Abstract:
INTRODUCTION:Acute, non-low back-related musculoskeletal pain is common and associated with significant socioeconomic costs. No review has evaluated all interventional studies for acute musculoskeletal pain, which limits attempts to make inferences regarding the relative effectiveness of treatments. METHODS AND ANALYSIS:We will conduct a systematic review of all randomised controlled trials evaluating therapies for acute musculoskeletal pain (excluding low back pain). We will identify eligible, English-language, trials by a systematic search of the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, Medline, Physiotherapy Evidence Database (PEDro) and the Cochrane Central Register of Controlled Trials (CENTRAL) from inception to February 2018. Eligible trials will: (1) enrol patients presenting with acute, non-low back-related musculoskeletal pain (duration of pain ≤4 weeks), and (2) randomise patients to alternative interventions or an intervention and a placebo/sham arm. Fractures will be considered ineligible, unless they are non-surgical and therapy is directed at pain relief. Pairs of reviewers will, independently and in duplicate, screen titles and abstracts of identified citations, review the full texts of potentially eligible trials and extract information from eligible trials. We will use a modified Cochrane instrument to evaluate risk of bias. Disagreements will be resolved through discussion to achieve consensus. We will use the Grading of Recommendations Assessment, Development and Evaluation approach to evaluate the quality of evidence supporting treatment effects. When possible, we will conduct: (1) in direct comparisons, a random-effect meta-analysis to establish the effectiveness of therapeutic interventions on patient-important outcomes; and (2) multiple treatment comparison meta-analysis to assess the relative effects of treatments. We will use a priori hypotheses to explain heterogeneity between studies. We will use STATA V.14.2 for all analyses. ETHICS AND DISSEMINATION:No research ethics approval is required for this systematic review, as no confidential patient data will be used. The results of this systematic review will be disseminated through publication in a peer-reviewed journal, conference presentations and will inform a clinical practice guideline. PROSPERO REGISTRATION NUMBER:CRD42018094412.
journal_name
BMJ Openjournal_title
BMJ openauthors
Busse JW,Craigie S,Sadeghirad B,Couban R,Hong P,Oparin Y,May C,Lok A,Guyatt GHdoi
10.1136/bmjopen-2018-024441subject
Has Abstractpub_date
2019-04-03 00:00:00pages
e024441issue
4issn
2044-6055pii
bmjopen-2018-024441journal_volume
9pub_type
杂志文章相关文献
BMJ Open文献大全abstract:INTRODUCTION:The BCG vaccine is designed to protect against tuberculosis, but the vaccine may have broader effects. In 2014, the Strategic Advisory Group of Experts on Immunization reviewed the literature on non-specific effects of BCG, and concluded that the evidence was consistent with beneficial non-specific effects...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025724
更新日期:2019-09-24 00:00:00
abstract:INTRODUCTION:Adequate functioning of the blood-brain barrier (BBB) is important for brain homoeostasis and normal neuronal function. Disruption of the BBB has been described in several neurological diseases. Recent reports suggest that an increased permeability of the BBB also contributes to increased seizure susceptib...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-013954
更新日期:2017-01-05 00:00:00
abstract:OBJECTIVES:To assess changes in depressive symptoms and health-related quality of life (HRQOL) after screening for cognitive impairment in people with type 2 diabetes. DESIGN:A prospective cohort study, part of the Cognitive Impairment in Diabetes (Cog-ID) study. SETTING:Participants were screened for cognitive impai...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024696
更新日期:2019-01-17 00:00:00
abstract:OBJECTIVE:To evaluate the costs, benefits and cost-effectiveness of complex workplace dietary interventions, involving nutrition education and system-level dietary modification, from the perspective of healthcare providers and employers. DESIGN:Single-study economic evaluation of a cluster-controlled trial (Food Choic...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-019182
更新日期:2018-03-03 00:00:00
abstract:INTRODUCTION:Owing to the high and increasing morbidity and mortality, chronic obstructive pulmonary disease (COPD) has become a major public health problem worldwide. Although the majority of patients with COPD are in the early stages, little attention has been paid to them, in particular regarding to early interventi...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2013-003991
更新日期:2014-02-18 00:00:00
abstract:OBJECTIVE:To determine the feasibility of a randomised controlled trial (RCT) assessing the effects of an experience-based website as a resource for the self-management of chronic asthma. DESIGN AND SETTING:Feasibility, single-blind RCT in 2 regions of England. Randomisation used computer-generated random number seque...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-013401
