腰痛患者的康复如何定义和测量？混合研究系统评价议定书。

How is recovery defined and measured in patients with low back pain? Protocol for a mixed study systematic review.

机构信息

School of Physical Therapy, Western University Faculty of Health Sciences, London, Ontario, Canada

School of Physical Therapy, Western University Faculty of Health Sciences, London, Ontario, Canada.

出版信息

BMJ Open. 2022 May 10;12(5):e061475. doi: 10.1136/bmjopen-2022-061475.

DOI:10.1136/bmjopen-2022-061475

PMID:35537787

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9092166/

Abstract

INTRODUCTION

This protocol describes the methods for a mixed study systematic review aiming to explore the definitions and measurements of recovery in patients with low back pain, and how perspectives of recovery differ between patients and providers. This review will be the first to review the concept of recovery in patients with low back pain across both quantitative and qualitative literature.

METHODS AND ANALYSIS

This protocol has been designed and reported in line with Preferred Reporting Items of Systematic Reviews and Meta-Analyses Protocols. The following databases will be electronically searched from database inception until 30 November 2021: Medline, EMBASE, CINAHL, Cochrane, PEDro. Grey literature will be searched for through targeted searching of ProQuest Dissertations and Theses and handsearching of the references of all included studies. Studies will be included if they include a patient population of >50% with low back pain (with or without leg pain), and mention the concept of recovery within the abstract, methods or results. The Mixed Methods Appraisal Tool will be used for quality assessment of both quantitative and qualitative included studies. Two independent reviewers will conduct the search, screen titles/abstracts and extract relevant data from full texts. Discrepancies between reviewers will be settled by a third reviewer with spinal pain expertise. For syntheses, thematic analysis will be used to analyse both qualitative and quantitative investigations to explore meanings, measurement and perspectives of recovery from a diverse evidence base. There is no clinical trial associated with this protocol.

ETHICS AND DISSEMINATION

There are no ethical issues associated with this systematic review, and ethics approval was not required. Once completed, the results of this review will be published in a peer-reviewed journal within the realm of spinal pain to help guide future research inquiries.

PROSPERO REGISTRATION NUMBER

CRD42022295804.

摘要

简介

本方案描述了一项混合研究系统综述的方法，旨在探讨腰痛患者康复的定义和测量方法，以及患者和提供者对康复的看法有何不同。这将是第一篇综述腰痛患者康复概念的综述，涵盖定量和定性文献。

方法和分析

本方案按照系统评价和荟萃分析方案的首选报告项目进行设计和报告。将从数据库建立开始至 2021 年 11 月 30 日，对以下数据库进行电子检索：Medline、EMBASE、CINAHL、Cochrane、PEDro。将通过 ProQuest Dissertations and Theses 的定向搜索和所有纳入研究参考文献的手工搜索来搜索灰色文献。如果研究纳入的患者人群中>50%患有腰痛（伴或不伴腿痛），并且在摘要、方法或结果中提到康复概念，则将纳入研究。将使用混合方法评估工具对纳入的定量和定性研究进行质量评估。两名独立的审查员将进行搜索、筛选标题/摘要并从全文中提取相关数据。如果审查员之间存在分歧，将由具有脊柱疼痛专业知识的第三名审查员解决。对于综合分析，将使用主题分析来分析定性和定量研究，以从多样化的证据基础中探索康复的意义、测量和观点。本方案没有与临床试验相关。