Evidence map›Paper›PMID 40152763›Full record

Trial reportDeutsches Arzteblatt international2025

The Effectiveness of a Physician-Led Web Portal on Back Pain: A Cluster Randomized Controlled Trial.

Christian Schlett, Piet van der Keylen, Andrea C Schöpf-Lazzarino, Nicole Röttele, Mirjam Körner, Andy Maun, Joerg J Meerpohl, Lukas M Horstmeier, Klaus Kaier, Erik Farin-Glattacker and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Deutsches Arzteblatt international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Christian SchlettSection of Health Care Research and Rehabilitation Research, Medical Faculty and Medical Center, University of Freiburg; Institute of General Medicine, Friedrich Alexander University Erlangen-Nuremberg, University Hospital Erlangen, and Lutheran University of Applied Sciences, Nuremberg; Careum School of Health, Zurich, Switzerland; Medical Psychology and Medical Sociology, Faculty of Medicine, Albert Ludwig University of Freiburg; IU International University of Applied Sciences, Erfurt; Department of Health Professions, Competence Centre Interprofessionalism, Bern University of Applied Sciences, Switzerland; Institute of General Practice/Family Medicine, Medical Faculty and Medical Center, University of Freiburg; Institute for Evidence in Medicine, Medical Faculty and Medical Center, University of Freiburg; Cochrane Germany, Cochrane Germany Foundation, Freiburg; Institute of Medical Biometry and Statistics, Medical Faculty and Medical Center, University of Freiburg.
Piet van der Keylen
Andrea C Schöpf-Lazzarino
Nicole Röttele
Mirjam Körner
Andy Maun
Joerg J Meerpohl
Lukas M Horstmeier
Klaus Kaier
Erik Farin-Glattacker
Sebastian Voigt-Radloff

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is important for patients with back pain to be well-informed. The well-informed patient is better prepared for selfmanagement and for joint decision-making with the physician. This is why we developed tala-med, a web portal providing up-to-date, evidence-based, independent information on back pain. Primary care physicians can use it in their practices and make it accessible to their patients.

methodsA cluster randomized controlled trial (registration number DRKS00014279) was carried out in which the primary care physicians (PCPs) in the intervention group (IG: 33 physicians) were directed to use the tala-med web portal in their consultations with patients who had back pain (180 patients). The PCPs in the control group (CG: 12 physicians) were not given access to talamed and treated their patients with back pain (136 patients) as they had done before. The patients' informedness about back pain was the primary endpoint: it was assessed by the patients themselves in terms of their subjective degree of knowledge and subjective state of informedness about back pain. Pain intensity, the second endpoint, was assessed with a visual analog scale.

resultsIntention-to-treat analyses revealed that the patients' subjective degree of knowledge about back pain increased to a greater extent in the intervention group than in the control group (B = 0.25, 95% confidence interval [0.07; 0.43]), as did their subjective state of informedness about back pain (B = 0.51 [0.13; 0.89]). Patients in the intervention group also reported a larger reduction of pain intensity compared to patients in the control group (B = -10.46 [-18.52; -2.38]).

conclusionUse of the tala-med web portal by primary care physicians and their patients made patients better informed about back pain and lessened the intensity of their pain. These improvements, although statistically significant, were not large enough to be clinically important.

Indexed as

Back PainInternetPatient Education as TopicPatient PortalsAdultAgedFemaleGermanyHumansMaleMiddle AgedPain MeasurementPhysician-Patient RelationsTreatment Outcome

Identifiers

PMID40152763
PMCPMC12516212

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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.