更新日期:2016-12-28 00:00:00
abstract:OBJECTIVES:To estimate the impact of the COVID-19 pandemic on cancer care services and overall (direct and indirect) excess deaths in people with cancer. METHODS:We employed near real-time weekly data on cancer care to determine the adverse effect of the pandemic on cancer services. We also used these data, together w...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2020-043828
更新日期:2020-11-17 00:00:00
abstract:OBJECTIVES:The COVID-19 pandemic has required drastic safety measures to control virus spread, including an extended self-isolation period. Stressful situations increase alcohol craving and consumption in alcohol use disorder (AUD) and non-AUD drinkers. Thus, we assessed how COVID-19 related stress may have affected dr...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2020-044276
更新日期:2020-11-26 00:00:00
abstract:INTRODUCTION:Pharmacological interventions to address behavioural and psychological symptoms of dementia (BPSD) can have undesirable side effects, therefore non-pharmacological approaches to managing symptoms may be preferable. Past studies show that music therapy can reduce BPSD, and other studies have explored how fo...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031332
更新日期:2019-11-19 00:00:00
abstract:INTRODUCTION:The recent introduction of incision-less lesional neurosurgery using Gamma Knife and MRI-guided focused ultrasound has revived interest in lesional treatment options for tremor disorders. Preliminary literature researches reveal that the consistency of treatment effects after lesional neurosurgery for trem...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2016-015409
更新日期:2017-05-09 00:00:00
abstract:OBJECTIVES:Socioeconomically deprived individuals with renal disease are less likely to receive a live-donor kidney transplant than less-deprived individuals. This qualitative study aimed to identify reasons for the observed socioeconomic disparity in live-donor kidney transplantation. DESIGN:A qualitative study using...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010605
更新日期:2016-03-02 00:00:00
abstract:OBJECTIVES:Regular physical exercise may preserve β cell function in newly diagnosed adults with type 1 diabetes (T1D). However, clinical trials to test this theory require the recruitment and retention of adults with new-onset T1D, which can be challenging. We sought to determine the overall experiences of newly diagn...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022353
更新日期:2018-07-17 00:00:00
abstract:OBJECTIVE:Chronic kidney disease (CKD) is often a multimorbid condition and progression to more severe disease is commonly associated with increased management requirements, including lifestyle change, more medication and greater clinician involvement. This study explored patients' and kidney care team's perspectives o...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-042548
更新日期:2020-12-12 00:00:00
abstract:OBJECTIVES:Assessing the cost-effectiveness credentials of this intervention in patients with concomitant atrial fibrillation (AF) and heart failure (HF) compared with usual medical therapy. DESIGN:A Markov model comprising two health states (ie, alive or dead) was constructed. The transition probabilities were direct...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031033
更新日期:2019-09-05 00:00:00
abstract:INTRODUCTION:The incidence of intrauterine growth restriction (IUGR) is estimated at about 3% of pregnancies, and it is associated with 30% of all perinatal mortality and severe morbidity with adverse neurodevelopmental and cardiovascular health consequences in adult life. Early onset IUGR represents 20%-30% of all cas...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020501
更新日期:2018-10-23 00:00:00
abstract:OBJECTIVE:To evaluate the clinical efficacy and effectiveness of using 3D printing to develop medical devices across all medical fields. DESIGN:Systematic review compliant with Preferred Reporting Items for Systematic Reviews and Meta-Analyses. DATA SOURCES:PubMed, Web of Science, OVID, IEEE Xplore and Google Scholar...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-016891
更新日期:2017-12-21 00:00:00
abstract:OBJECTIVE:To establish a baseline of national practice for follow-up after treatment for gynaecological cancer. DESIGN:Questionnaire survey. SETTING:Gynaecological cancer centres and units. GEOGRAPHICAL LOCATION UK PARTICIPANTS:Members of the British Gynaecological Cancer Society and the National Forum of Gynaecolog...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002859
更新日期:2013-07-24 00:00:00
abstract:INTRODUCTION:Sepsis is defined as detrimental immune response to an infection. This overwhelming reaction often abolishes a normal reconstitution of the immune cell homeostasis that in turn increases the risk for further complications. Recent studies revealed a favourable impact of ketone bodies on resolution of inflam...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038532
