Cochrane · systematic review · CD000963
Multidisciplinary biopsychosocial rehabilitation for chronic low back pain
Kamper, SJ, Apeldoorn, AT, Chiarotto, A, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library
Back and NeckAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
16
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 6 · 37.5%Very low 0 · 0%Low 6 · 37.5%Moderate 4 · 25%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Multidisciplinary compared to usual care for chronic low back pain
Population: Patients with chronic low back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Back pain long term 0‐10 Numerical or visual scale, where 0 equals no pain at all and 10 is the worst pain imaginable. Multidisciplinary vs usual care | no estimate extracted | 7 studies · 821 participants | Moderate Downgraded: risk of bias |
Disability long term Mostly Roland Morris 24‐point scale where 0 equals no disability at all and 24 is seriously disabled. Multidisciplinary vs usual care | no estimate extracted | 6 studies · 722 participants | Moderate Downgraded: risk of bias |
Work long term Proportion working Multidisciplinary vs usual care | no estimate extracted | 7 studies · 1360 participants | Moderate Downgraded: risk of bias |
Adverse events Multidisciplinary vs usual care | no estimate extracted | 0 participants | Ungraded |
Multidisciplinary compared to physical treatment for chronic low back pain
Population: Patients with chronic low back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain long term 0‐10 Numerical or visual scale, where 0 equals no pain at all and 10 is the worst pain imaginable. Multidisciplinary vs physical treatment | no estimate extracted | 9 studies · 872 participants | Low Downgraded: risk of bias, inconsistency |
Disability long term Various Multidisciplinary vs physical treatment | no estimate extracted | 10 studies · 1169 participants | Low Downgraded: risk of bias, inconsistency |
Work long term Proportion working Multidisciplinary vs physical treatment | no estimate extracted | 8 studies · 1006 participants | Moderate Downgraded: risk of bias |
Adverse events Multidisciplinary vs physical treatment | no estimate extracted | 0 participants | Ungraded |
Multidisciplinary compared to surgery for chronic low back pain
Population: Patients with chronic low back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain long term SF‐36 Pain subscale; where 100 equals pain‐free Multidisciplinary vs surgery | no estimate extracted | 2 studies · 385 participants | Low Downgraded: risk of bias, imprecision |
Disability long term Oswestry; 100‐point scale where 0 equals no disability and 100 is seriously disabled. Multidisciplinary vs surgery | no estimate extracted | 2 studies · 423 participants | Low Downgraded: risk of bias, inconsistency |
Work long term Proportion working Multidisciplinary vs surgery | no estimate extracted | 1 study · 133 participants | Low Downgraded: risk of bias, imprecision |
Adverse events Adverse events due to study interventions Multidisciplinary vs surgery | no estimate extracted | 2 studies · 385 participants | Low Downgraded: risk of bias, imprecision |
Multidisciplinary compared to wait list for chronic low back pain
Population: Patients with chronic low back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain long term 0‐100 Visual scale, where 0 equals no pain at all and 100 is the worst pain imaginable Multidisciplinary vs wait list | no estimate extracted | 0 participants | Ungraded |
Disability long term Mostly Roland Morris 24‐point scale where 0 equals no disability at all and 24 is seriously disabled Multidisciplinary vs wait list | no estimate extracted | 0 participants | Ungraded |
Work long term Multidisciplinary vs wait list | no estimate extracted | 0 participants | Ungraded |
Adverse events Multidisciplinary vs wait list | no estimate extracted | 0 participants | Ungraded |