precision Rehabilitation for Spinal Pain (CPR Spine), University of Birmingham, Birmingham, UK d.falla@bham.ac.uk.ORCID http://orcid.org/0000-0003-1689-6190

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLow back pain (LBP) is a global health concern. Approximately two-thirds of those who recover from LBP experience a relapse within a year, with many chronic cases encountering acute flare-ups (exacerbation). This systematic review will synthesise and analyse whether physical and/or psychological features can predict recurrent episodes of LBP or exacerbation of pain. METHODS AND ANALYSIS: This systematic review protocol follows the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines. Comprehensive literature searches will be conducted in MEDLINE, EMBASE, APA PsycInfo, PubMed, CINAHL Plus, Web of Science, Scopus and ZETOC, spanning from each database's inception through to January 2025. Google Scholar and grey literature sources, including OpenGrey, will also be searched to ensure comprehensive coverage. Two independent reviewers will screen titles, abstracts and full texts, assessing the risk of bias with a modified Quality in Prognosis Studies tool. The overall certainty of evidence will be evaluated using an adapted Grading of Recommendations Assessment, Development and Evaluation approach. If sufficient data homogeneity is present, a meta-analysis will be performed; otherwise, findings will be synthesised narratively. The results will identify the ability of physical and/or psychological factors to predict pain recurrence or acute exacerbation in case of persistent non-specific LBP. ETHICS AND DISSEMINATION: This study protocol does not present any ethical concerns. The findings from the systematic review will be submitted for publication in a peer-reviewed journal and will also be presented at relevant conferences. PROSPERO REGISTRATION NUMBER: CRD42024599514.

Indexed as

Low Back PainHumansMeta-Analysis as TopicPrognosisRecurrenceResearch DesignSystematic Reviews as TopicBack painChronic PainMusculoskeletal disordersPrognosisSystematic Review

Identifiers

PMID39929501
PMCPMC11815432

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.