Department of Social and Preventive Medicine, Université Laval, Québec City, QC, Canada.
Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montréal, QC, Canada.
Spine (Phila Pa 1976). 2022 Oct 1;47(19):E595-E605. doi: 10.1097/BRS.0000000000004408. Epub 2022 Jul 1.
The 16th meeting of the International Forum for Back and Neck Pain Research in Primary Care was held in Québec City in July 2019 under the theme of innovation. This paper addresses the state of research in the field.
To ascertain the evolution of knowledge and clinical application in back and neck pain and identify shifting research priorities.
After a brief presentation of the Forum and its history, the current state of the field was depicted from the scientific program and the recordings of the plenary and parallel oral and poster communications of Forum XVI. Research agendas established in 1995 and 1997 were updated from a survey of a multidisciplinary group of experts in the field. A discussion of the progress made and challenges ahead follows.
While much progress has been made at improving knowledge at managing back pain in the past 25 years, most research priorities from earlier decades are still pertinent. The need for integration of physical and psychological interventions represents a key challenge, as is the need to better understand the biological mechanisms underlying back and neck pain to develop more effective interventions. Stemming the tide of back and neck pain in low and middle-income countries and avoiding the adoption of low-value interventions appear particularly important. The Lancet Low Back Pain Series initiative, arising from the previous fora, and thoughts on implementing best practices were extensively discussed, recognizing the challenges to evidence-based knowledge and practice given competing interests and incentives.
With the quantity and quality of research on back and neck pain increasing over the years, an update of research priorities helped to identify key issues in primary care.
2019 年 7 月，第 16 届国际初级保健腰背疼痛研究论坛在魁北克市举行，主题为创新。本文介绍了该领域的研究现状。
确定腰背疼痛领域的知识和临床应用的发展情况，并确定研究重点的变化。
在简要介绍论坛及其历史后，从科学计划以及论坛第 16 届全体会议和并行口头及海报交流的录音中描绘了该领域的现状。根据对该领域多学科专家组的调查，更新了 1995 年和 1997 年制定的研究议程。接着讨论了取得的进展和未来的挑战。
尽管在过去 25 年中，在提高腰背疼痛管理知识方面取得了很大进展，但大多数来自前几十年的研究重点仍然相关。整合身体和心理干预措施是一个关键挑战，因为需要更好地了解腰背疼痛的生物学机制，以开发更有效的干预措施。遏制中低收入国家腰背疼痛的流行并避免采用低价值的干预措施尤为重要。从之前的论坛中产生的《柳叶刀腰背疼痛系列》倡议以及关于实施最佳实践的想法得到了广泛讨论，认识到在存在竞争利益和激励的情况下，基于证据的知识和实践面临挑战。
随着腰背疼痛研究的数量和质量逐年增加，更新研究重点有助于确定初级保健中的关键问题。
