Cochrane · systematic review · CD002193

Multidisciplinary biopsychosocial rehabilitation for subacute low back pain

Marin, TJ, Van Eerd, D, Irvin, E, et al. · Cochrane Database of Systematic Reviews · 2017 · 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
10
current version
GRADE rated
7
No studies
3
Included studies
NR
No studies 3 · 30%Ungraded 0 · 0%Very low 2 · 20%Low 4 · 40%Moderate 1 · 10%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

Multidiscipinary rehabilitation versus usual care for subacute low back pain at long‐term follow‐up

Population: Subacute low back pain
5 questions
OutcomeEffectEvidenceStatus / GRADE
Back pain long‐term Higher scores indicated more intense pain
Multidiscipinary rehabilitation vs usual care
no estimate extracted4 studies · 336 participantsModerate
Downgraded: risk of bias
Functional disability at the long term Higher scores indicated more disability
Multidiscipinary rehabilitation vs usual care
no estimate extracted3 studies · 240 participantsLow
Downgraded: risk of bias
Return‐to‐work at the long term Proportion at work
Multidiscipinary rehabilitation vs usual care
OR 3.19 [1.46, 6.98]3 studies · 170 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Sick leave periods at long‐term Cumulative sickness absence periods over the course of the 12‐month
Multidiscipinary rehabilitation vs usual care
no estimate extracted2 studies · 210 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Adverse events
Multidiscipinary rehabilitation vs usual care
no estimate extractedNRNo studies

Multidisciplinary rehabilitation versus other treatment for subacute low back pain at long‐term follow‐up

Population: Subacute low back pain
5 questions
OutcomeEffectEvidenceStatus / GRADE
Pain at the long term Higher scores indicated more intense pain
Multidisciplinary rehabilitation vs other treatment
no estimate extracted2 studies · 336 participantsLow
Downgraded: imprecision
Functional disability at the long term Higher scores indicated more severe functional disability.
Multidisciplinary rehabilitation vs other treatment
no estimate extracted2 studies · 345 participantsLow
Downgraded: imprecision
Return‐to‐work at long‐term
Multidisciplinary rehabilitation vs other treatment
no estimate extractedNRNo studies
Sick leave periods at long‐term
Multidisciplinary rehabilitation vs other treatment
no estimate extracted2 studies · 158 participantsVery low
Downgraded: imprecision
Adverse events
Multidisciplinary rehabilitation vs other treatment
no estimate extractedNRNo studies