AI Article Synopsis
- - The study aimed to create an Evidence and Gap Map (EGM) to identify intervention categories and outcomes in chronic musculoskeletal (MSK) pain research since there are currently none in that field.
- - Researchers analyzed 4,299 systematic reviews from various databases, ultimately including 457, with most rated as low-quality; physical interventions like exercise therapy were most common, while interdisciplinary approaches were rare.
- - The findings highlighted a significant lack of high-quality research in chronic MSK pain and emphasized the necessity for future studies to consider a more comprehensive biopsychosocial approach.
Article Abstract
Evidence and gap maps (EGMs) can be used to identify gaps within specific research areas and help guide future research agendas and directions. Currently, there are no EGMs within the broad domain of chronic musculoskeletal (MSK) pain in adults. The aim of this study was to create a contemporary EGM of interventions and outcomes used for research investigating chronic MSK pain. This EGM was based on systematic reviews of interventions published in scientific journals within the past 20 years. Embase, PubMed, the Cochrane Library, and PsycINFO were used to retrieve studies for inclusion. The quality of the included reviews was assessed using AMSTAR-II. Interventions were categorised as either physical, psychological, pharmacological, education/advice, interdisciplinary, or others. Outcomes were categorised using the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT) recommendations. Of 4299 systematic reviews, 457 were included. Of these, 50% were rated critically low quality, 25% low quality, 10% moderate quality, and 15% rated high quality. Physical interventions (eg, exercise therapy) and education were the most common interventions reported in 80% and 20% of the studies, respectively. Pain (97%) and physical functioning (87%) were the most reported outcomes in the systematic reviews. Few systematic reviews used interdisciplinary interventions (3%) and economic-related outcomes (2%). This contemporary EGM revealed a low proportion of high-quality evidence within chronic MSK pain. This EGM clearly outlines the lack of high-quality research and the need for increased focus on interventions encompassing the entire biopsychosocial perspective.
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| http://dx.doi.org/10.1097/j.pain.0000000000002855 | DOI Listing |
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