Evidence map›Paper›PMID 41577354›Full record

ArticleBMJ open2026

Outcome measures used in the conservative management of people with non-specific thoracic spine pain (NTSP): a scoping review protocol.

Kesava Kovanur Sampath, Michael Fleischmann, Brett Vaughan

Abstract read
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Kesava Kovanur SampathRMIT University STEM College, Melbourne, Victoria, Australia kesava.kovanur.sampath@rmit.edu.au.ORCID http://orcid.org/0000-0001-9908-3659
Michael FleischmannVictoria University - City Campus, Melbourne, Victoria, Australia.
Brett VaughanDepartment of Medical Education, University of Melbourne, Parkville, Victoria, Australia.ORCID http://orcid.org/0000-0002-8623-4558

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNon-specific thoracic spine pain (NTSP) is an under-recognised musculoskeletal condition associated with functional limitations, reduced quality of life and significant healthcare utilisation. Conservative management, including manual therapy, exercise and education, is widely used across physiotherapy, osteopathy and chiropractic practice. However, outcome measures used in NTSP research remain heterogeneous and inconsistently defined, limiting evidence synthesis and hindering progress toward developing a core outcome set (COS). This scoping review aims to systematically map the outcome measures reported in studies evaluating conservative care for adults with non-specific TSP, thereby identifying key outcome domains to inform future COS development. METHODS AND ANALYSIS: This review will follow the Joanna Briggs Institute methodology for scoping reviews and is registered on the Open Science Framework. Five electronic databases (MEDLINE, CINAHL, Scopus, Web of Science, AMED) will be searched from July 2005 to July 2025, supplemented by searches of PROSPERO and Google Scholar. Eligible studies will include adults (≥18 years) receiving conservative care for TSP in non-hospital settings, reporting at least one outcome measure, and published in English. Study selection will involve two independent reviewers using Covidence, with data extracted using an iterative extraction tool. Findings will be synthesised narratively and presented in tables, with a preferred reporting items for systematic reviews and meta-analyses flow diagram used to report study selection. No quality appraisal will be undertaken, consistent with scoping review guidance. ETHICS AND DISSEMINATION: Ethical approval is not required as this review uses published data. Findings will be disseminated through peer-reviewed publication, conference presentations and engagement with a patient and public involvement and engagement group to support relevance and translation into future COS development.

Indexed as

Back PainConservative TreatmentOutcome Assessment, Health CareThoracic VertebraeHumansQuality of LifeResearch DesignScoping Reviews as TopicAdult orthopaedicsBack painSpineTHORACIC MEDICINE

Identifiers

PMID41577354
PMCPMC12853500

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Registered trials

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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.