Employer Based Integrated Primary Care Health Centers, Qualcomm Health Center, Stanford Health Care, San Diego, California, USA
National University of Health Sciences, Lombard, Illinois, USA.
BMJ Open. 2023 Oct 3;13(10):e075382. doi: 10.1136/bmjopen-2023-075382.
The increasing prevalence of coexisting health conditions poses a challenge to healthcare providers and healthcare systems. Spinal pain (eg, neck and back pain) and spinal pathologies (eg, osteoporotic fractures and degenerative spinal disease) exist concurrently with other non-spinal health conditions (NSHC). However, the scope of what associations may exist among these co-occurring conditions is unclear. Therefore, this scoping review aims to map the epidemiological literature that reports associations between spine-related pain and pathologies (SPPs) and NSHCs.
This scoping review will follow the JBI protocol and Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. We will systematically search the literature using key words and MeSH terms for SPPs and NSHCs. Terminology/vocabulary for NSHCs will include those for communicable and non-communicable diseases as reported by WHO Global Burden of Disease reports. Five databases will be searched from inception: MEDLINE, EMBASE, APA PsycInfo, Scopus and Web of Science Core Collection. Papers published in English, in peer-reviewed journals, including measures of association between SPPs and NSHCs and using observational epidemiologic study designs will be included. Excluded will be studies of cadaveric, animal or health behaviours; studies with no measures of association and non-observational epidemiologic studies. Results will include the number of studies, the studies that have evaluated the measures of association and the frequency of the studied associations between SPPs and NSHCs. Results will be reported in tables and diagrams. Themes of comorbidities will be synthesised into a descriptive report.
This scoping review was deemed exempt from ethics review. This review will provide a comprehensive overview of the literature that reports associations between SPPs and NSHCs to inform future research initiatives and practices. Results will be disseminated through publication in peer-reviewed journals and research conferences.
共存健康状况的日益普遍给医疗保健提供者和医疗保健系统带来了挑战。脊柱疼痛（例如颈部和背部疼痛）和脊柱病变（例如骨质疏松性骨折和退行性脊柱疾病）与其他非脊柱健康状况（NSHC）同时存在。然而，这些共存疾病之间可能存在哪些关联尚不清楚。因此，本范围综述旨在绘制报告与脊柱相关疼痛和病变（SPP）和 NSHC 之间关联的流行病学文献。
本范围综述将遵循 JBI 方案和用于系统评价和元分析扩展的首选报告项目中的范围综述。我们将使用 SPP 和 NSHC 的关键词和 MeSH 术语系统地搜索文献。NSHC 的术语/词汇将包括世界卫生组织全球疾病负担报告中报告的传染病和非传染病。将从一开始就在五个数据库中搜索：MEDLINE、EMBASE、APA PsycInfo、Scopus 和 Web of Science Core Collection。纳入的论文为英文，发表在同行评议的期刊上，包括 SPP 和 NSHC 之间关联的测量，以及使用观察性流行病学研究设计的论文。排除的研究包括尸体、动物或健康行为研究；没有关联测量的研究和非观察性流行病学研究。结果将包括研究数量、评估关联措施的研究以及 SPP 和 NSHC 之间研究关联的频率。结果将以表格和图表的形式报告。合并症的主题将综合成一份描述性报告。
本范围综述被认为免除了伦理审查。本综述将提供报告 SPP 和 NSHC 之间关联的文献的全面概述，为未来的研究计划和实践提供信息。结果将通过在同行评议的期刊和研究会议上发表来传播。
