Cochrane · systematic review · CD002014

Behavioural treatment for chronic low‐back pain

Henschke, N, Ostelo, RWJG, van Tulder, MW, et al. · Cochrane Database of Systematic Reviews · 2010 · 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
40
current version
GRADE rated
36
No studies
4
Included studies
NR
No studies 4 · 10%Ungraded 0 · 0%Very low 5 · 12.5%Low 20 · 50%Moderate 11 · 27.5%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

Summary of findings: Behavioural treatment versus waiting list control

Population: adults with chronic low‐back pain
7 questions
OutcomeEffectEvidenceStatus / GRADE
Pain intensity VAS scale (0‐100) short‐term
Summary of findings: Behavioural treatment vs waiting list control
no estimate extracted3 studies · 74 participantsLow
Downgraded: risk of bias
Functional status (generic) various scales short‐term
Summary of findings: Behavioural treatment vs waiting list control
no estimate extracted3 studies · 74 participantsLow
Downgraded: risk of bias
Depression Beck Depression Inventory (0‐63) short‐term
Summary of findings: Behavioural treatment vs waiting list control
no estimate extracted2 studies · 58 participantsVery low
Downgraded: risk of bias
Pain intensity various scales short‐term
Summary of findings: Behavioural treatment vs waiting list control
no estimate extracted3 studies · 64 participantsLow
Downgraded: risk of bias
Functional status (generic) Sickness Impact Profile (0‐136) short‐term
Summary of findings: Behavioural treatment vs waiting list control
no estimate extracted2 studies · 87 participantsLow
Downgraded: risk of bias
Depression various scales short‐term
Summary of findings: Behavioural treatment vs waiting list control
no estimate extracted2 studies · 103 participantsLow
Downgraded: risk of bias
CI: Confidence interval
Summary of findings: Behavioural treatment vs waiting list control
no estimate extractedNRNo studies

Summary of findings: Comparisons among behavioural treatments

Population: adults with chronic low‐back pain
13 questions
OutcomeEffectEvidenceStatus / GRADE
Pain intensity various scales short‐term
no estimate extracted2 studies · 93 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Pain intensity various scales intermediate‐term
no estimate extracted2 studies · 82 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency
Pain intensity various scales long‐term
no estimate extracted2 studies · 48 participantsVery low
Downgraded: risk of bias
Functional status (generic) Sickness Impact Profile (0‐136) short‐term
no estimate extracted2 studies · 61 participantsLow
Downgraded: risk of bias
Functional status (generic) Sickness Impact Profile (0‐136) intermediate‐term
no estimate extracted2 studies · 47 participantsVery low
Downgraded: risk of bias
Functional status (generic) Sickness Impact Profile (0‐136) long‐term
no estimate extracted2 studies · 51 participantsVery low
Downgraded: risk of bias
Depression Beck Depression Inventory (0‐63) short‐term
no estimate extracted2 studies · 61 participantsVery low
Downgraded: risk of bias
Depression Beck Depression Inventory (0‐63) intermediate‐term
no estimate extracted2 studies · 47 participantsLow
Downgraded: risk of bias
Depression Beck Depression Inventory (0‐63) long‐term
no estimate extracted2 studies · 51 participantsLow
Downgraded: risk of bias
Functional status (generic) various scales short‐term
no estimate extracted2 studies · 77 participantsLow
Downgraded: risk of bias
Functional status (generic) various scales intermediate‐term
no estimate extracted2 studies · 61 participantsLow
Downgraded: risk of bias
Functional status (generic) various scales long‐term
no estimate extracted2 studies · 66 participantsLow
Downgraded: risk of bias
CI: Confidence interval
no estimate extractedNRNo studies

Summary of findings: Behavioural treatments versus other treatments

Population: adults with chronic low‐back pain
12 questions
OutcomeEffectEvidenceStatus / GRADE
Pain intensity VAS (0‐100) short‐term
Summary of findings: Behavioural treatments vs other treatments
no estimate extracted2 studies · 330 participantsModerate
Downgraded: risk of bias
Pain intensity VAS (0‐100) intermediate‐term
Summary of findings: Behavioural treatments vs other treatments
no estimate extracted2 studies · 319 participantsModerate
Downgraded: risk of bias
Functional status (back‐specific) various scales short‐term
Summary of findings: Behavioural treatments vs other treatments
no estimate extracted2 studies · 330 participantsModerate
Downgraded: risk of bias
Functional status (back‐specific) various scales intermediate‐term
Summary of findings: Behavioural treatments vs other treatments
no estimate extracted2 studies · 319 participantsModerate
Downgraded: risk of bias
Pain intensity Pain Rating Index (0‐45) short‐term
Summary of findings: Behavioural treatments vs other treatments
no estimate extracted2 studies · 146 participantsLow
Downgraded: risk of bias
Pain intensity Pain Rating Index (0‐45) intermediate‐term
Summary of findings: Behavioural treatments vs other treatments
no estimate extracted2 studies · 137 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Pain intensity Pain Rating Index (0‐45) long‐term
Summary of findings: Behavioural treatments vs other treatments
no estimate extracted2 studies · 136 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Depression various scales short‐term
Summary of findings: Behavioural treatments vs other treatments
no estimate extracted2 studies · 146 participantsLow
Downgraded: risk of bias
Depression various scales intermediate‐term
Summary of findings: Behavioural treatments vs other treatments
no estimate extracted2 studies · 137 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Depression various scales long‐term
Summary of findings: Behavioural treatments vs other treatments
no estimate extracted2 studies · 136 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Functional status (back specific) Oswestry Disability Index (0‐100) long‐term
Summary of findings: Behavioural treatments vs other treatments
no estimate extracted2 studies · 345 participantsLow
Downgraded: risk of bias
CI: Confidence interval
Summary of findings: Behavioural treatments vs other treatments
no estimate extractedNRNo studies

Summary of findings: Behavioural treatments + other treatments versus other treatments alone

Population: adults with chronic low‐back pain
8 questions
OutcomeEffectEvidenceStatus / GRADE
Pain intensity 5‐point scale short‐term
Summary of findings: Behavioural treatments + other treatments vs other treatments alone
no estimate extracted2 studies · 59 participantsLow
Downgraded: risk of bias
Pain intensity 5‐point scale intermediate‐term
Summary of findings: Behavioural treatments + other treatments vs other treatments alone
no estimate extracted2 studies · 45 participantsLow
Downgraded: risk of bias
Depression Beck Depression Inventory (0‐63) short‐term
Summary of findings: Behavioural treatments + other treatments vs other treatments alone
no estimate extracted2 studies · 59 participantsLow
Downgraded: risk of bias
Depression Beck Depression Inventory (0‐63) intermediate‐term
Summary of findings: Behavioural treatments + other treatments vs other treatments alone
no estimate extracted2 studies · 50 participantsLow
Downgraded: risk of bias
Functional status (generic) Sickness Impact Profile (0‐136) short‐term
Summary of findings: Behavioural treatments + other treatments vs other treatments alone
no estimate extracted2 studies · 59 participantsLow
Downgraded: risk of bias
Functional status (generic) Sickness Impact Profile (0‐136) intermediate‐term
Summary of findings: Behavioural treatments + other treatments vs other treatments alone
no estimate extracted2 studies · 51 participantsLow
Downgraded: risk of bias
Pain intensity various scales short‐term
Summary of findings: Behavioural treatments + other treatments vs other treatments alone
no estimate extracted2 studies · 405 participantsModerate
Downgraded: risk of bias
CI: Confidence interval
Summary of findings: Behavioural treatments + other treatments vs other treatments alone
no estimate extractedNRNo studies