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dc.contributor.authorWalton, D
dc.contributor.authorCarroll, L
dc.contributor.authorKasch, H
dc.contributor.authorSterling, M
dc.contributor.authorVerhagen, A
dc.contributor.authorMac Dermid, J
dc.contributor.authorGross, A
dc.contributor.authorSantaguida, L
dc.contributor.authorCarlesso, L
dc.contributor.authorReid, Duncan Arthur
dc.date.accessioned2013-12-01T19:42:36Z
dc.date.available2013-12-01T19:42:36Z
dc.date.copyright2013
dc.date.issued2013-12-02
dc.identifier.citationOpen Orthopaedics, vol.7(Suppl 4: M2), pp.494 - 505 (11)
dc.identifier.urihttp://hdl.handle.net/10292/6045
dc.description.abstractGiven the challenges of chronic musculoskeletal pain and disability, establishing a clear prognosis in the acute stage has become increasingly recognized as a valuable approach to mitigate chronic problems. Neck pain represents a condition that is common, potentially disabling, and has a high rate of transition to chronic or persistent problems. As a field of research, prognosis in neck pain has stimulated several empirical primary research papers, and a number of systematic reviews. As part of the International Consensus on Neck (ICON) project, we sought to establish the general state of knowledge in the area through a structured, systematic review of systematic reviews (overview). An exhaustive search strategy was created and employed to identify the 13 systematic reviews (SRs) that served as the primary data sources for this overview. A decision algorithm for data synthesis, which incorporated currency of the SR, risk of bias assessment of the SRs using AMSTAR scoring and consistency of findings across SRs, determined the level of confidence in the risk profile of 133 different variables. The results provide high confidence that baseline neck pain intensity and baseline disability have a strong association with outcome, while angular deformities of the neck and parameters of the initiating trauma have no effect on outcome. A vast number of predictors provide low or very low confidence or inconclusive results, suggesting there is still much work to be done in this field. Despite the presence of multiple SR and this overview, there is insufficient evidence to make firm conclusions on many potential prognostic variables. This study demonstrates the challenges in conducting overviews on prognosis where clear synthesis critieria and a lack of specifics of primary data in SR are barriers.
dc.publisherBentham Open
dc.rightsFor authors of Bentham Open there is no restriction to authors for self-archiving of pre-refereeing preprints nor refereed postprints. The same applies for all authors who opt to publish their articles as open access for Bentham Science Publishers journals, in which case the publisher's version/PDF of the published article can be used for self-archiving.
dc.subjectOverview
dc.subjectPrognosis
dc.subjectWhiplash
dc.subjectNon-specific neck pain
dc.subjectWork-related neck pain
dc.titleAn overview of systematic reviews on prognostic factors in neck pain: results from the International Collaboration on Neck Pain (ICON) project
dc.typeJournal Article
dc.rights.accessrightsOpenAccess
dc.identifier.doi10.2174/1874325001307010494
aut.relation.endpage505
aut.relation.issueSuppl 4: M2
aut.relation.pages11
aut.relation.startpage494
aut.relation.volume7
pubs.elements-id157623


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