Postsurgical rehabilitation for adults with low back pain with or without radiculopathy who were treated surgically: protocol for a mixed studies systematic review
Introduction Surgical rates for low back pain (LBP) have been increasing in Europe, North America and Asia. Many patients treated surgically will require postsurgical rehabilitation. Little is known about the effectiveness of postsurgical rehabilitation interventions on health outcomes or about pati...
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| Format: | Article |
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BMJ Publishing Group
2020-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/3/e036817.full |
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| author | Ginny Brunton Silvano Mior Carol Cancelliere Jessica J. Wong Hainan Yu Margareta Nordin Paulo Pereira Heather Shearer Gaelan Connell Leslie Verville Anne Taylor-Vaisey |
| author_facet | Ginny Brunton Silvano Mior Carol Cancelliere Jessica J. Wong Hainan Yu Margareta Nordin Paulo Pereira Heather Shearer Gaelan Connell Leslie Verville Anne Taylor-Vaisey |
| author_sort | Ginny Brunton |
| collection | DOAJ |
| description | Introduction Surgical rates for low back pain (LBP) have been increasing in Europe, North America and Asia. Many patients treated surgically will require postsurgical rehabilitation. Little is known about the effectiveness of postsurgical rehabilitation interventions on health outcomes or about patients’ experiences with these interventions.Objectives To conduct a mixed studies systematic review of quantitative and qualitative studies regarding: (1) the effectiveness and safety of postsurgical rehabilitation interventions for adults with LBP treated surgically and (2) the experiences of patients, healthcare providers, caregivers or others involved with the rehabilitation.Methods and analysis We will search MEDLINE, Embase, PsycINFO, CINAHL, the Index to Chiropractic Literature, the Cochrane Controlled Register of Trials and the Rehabilitation & Sports Medicine Source for peer-reviewed empirical studies published from inception in any language. Studies using quantitative, qualitative and mixed methodologies will be included. We will also search reference lists of all eligible articles. Data extraction will include type of presurgical pathology, indication for surgery, surgical procedure, how the intervention was delivered and by whom, context and setting. We will conduct a quality assessment of each study and consider study quality in our evidence synthesis. We will use a sequential approach at the review level to synthesise and integrate data. First, we will synthesise the quantitative and qualitative studies independently, conducting a meta-analysis of the quantitative studies if appropriate and thematic synthesis of the qualitative studies. Then, we will integrate the quantitative and qualitative evidence by juxtaposing the findings in a matrix.Ethics and dissemination Ethical approval is not required for this knowledge synthesis. Findings will be disseminated through knowledge translation activities including: (1) presentations at national and international conferences and scientific meetings; (2) presentations to local and international stakeholders; (3) publications in peer-reviewed journals and (4) posts on organisational websites.PROSPERO registration number CRD42019134607. |
| format | Article |
| id | doaj-art-6abe9651aebc494ea7d16d681e1af884 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-6abe9651aebc494ea7d16d681e1af8842025-08-20T02:36:11ZengBMJ Publishing GroupBMJ Open2044-60552020-03-0110310.1136/bmjopen-2020-036817Postsurgical rehabilitation for adults with low back pain with or without radiculopathy who were treated surgically: protocol for a mixed studies systematic reviewGinny Brunton0Silvano Mior1Carol Cancelliere2Jessica J. Wong3Hainan Yu4Margareta Nordin5Paulo Pereira6Heather Shearer7Gaelan Connell8Leslie Verville9Anne Taylor-Vaisey105 UCL Institute of Education Centre for Longitudinal Studies, London, UKResearch, Canadian Memorial Chiropractic College, Toronto, Ontario, CanadaCentre for Disability Prevention and Rehabilitation, Ontario Tech University and Canadian Memorial Chiropractic College, Oshawa, Ontario, CanadaCentre for Disability Prevention and Rehabilitation, Ontario Tech University and Canadian Memorial Chiropractic College, Oshawa, Ontario, CanadaFaculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, CanadaDepartment of Orthopedic