Traeger Adrian C, Reed Benjamin J, O'Connor Denise A, Hoffmann Tammy C, Machado Gustavo C, Bonner Carissa, Maher Chris G, Buchbinder Rachelle
School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
Monash Department of Clinical Epidemiology, Cabrini Institute, Malvern, Victoria, Australia.
BMJ Open. 2018 Feb 10;8(2):e019470. doi: 10.1136/bmjopen-2017-019470.
Little is known about how to reduce unnecessary imaging for low back pain. Understanding clinician, patient and general public beliefs about imaging is critical to developing strategies to reduce overuse.
To synthesise qualitative research that has explored clinician, patient or general public beliefs about diagnostic imaging for low back pain.
We will perform a qualitative evidence synthesis of relevant qualitative research exploring clinician, patient and general public beliefs about diagnostic imaging for low back pain. Exclusions will be studies not using qualitative methods and studies not published in English. Studies will be identified using sensitive search strategies in MEDLINE, EMBASE, CINAHL, AMED and PsycINFO. Two reviewers will independently apply inclusion and exclusion criteria, extract data, and use the Critical Appraisal Skills Programme quality assessment tool to assess the quality of included studies. To synthesise the data we will use a narrative synthesis approach that involves developing a theoretical model, conducting a preliminary synthesis, exploring relations in the data, and providing a structured summary. We will code the data using NVivo. At least two reviewers will independently apply the thematic framework to extracted data. Confidence in synthesis findings will be evaluated using the GRADE Confidence in the Evidence from Reviews of Qualitative Research tool.
Ethical approval is not required to conduct this review. We will publish the results in a peer-reviewed journal.
CRD42017076047.
关于如何减少不必要的腰痛影像学检查，我们知之甚少。了解临床医生、患者及公众对影像学检查的看法对于制定减少过度使用的策略至关重要。
综合探索临床医生、患者或公众对腰痛诊断性影像学检查看法的定性研究。
我们将对相关定性研究进行定性证据综合分析，这些研究探索了临床医生、患者和公众对腰痛诊断性影像学检查的看法。排除不使用定性方法的研究以及未以英文发表的研究。将通过在MEDLINE、EMBASE、CINAHL、AMED和PsycINFO中使用敏感的检索策略来识别研究。两名评审员将独立应用纳入和排除标准、提取数据，并使用批判性评估技能计划质量评估工具来评估纳入研究的质量。为了综合数据，我们将使用叙事综合方法，该方法包括建立理论模型、进行初步综合、探索数据中的关系以及提供结构化总结。我们将使用NVivo对数据进行编码。至少两名评审员将独立将主题框架应用于提取的数据。将使用定性研究综述证据的GRADE信心工具评估对综合结果的信心。
进行本综述无需伦理批准。我们将在同行评审期刊上发表结果。
PROSPERO注册号：CRD42017076047。
