Older adult’s experience of chronic low back pain and its implications on their daily life: Study protocol of a systematic review of qualitative research

Wong, Arnold Y. L.; Forss, Katarina Sjögren; Jakobsson, Jenny; Schoeb, Veronika; Kumlien, Christine; Borglin, Gunilla

doi:10.1186/s13643-018-0742-5

Cited by 28 publications

(18 citation statements)

References 57 publications

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“…This approach is useful when key clinical factors vary between studies. Narrative methods for evidence synthesis have been used to study various populations of patients with pain [ 17 – 22 ].…”

Section: Methodsmentioning

confidence: 99%

Lidocaine for postoperative pain after cardiac surgery: a systematic review

Boswell

Moman

Burtoft

et al. 2021

J Cardiothorac Surg

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Objective Lidocaine is one of the most widely used local anesthetics with well-known pharmacological properties. The purpose of this systematic review is to investigate the effects of lidocaine on postoperative pain scores and recovery after cardiac surgery. Methods A comprehensive database search was conducted by a reference librarian for randomized clinical trials (RCT) from January 1, 1980 to September 1, 2019. Eligible study designs included randomized controlled trials of lidocaine for postoperative pain management in adults undergoing cardiac surgery. After removal of duplicates, 947 records were screened for eligibility and 3 RCTs met inclusion criteria. Results Sources of bias were identified in 2 of 3 RCTs. Lidocaine was administered intravenously, topically, and intrapleurally. Key findings included [1] 2% lidocaine placed topically on chest tube prior to intraoperative insertion was associated with significantly lower pain scores and lower cumulative doses of fentanyl; and [2] 2% lidocaine administered intrapleurally was associated with significantly lower pain scores and significant improvements in pulmonary mechanics. Lidocaine infusions were not associated with significant changes in pain scores or measures of recovery. No significant associations were observed between lidocaine and overall mortality, hospital length of stay or ICU length of stay. No data were reported for postoperative nausea and vomiting or arrhythmias. Conclusions Due to the favorable risk profile of topical lidocaine and the need for further advancements in the postoperative care of adults after cardiac surgery, topically administered lidocaine could be considered for incorporation into established postoperative recovery protocols.

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Section: Methodsmentioning

confidence: 99%

Lidocaine for postoperative pain after cardiac surgery: a systematic review

Boswell

Moman

Burtoft

et al. 2021

J Cardiothorac Surg

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“…This approach is particularly useful when the definition of key terms or clinical factors vary between studies. Meta-narrative methods have been used to study various populations of patients with chronic pain 25–29. Data were summarized using themes drawn from our conceptual framework and using descriptive statistics.…”

Section: Methodsmentioning

confidence: 99%

<p>Characteristics of physicians who prescribe opioids for chronic pain: a meta-narrative systematic review</p>

Hooten¹,

Dvorkin²,

Warner³

et al. 2019

JPR

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Background: The primary objective of this systematic review was to identify the characteristics of physicians who prescribe opioids to adults with chronic pain. This review was limited to studies examining fully-trained physicians, as relevant characteristics of resident physicians and non-physician clinicians may differ. Methods: A comprehensive search of databases from January 1, 1980 to December 5, 2017 was conducted. Eligible study designs included (1) randomized trials; (2) nonrandomized prospective and retrospective studies; and (3) cross-sectional observational studies. The risk of bias in the included studies was assessed using an adapted version of the Newcastle-Ottawa Scale for cross-sectional studies. A total of 2508 records were screened and 22 studies met inclusion criteria. The majority of studies were cross-sectional (n=20) and the total number of participants was 8433. Results: The risk of bias was high overall. The majority of physicians were confident managing and prescribing opioids for chronic pain but had high levels of dissatisfaction. Physicians reported high awareness of the potential for opioid misuse and were concerned about inadequate prior training in pain management. The majority of physicians were less likely to prescribe for patients with a history of substance abuse and reported major concerns about regulatory scrutiny. Conclusion: This systematic review provides the foundation for the development of prospective studies aimed at further elucidating the constellation of mechanisms that influence physicians who manage pain and prescribe opioids.

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“…Since the sequelae of LBP has larger impacts on physical function and quality of life of older adults than younger individuals [7,8], it is essential to effectively treat the affected older adults. Unfortunately, the efficacy of different LBP interventions in older adults remains uncertain because many clinical trials on LBP interventions exclude older patients [9], and existing LBP outcome measures do not consider age-related physical and psychosocial changes in older adults and may not comprehensively evaluate the impact of LBP on those older adults [3,10].…”

Section: Introductionmentioning

confidence: 99%

Global Consensus From Clinicians Regarding Low Back Pain Outcome Indicators for Older Adults: Pairwise Wiki Survey Using Crowdsourcing

Wong¹,

Lauridsen²,

Samartzis³

et al. 2019

JMIR Rehabil Assist Technol

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BackgroundLow back pain (LBP) is one of the most debilitating conditions among older adults. Unfortunately, existing LBP outcome questionnaires are not adapted for specific circumstances related to old age, which may make these measures less than ideal for evaluating LBP in older adults.ObjectiveTo explore the necessity of developing age-specific outcome measures, crowdsourcing was conducted to solicit opinions from clinicians globally.MethodsClinicians around the world voted and/or prioritized various LBP outcome indicators for older adults on a pairwise wiki survey website. Seven seed outcome indicators were posted for voting while respondents were encouraged to suggest new indicators for others to vote/prioritize. The website was promoted on the social media of various health care professional organizations. An established algorithm calculated the mean scores of all ideas. A score >50 points means that the idea has >50% probability of beating another randomly presented indicator.ResultsWithin 42 days, 128 respondents from 6 continents cast 2466 votes and proposed 14 ideas. Indicators pertinent to improvements of physical functioning and age-related social functioning scored >50 while self-perceived reduction of LBP scored 32.ConclusionsThis is the first crowdsourcing study to address LBP outcome indicators for older adults. The study noted that age-specific outcome indicators should be integrated into future LBP outcome measures for older adults. Future research should solicit opinions from older patients with LBP to develop age-specific back pain outcome measures that suit clinicians and patients alike.

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Older adult’s experience of chronic low back pain and its implications on their daily life: Study protocol of a systematic review of qualitative research

Cited by 28 publications

References 57 publications

Lidocaine for postoperative pain after cardiac surgery: a systematic review

Lidocaine for postoperative pain after cardiac surgery: a systematic review

<p>Characteristics of physicians who prescribe opioids for chronic pain: a meta-narrative systematic review</p>

Global Consensus From Clinicians Regarding Low Back Pain Outcome Indicators for Older Adults: Pairwise Wiki Survey Using Crowdsourcing

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