Evidence map›Paper›PMID 40650645›Full record

ArticleAnnals of emergency medicine2025

Usual Care for Low Back Pain at United States Emergency Departments, 2016-2022.

Anuva Fellner, Howard S Kim

Registry-linked trialAbstract read
In one paragraph

Article in Annals of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07735663 (The Effect of Pain Neuroscience Education in Masters PA Medicine Education), which is not on this 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.

NCT07735663 completednot on this map

The Effect of Pain Neuroscience Education in Masters PA Medicine Education

TypeobservationalSponsorBelmont UniversityRan2019 to 2021Enrolled40ConditionsFocus of Study Pain KnowledgeArmsPain education
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

2 authors.

Anuva FellnerDepartment of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Howard S KimDepartment of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL; Center for Dissemination & Implementation Science, Northwestern University Feinberg School of Medicine, Chicago, IL. Electronic address: howard.kim@northwestern.edu.

Funding

A Multi-Site Feasibility Trial of Embedded Emergency Department Physical Therapy for Back PainR01AT012367 · NCCIH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Howard S Kim, SCOTT TRAVIS YOUNGQUIST · 2024 to 2026
$1.6M
Research Career Enhancement in Implementation Science to Address Primary Prevention, Overdose Reversal, and Evidence-Based Interventions for Opioid Use Disorder from the Emergency DepartmentK02DA060357 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Howard S Kim · 2024 to 2026
$372k
AHRQ HHS R01 HS027426NCCIH NIH HHS R01 AT012367NIDA NIH HHS K02 DA060357
6 · The paper itself

Abstract

STUDY

objectivesLow back pain is a common reason for visiting the emergency department (ED). Updated and reliable national estimates of usual care for low back pain are needed to identify research and quality improvement priorities to improve patient outcomes and reduce low-value emergency care.

methodsThis is a cross-sectional study of the National Hospital Ambulatory Medical Care Survey from 2016 to 2022. We identified ED visits with a back pain-related reason for visit and used the National Hospital Ambulatory Medical Care sampling weights to produce national estimates of usual diagnostic and therapeutic care variables.

resultsFrom 2016 to 2022, there were an estimated 52.8 million ED visits for low back pain (mean age 45.4 years, 60.3% women, 56.4% non-Hispanic White, and 31.1% Medicaid), accounting for 5.3% of all ED visits. The mean numeric pain score of ED visits for back pain was 7.2 out of 10; 13.7% of visits arrived by ambulance and 40.4% were related to injury or trauma. Mean waiting room time and total ED length of stay were 36.5 and 236.6 minutes, respectively. In 2016, opioids were administered or prescribed in 35.0% and 32.5% of visits for back pain, respectively, and by 2022, opioids were administered or prescribed in 24.5% and 13.5% of visits, respectively. Radiographs were obtained in 39.4% of ED visits. Both opioid prescribing and radiographs were most prevalent in patients 75 years or older.

conclusionThis study presents updated and reliable national estimates of usual diagnostic and therapeutic emergency care for low back pain from 2016 to 2022, which may be used for national benchmarking and quality improvement efforts.

Indexed as

Emergency Service, HospitalLow Back PainAdolescentAdultAgedCross-Sectional StudiesFemaleHealth Care SurveysHumansLength of StayMaleMiddle AgedUnited StatesYoung AdultEmergencyLow back painOpioidRadiographUsual care

Identifiers

PMID40650645
PMCPMC12258925

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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.