Reporting outcomes of back pain trials: a modified Delphi study
Robert Froud1, Sandra Eldridge, Francisco Kovacs
1Centre for Health Sciences, Queen Mary University of London, Yvonne Carter Building, Turner Street, Whitechapel, London E12AT, UK. r.j.froud@qmul.ac.uk
European Journal of Pain (London, England)
|May 21, 2011
Summary
Experts reached consensus on standardized reporting methods for low back pain trials. This aims to improve interpretability and patient care by recommending specific outcome measures and confidence intervals.
Area of Science:
- Clinical trials methodology
- Patient-reported outcomes in musculoskeletal disorders
- Evidence-based practice in pain management
Background:
- Low back pain is a prevalent and costly health issue.
- Existing low back pain trials suffer from inconsistent and difficult-to-interpret reporting.
- Standardized reporting is crucial for advancing research and clinical practice.
Framework:
- Modified Delphi process and RAND/UCLA appropriateness method were employed.
- Expert consensus was achieved through iterative online rounds.
- This framework ensures a rigorous and systematic approach to developing recommendations.
Implementation:
- 63 international experts participated in the consensus process.
- Experts rated and commented on various reporting methods.
- A statement recommending standardized reporting for patient-reported outcomes was developed.
Implications:
- The consensus statement promotes consistent reporting of patient-reported outcomes in low back pain trials.
- Recommended methods include between-group mean differences, minimally important difference thresholds, proportion improving/deteriorating, and number needed to treat.
- Adoption of these recommendations can enhance trial interpretability and improve patient care for low back pain.