Surgery and Environmental Medicine, NYU School of Medicine, Occupational and Industrial Orthopedic Center, New York University, New York, New York, USASpine Unit, Department of Neurosurgery, Centro Hospitalar Universitário São João, Porto, PortugalCentre for Disability Prevention and Rehabilitation, Ontario Tech University and Canadian Memorial Chiropractic College, Oshawa, Ontario, CanadaFaculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, CanadaFaculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, CanadaCentre for Disability Prevention and Rehabilitation, Ontario Tech University and Canadian Memorial Chiropractic College, Toronto, Ontario, CanadaIntroduction Surgical rates for low back pain (LBP) have been increasing in Europe, North America and Asia. Many patients treated surgically will require postsurgical rehabilitation. Little is known about the effectiveness of postsurgical rehabilitation interventions on health outcomes or about patients’ experiences with these interventions.Objectives To conduct a mixed studies systematic review of quantitative and qualitative studies regarding: (1) the effectiveness and safety of postsurgical rehabilitation interventions for adults with LBP treated surgically and (2) the experiences of patients, healthcare providers, caregivers or others involved with the rehabilitation.Methods and analysis We will search MEDLINE, Embase, PsycINFO, CINAHL, the Index to Chiropractic Literature, the Cochrane Controlled Register of Trials and the Rehabilitation & Sports Medicine Source for peer-reviewed empirical studies published from inception in any language. Studies using quantitative, qualitative and mixed methodologies will be included. We will also search reference lists of all eligible articles. Data extraction will include type of presurgical pathology, indication for surgery, surgical procedure, how the intervention was delivered and by whom, context and setting. We will conduct a quality assessment of each study and consider study quality in our evidence synthesis. We will use a sequential approach at the review level to synthesise and integrate data. First, we will synthesise the quantitative and qualitative studies independently, conducting a meta-analysis of the quantitative studies if appropriate and thematic synthesis of the qualitative studies. Then, we will integrate the quantitative and qualitative evidence by juxtaposing the findings in a matrix.Ethics and dissemination Ethical approval is not required for this knowledge synthesis. Findings will be disseminated through knowledge translation activities including: (1) presentations at national and international conferences and scientific meetings; (2) presentations to local and international stakeholders; (3) publications in peer-reviewed journals and (4) posts on organisational websites.PROSPERO registration number CRD42019134607.https://bmjopen.bmj.com/content/10/3/e036817.full |
| spellingShingle | Ginny Brunton Silvano Mior Carol Cancelliere Jessica J. Wong Hainan Yu Margareta Nordin Paulo Pereira Heather Shearer Gaelan Connell Leslie Verville Anne Taylor-Vaisey Postsurgical rehabilitation for adults with low back pain with or without radiculopathy who were treated surgically: protocol for a mixed studies systematic review BMJ Open |
| title | Postsurgical rehabilitation for adults with low back pain with or without radiculopathy who were treated surgically: protocol for a mixed studies systematic review |
| title_full | Postsurgical rehabilitation for adults with low back pain with or without radiculopathy who were treated surgically: protocol for a mixed studies systematic review |
| title_fullStr | Postsurgical rehabilitation for adults with low back pain with or without radiculopathy who were treated surgically: protocol for a mixed studies systematic review |
| title_full_unstemmed | Postsurgical rehabilitation for adults with low back pain with or without radiculopathy who were treated surgically: protocol for a mixed studies systematic review |
| title_short | Postsurgical rehabilitation for adults with low back pain with or without radiculopathy who were treated surgically: protocol for a mixed studies systematic review |
| title_sort | postsurgical rehabilitation for adults with low back pain with or without radiculopathy who were treated surgically protocol for a mixed studies systematic review |
| url | https://bmjopen.bmj.com/content/10/3/e036817.full |
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