Low-back pain definitions in occupational studies were categorized for a meta-analysis using Delphi consensus methods
Low-back pain definitions in occupational studies were categorized for a meta-analysis using Delphi consensus methods
Objective: To determine which literature-based definitions of low back pain (LBP) could be combined to produce sufficiently similar sets for use in a meta-analysis.
Study Design and Setting: A group of six international experts participated in an e-maileadministered Delphi process. Literature-based LBP definitions were preliminarily classified into 14 sets within four outcome types: pathology, symptoms and care-seeking, functional limitations, and participation. Experts independently rated their level of agreement that each outcome definition belonged in its assigned set using a seven-point Likert scale. After each round, results were synthesized and revised classifications were fed back to the experts who were asked to consider them before rerating the outcome definitions.
Results: The experts completed three Delphi rounds and reached consensus on the categorization of 115/119 (97%) of the outcome definitions. There were 20 final sets of outcomes identified: three sets of pathology outcomes, two sets each of functional limitation and participation outcomes, and 13 sets of symptom and care-seeking outcomes.
Conclusions: In a research area that currently lacks uniformly accepted definitions of outcomes, we successfully used a Delphi consensus process to reach substantial agreement on combinable LBP outcomes that would be combinable for a meta-analysis.
low back pain, outcomes assessment, meta-analysis, Delphi technique, consensus, classification
625-633
Griffiths, Lauren E.
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Hogg-Johnson, Sheilah
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Cole, Donald C.
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Krause, Niklas
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Hayden, Jill
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Burdorf, Alex
a6882e7c-cc21-40c2-9740-0ff4868ee2bd
Leclerc, Annette
2ecf93c9-280d-4ab5-b886-09c7cd52bafa
Coggon, David
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Bongers, Paulien
f52a674b-feb0-4008-b9d5-4f824c1d46ad
Walter, Stephen D.
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Shannon, Harry S.
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Meta-Analysis of Pain in the Lower Back and Work Exposures (MAPLE) Collaborative Group
2007
Griffiths, Lauren E.
e80165da-a7fe-483f-8db9-73d1e96db54b
Hogg-Johnson, Sheilah
3f928010-e72c-4a0f-923d-8ecf177b12bc
Cole, Donald C.
813eca08-2414-48b6-9818-c7e816de50cf
Krause, Niklas
12730303-aed6-4f30-b1cd-c71a8c276b3a
Hayden, Jill
53ed31e9-e33d-4485-8dd5-7811d28f335a
Burdorf, Alex
a6882e7c-cc21-40c2-9740-0ff4868ee2bd
Leclerc, Annette
2ecf93c9-280d-4ab5-b886-09c7cd52bafa
Coggon, David
2b43ce0a-cc61-4d86-b15d-794208ffa5d3
Bongers, Paulien
f52a674b-feb0-4008-b9d5-4f824c1d46ad
Walter, Stephen D.
d0740b92-9d13-4ae5-97ce-876ea26614c7
Shannon, Harry S.
fad03541-a73b-4be9-a444-f553a6e44808
Griffiths, Lauren E., Hogg-Johnson, Sheilah, Cole, Donald C., Krause, Niklas, Hayden, Jill, Burdorf, Alex, Leclerc, Annette, Coggon, David, Bongers, Paulien, Walter, Stephen D. and Shannon, Harry S.
,
Meta-Analysis of Pain in the Lower Back and Work Exposures (MAPLE) Collaborative Group
(2007)
Low-back pain definitions in occupational studies were categorized for a meta-analysis using Delphi consensus methods.
Journal of Clinical Epidemiology, 60 (6), .
(doi:10.1016/j.jclinepi.2006.09.005).
Abstract
Objective: To determine which literature-based definitions of low back pain (LBP) could be combined to produce sufficiently similar sets for use in a meta-analysis.
Study Design and Setting: A group of six international experts participated in an e-maileadministered Delphi process. Literature-based LBP definitions were preliminarily classified into 14 sets within four outcome types: pathology, symptoms and care-seeking, functional limitations, and participation. Experts independently rated their level of agreement that each outcome definition belonged in its assigned set using a seven-point Likert scale. After each round, results were synthesized and revised classifications were fed back to the experts who were asked to consider them before rerating the outcome definitions.
Results: The experts completed three Delphi rounds and reached consensus on the categorization of 115/119 (97%) of the outcome definitions. There were 20 final sets of outcomes identified: three sets of pathology outcomes, two sets each of functional limitation and participation outcomes, and 13 sets of symptom and care-seeking outcomes.
Conclusions: In a research area that currently lacks uniformly accepted definitions of outcomes, we successfully used a Delphi consensus process to reach substantial agreement on combinable LBP outcomes that would be combinable for a meta-analysis.
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More information
Published date: 2007
Keywords:
low back pain, outcomes assessment, meta-analysis, Delphi technique, consensus, classification
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Local EPrints ID: 150185
URI: http://eprints.soton.ac.uk/id/eprint/150185
ISSN: 0895-4356
PURE UUID: b724bd46-27d6-43cc-a4a4-eacd9e2b03c0
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Date deposited: 01 Jun 2010 13:40
Last modified: 14 Mar 2024 02:39
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Contributors
Author:
Lauren E. Griffiths
Author:
Sheilah Hogg-Johnson
Author:
Donald C. Cole
Author:
Niklas Krause
Author:
Jill Hayden
Author:
Alex Burdorf
Author:
Annette Leclerc
Author:
David Coggon
Author:
Paulien Bongers
Author:
Stephen D. Walter
Author:
Harry S. Shannon
Corporate Author: Meta-Analysis of Pain in the Lower Back and Work Exposures (MAPLE) Collaborative Group
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