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Letter to the Editor

What is new in the spinal pain research?

첫 페이지 보기
  • 발행기관
    대한척추통증학회 바로가기
  • 간행물
    Pain Bulletin 바로가기
  • 통권
    Vol. 4 No. 1 (2025.06)바로가기
  • 페이지
    pp.53-55
  • 저자
    Yeon Dong Kim
  • 언어
    한국어(KOR)
  • URL
    https://www.earticle.net/Article/A480238

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원문정보

초록

영어
Objectives: To investigate the efficacy of non-surgical and non-interventional treatments for adults with low back pain compared with placebo. Eligibility criteria: Randomised controlled trials evaluating non-surgical and non-interventional treatments compared with placebo or sham in adults (≥18 years) reporting non-specific low back pain. Information sources: MEDLINE, CINAHL, EMBASE, PsychInfo and Cochrane Central Register of Controlled Trials were searched from inception to 14 April 2023. Results: A total of 301 trials (377 comparisons) provided data on 56 different treatments or treatment combinations. One treatment for acute low back pain (non-steroidal anti-inflammatory drugs (NSAIDs)), and five treatments for chronic low back pain (exercise, spinal manipulative therapy, taping, antidepressants, transient receptor potential vanilloid 1 (TRPV1) agonists) were efficacious; effect sizes were small and of moderate certainty. Three treatments for acute low back pain (exercise, glucocorticoid injections, paracetamol), and two treatments for chronic low back pain (antibiotics, anaesthetics) were not efficacious and are unlikely to be suitable treatment options; moderate certainty evidence. Evidence is inconclusive for remaining treatments due to small samples, imprecision, or low and very low certainty evidence. Conclusions: The current evidence shows that one in 10 non-surgical and non-interventional treatments for low back pain are efficacious, providing only small analgesic effects beyond placebo. The efficacy for the majority of treatments is uncertain due to the limited number of randomised participants and poor study quality. Further high-quality, placebo-controlled trials are warranted to address the remaining uncertainty in treatment efficacy along with greater consideration for placebo-control design of non-surgical and non-interventional treatments.

목차

Abstract
요약
참고문헌

저자

  • Yeon Dong Kim [ Department of Anesthesiology and Pain Medicine, Jeonbuk National University College of Medicine, Jeonbuk National University Hospital, Jeonju, Republic of Korea ] Corresponding Author

참고문헌

자료제공 : 네이버학술정보

간행물 정보

발행기관

  • 발행기관명
    대한척추통증학회 [The Korean Spinal Pain Society]
  • 설립연도
    2016
  • 분야
    의약학>정형외과학
  • 소개
    본회는 대한척추통증학회 (The Korean Spinal Pain Society : KSPS)라고 칭한다. 본회의 목적은 척추통증의학의 발전과 회원 상호간의 친목을 도모하는데 있다.

간행물

  • 간행물명
    Pain Bulletin
  • 간기
    반년간
  • pISSN
    2951-3782
  • 수록기간
    2022~2025
  • 십진분류
    KDC 514 DDC 617

이 권호 내 다른 논문 / Pain Bulletin Vol. 4 No. 1

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