Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

715 questions · 767 findings · 53 reviews · Back and Neck

No studies found 149 · 19.4%GRADE not reported 41 · 5.3%Very low 168 · 21.9%Low 226 · 29.5%Moderate 156 · 20.3%High 27 · 3.5%

Systemic corticosteroids vs placebo

Pain (dichotomous) Pain improved (definitions varied)c · people with radicular low back pain (not due to spinal stenosis)

Systemic corticosteroids showed no clear difference in pain (dichotomous) Pain improved (definitions varied)c compared with placebo (moderate certainty).

1 finding from 1 review

Systemic corticosteroids vs placebo

Function (dichotomous) Function improved (definitions varied)f · people with radicular low back pain (not due to spinal stenosis)

Systemic corticosteroids probably leads to higher function (dichotomous) Function improved (definitions varied)f compared with placebo (moderate certainty).

1 finding from 1 review

Systemic corticosteroids vs placebo

Mortality or serious adverse events requiring hospital admission · people with radicular low back pain (not due to spinal stenosis)

It is very uncertain whether systemic corticosteroids changes participants who experienced a serious adverse event Adverse event… compared with placebo (very low certainty).

1 finding from 1 review

Systemic corticosteroids vs placebo

Participants with hyperglycemia "Transient hyperglycemia" or blood sugar increase ≥ 50 mg/dL · people with radicular low back pain (not due to spinal stenosis)

Systemic corticosteroids showed no clear difference in participants with hyperglycemia "Transient hyperglycemia" or blood… compared with placebo (low certainty).

1 finding from 1 review