更新日期:2020-07-08 00:00:00
abstract:INTRODUCTION:Many countries are launching large-scale, digitally enabled change programmes as part of efforts to improve the quality, safety and efficiency of care. We have been commissioned to conduct an independent evaluation of a major national change programme, the Global Digital Exemplar (GDE) Programme, which aim...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041275
更新日期:2020-10-08 00:00:00
abstract:INTRODUCTION:Health literacy research has focused predominantly on the adult population, and much less is understood about this concept from an adolescent perspective. The tools currently available to measure adolescent health literacy have been adapted from adult versions. This limits their applicability to young peop...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039920
更新日期:2020-11-11 00:00:00
abstract:TRIAL DESIGN:Cluster randomised controlled trial. OBJECTIVE:To compare current practice for encouraging homeless people to be screened for tuberculosis on a mobile digital X-ray unit in London, UK, with the additional use of volunteer peer educators who have direct experience of tuberculosis, homelessness or both. PA...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2015-008050
更新日期:2015-09-21 00:00:00
abstract:OBJECTIVE:To describe health-related quality of life (HRQOL) and psychological well-being of children and adolescents at enrolment in a multidisciplinary community-based obesity programme and to determine association with ethnicity. This programme targeted indigenous people and those from most deprived households. Furt...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-015776
更新日期:2017-08-09 00:00:00
abstract:OBJECTIVE:Danish medical registries are widely used for cardiovascular research, but little is known about the data quality of cardiac interventions. We computed positive predictive values (PPVs) of codes for cardiac examinations, procedures and surgeries registered in the Danish National Patient Registry during 2010-2...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012817
更新日期:2016-12-09 00:00:00
abstract:OBJECTIVE:To complete a systematic review of the literature describing associations between all environmental exposures and asthma symptoms and exacerbations in children up to mean age of 9 years. DESIGN:Systematic review. SETTING:Reference lists of identified studies and reviews were searched for all articles publis...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2013-003827
更新日期:2014-02-12 00:00:00
abstract:OBJECTIVES:To investigate the prognostic value of the neurocognitive status measured by screening instruments, the Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE), individually and in combination with the stroke severity scale, the National Institute of Health Stroke Scale (NIHSS), obtaine...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003105
更新日期:2013-09-03 00:00:00
abstract:OBJECTIVES:The evolution of multimorbidity describes the continuum from a healthy status to the development of a single disease and further progression to multimorbidity with additional diseases. We investigated the evolution of cardiometabolic multimorbidity and risk for mortality in a Chinese population. DESIGN:Long...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024476
更新日期:2019-03-03 00:00:00
abstract:OBJECTIVES:To assess the current evidence on the effect pre-arrest comorbidity has on survival and neurological outcomes following out-of-hospital cardiac arrest (OHCA). DESIGN:Systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. DATA SOURCES:MEDLINE, Ovid Embase, Sco...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031655
更新日期:2019-11-18 00:00:00
abstract:OBJECTIVE:To determine burn-out levels and associated factors among healthcare personnel working in a tertiary hospital of a highly burdened area of north-east Italy during the COVID-19 pandemic. DESIGN:Observational study conducted from 21 April to 6 May 2020 using a web-based questionnaire. SETTING:Research conduct...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-045127
更新日期:2021-01-17 00:00:00
abstract:OBJECTIVES:To analyse the parental understanding of informed consent information in first-line randomised clinical trials (RCTs) including children with malignant solid tumours and to assess parents' needs for decision-making. DESIGN:Observational prospective study. SETTING:3 paediatric oncology centres in the Parisi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002733
更新日期:2013-05-28 00:00:00
abstract:PURPOSE:Depression is the most common psychiatric disorder and the largest contributor to global disability. The Australian Genetics of Depression study was established to recruit a large cohort of individuals who have been diagnosed with depression at some point in their lifetime. The purpose of establishing this coho...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032580
更新日期:2020-05-26 00:00:00