Analysis on the clinical outcomes and measurement tools of chronic back pain with integrated traditional Chinese and western medicine
10.3760/cma.j.cn115398-20220731-00364
- VernacularTitle:中西医结合治疗慢性腰背痛临床研究结局指标与测量工具分析
- Author:
Ying WAN
1
;
Changxin LIU
;
Ying ZHANG
;
Qianji CHEN
;
Han SHI
;
Yanji ZHOU
;
Yi AN
;
Yanan SUN
;
Changhe YU
Author Information
1. 北京市鼓楼中医医院内科，北京 100009
- Keywords:
Low back pain;
Clinical study;
Outcomes;
Measurement tools
- From:
International Journal of Traditional Chinese Medicine
2023;45(10):1313-1318
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the characteristics of the participants (P), interventions (I), control measures (C), outcomes (O) and study design (S) of the clinical study of chronic back pain (CBP) in recent years; To further systematically organize the outcomes of the clinical study of CBP and their corresponding measurement tools.Methods:Clinical studies of CBP were retrieved from various databases including CNKI, Wanfang Database, VIP, SinoMed, Cochrane Library, Pubmed, Embase, Web of Science, etc. The search period was from January 1, 2015 to December 31, 2019. The retrieved literature was extracted and analyzed.The retrieved literatures will be extracted and analyzed. The retrieved literature was subjected to data extraction and analysis, and the quality of outcome indicators was evaluated according to 6 items. The Newcastle-Ottawa Scale ( NOS ) was used to evaluate the quality of cohort studies and case-control studies. Analyze the relationship between outcome indicators and interventions.Results:A total of 3 028 articles were finally included after examination and screening. The top 7 diagnoses of CBP were low back pain, lumbar disc protrusion, lumbar vertebral stenosis, lumbar vertebral slip, lumbar disc degression, non-specific chronic low back pain and post-operative pain syndrome. The top 7 intervention measures in clinical studies of CBP were surgery, acupuncture, physiotherapy, Tuina, exercise therapy, Western medicine painkillers and oral Chinese patent medicines. A total of 47 outcomes and 348 outcome measurement tools were reported in the literature included.Conclusion:In the clinical study of CBP in the recent years, there are problems such as incomplete and low quality of reporting, a wide variety of outcome measurement tools and lack of uniform reporting standards. The characteristics of patients determine the common characteristics of outcomes selection and it is also necessary to consider the specific outcomes related to interventions.
