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What is known and what is still unknown within chronic musculoskeletal pain? A systematic evidence and gap map.
Lyng, Kristian D; Djurtoft, Chris; Bruun, Malene K; Christensen, Mads N; Lauritsen, Rikke E; Larsen, Jesper B; Birnie, Kathryn A; Stinson, Jennifer; Hoegh, Morten S; Palsson, Thorvaldur S; Olesen, Anne E; Arendt-Nielsen, Lars; Ehlers, Lars H; Fonager, Kirsten; Jensen, Martin B; Würtzen, Hanne; Poulin, Patricia A; Handberg, Gitte; Ziegler, Connie; Moeller, Lars B; Olsen, Judi; Heise, Lotte; Rathleff, Michael S.
Afiliación
  • Lyng KD; Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
  • Djurtoft C; Department of Clinical Medicine, Center for General Practice at Aalborg University, Aalborg University, Aalborg, Denmark.
  • Bruun MK; Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
  • Christensen MN; Department of Clinical Medicine, Center for General Practice at Aalborg University, Aalborg University, Aalborg, Denmark.
  • Lauritsen RE; Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
  • Larsen JB; Department of Clinical Medicine, Center for General Practice at Aalborg University, Aalborg University, Aalborg, Denmark.
  • Birnie KA; Department of Clinical Medicine, Center for General Practice at Aalborg University, Aalborg University, Aalborg, Denmark.
  • Stinson J; Interdisciplinary Orthopaedics, Aalborg University Hospital, Aalborg, Denmark.
  • Hoegh MS; Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
  • Palsson TS; Departments of Anesthesiology, Perioperative, and Pain Medicine and.
  • Olesen AE; Community Health Sciences, University of Calgary, Calgary, AB, Canada.
  • Arendt-Nielsen L; Alberta Children's Hospital Research Institute, Calgary, AB, Canada.
  • Ehlers LH; Child Health Evaluation Sciences, The Hospital for Sick Children, Toronto, ON, Canada.
  • Fonager K; Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
  • Jensen MB; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
  • Würtzen H; Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
  • Poulin PA; Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
  • Handberg G; Department of Physiotherapy and Occupational Therapy, Aalborg University Hospital, Aalborg, Denmark.
  • Ziegler C; Department of Clinical Medicine, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
  • Moeller LB; Department of Clinical Pharmacology, Aalborg University Hospital, Aalborg, Denmark.
  • Olsen J; Center for Neuroplasticity and Pain (CNAP), SMI, Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
  • Heise L; Department of Medical Gastroenterology, Mech-Sense, Aalborg University Hospital, Aalborg, Denmark.
  • Rathleff MS; Denmark & Nordic Institute of Health Economics, Aarhus, Denmark.
Pain ; 164(7): 1406-1415, 2023 Jul 01.
Article en En | MEDLINE | ID: mdl-36602421
ABSTRACT: Evidence and gap maps (EGMs) can be used to identify gaps within specific research areas and help guide future research agendas and directions. Currently, there are no EGMs within the broad domain of chronic musculoskeletal (MSK) pain in adults. The aim of this study was to create a contemporary EGM of interventions and outcomes used for research investigating chronic MSK pain. This EGM was based on systematic reviews of interventions published in scientific journals within the past 20 years. Embase, PubMed, the Cochrane Library, and PsycINFO were used to retrieve studies for inclusion. The quality of the included reviews was assessed using AMSTAR-II. Interventions were categorised as either physical, psychological, pharmacological, education/advice, interdisciplinary, or others. Outcomes were categorised using the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT) recommendations. Of 4299 systematic reviews, 457 were included. Of these, 50% were rated critically low quality, 25% low quality, 10% moderate quality, and 15% rated high quality. Physical interventions (eg, exercise therapy) and education were the most common interventions reported in 80% and 20% of the studies, respectively. Pain (97%) and physical functioning (87%) were the most reported outcomes in the systematic reviews. Few systematic reviews used interdisciplinary interventions (3%) and economic-related outcomes (2%). This contemporary EGM revealed a low proportion of high-quality evidence within chronic MSK pain. This EGM clearly outlines the lack of high-quality research and the need for increased focus on interventions encompassing the entire biopsychosocial perspective.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Musculoesquelético / Dolor Crónico Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies Límite: Adult / Humans Idioma: En Revista: Pain Año: 2023 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Musculoesquelético / Dolor Crónico Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies Límite: Adult / Humans Idioma: En Revista: Pain Año: 2023 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Estados Unidos