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  1. Article ; Online: Is It Time to Reframe How Health Care Professionals Label Musculoskeletal Conditions?

    Zadro, Joshua R / O'Keeffe, Mary / Ferreira, Giovanni E

    Physical therapy

    2024  Volume 104, Issue 4

    MeSH term(s) Humans ; Musculoskeletal Diseases/therapy ; Health Personnel
    Language English
    Publishing date 2024-02-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 415886-6
    ISSN 1538-6724 ; 0031-9023
    ISSN (online) 1538-6724
    ISSN 0031-9023
    DOI 10.1093/ptj/pzae018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ue I Zs.270: Show issues Location:
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  2. Article ; Online: Iran's burden of disease and burden of data collection.

    Maher, Christopher Gerard / Ferreira, Giovanni

    Lancet (London, England)

    2022  Volume 400, Issue 10351, Page(s) 490

    MeSH term(s) Cost of Illness ; Data Collection ; Humans ; Iran/epidemiology
    Language English
    Publishing date 2022-08-08
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(22)01335-6
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  3. Article ; Online: Global Burden of Disease data for Indonesia.

    Maher, Christopher G / Ferreira, Giovanni / Jones, Caitlin

    The Lancet. Global health

    2023  Volume 11, Issue 3, Page(s) e335

    MeSH term(s) Humans ; Global Burden of Disease ; Indonesia/epidemiology
    Language English
    Publishing date 2023-02-16
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 2723488-5
    ISSN 2214-109X ; 2214-109X
    ISSN (online) 2214-109X
    ISSN 2214-109X
    DOI 10.1016/S2214-109X(23)00005-0
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  4. Article ; Online: Recommendations for shaping the future of low back pain prevention research.

    Ferreira, Giovanni / Hancock, Mark

    British journal of sports medicine

    2021  Volume 55, Issue 16, Page(s) 886–887

    MeSH term(s) Exercise ; Exercise Therapy ; Humans ; Low Back Pain/prevention & control
    Language English
    Publishing date 2021-02-26
    Publishing country England
    Document type Editorial
    ZDB-ID 600592-5
    ISSN 1473-0480 ; 0306-3674
    ISSN (online) 1473-0480
    ISSN 0306-3674
    DOI 10.1136/bjsports-2020-103744
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Time to reconsider what Global Burden of Disease studies really tell us about low back pain.

    Maher, Chris / Ferreira, Giovanni

    Annals of the rheumatic diseases

    2021  Volume 81, Issue 3, Page(s) 306–308

    MeSH term(s) Data Interpretation, Statistical ; Global Burden of Disease ; Humans ; Low Back Pain/epidemiology
    Language English
    Publishing date 2021-09-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 7090-7
    ISSN 1468-2060 ; 0003-4967
    ISSN (online) 1468-2060
    ISSN 0003-4967
    DOI 10.1136/annrheumdis-2021-221173
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    Zs.MO 167: Show issues

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  6. Article ; Online: Compared to what? An analysis of comparators in trials informing the National Institute of Clinical Excellence (NICE) low back pain guideline.

    Bejarano, Geronimo / Csiernik, Ben / Zadro, Joshua R / Ferreira, Giovanni E

    Brazilian journal of physical therapy

    2023  Volume 27, Issue 6, Page(s) 100563

    Abstract: Background: Low back pain (LBP) is the leading cause of disability globally. Clinical practice guidelines (CPGs) have been developed in hopes of encouraging evidence-based care for LBP. However, poor quality of trials that underpin CPGs can lead to ... ...

    Abstract Background: Low back pain (LBP) is the leading cause of disability globally. Clinical practice guidelines (CPGs) have been developed in hopes of encouraging evidence-based care for LBP. However, poor quality of trials that underpin CPGs can lead to misleading recommendations for LBP.
    Objectives: To categorize the comparator used in trials included in the National Institute of Clinical Excellence (NICE) LBP CPG and describe the proportion and association of suboptimal comparators with NICE recommendation.
    Methods: We conducted a cross-sectional analysis to describe the proportion of trials included in the NICE LBP CPG that used a suboptimal comparator. If comparators used an ineffective treatment, a treatment of unknown effectiveness, or no or minimal treatment then they were considered suboptimal.
    Results: We included 408 trials and analyzed 580 comparators used in the trials. 30.9% of the comparators used in the trials were suboptimal. Trials testing invasive treatments (32.4%) had the highest proportion of suboptimal comparators followed by non-surgical (32.3%) and pharmacological (19.0%) treatments. Trials using suboptimal treatments were less likely to have their treatment recommended (odds ratio: 0.68; 95% CI: 0.47, 0.98) for use by NICE.
    Conclusion: There is a concerning proportion of suboptimal comparators used in LBP trials that may be misleading CPG recommendations, funding allocation decisions, and ultimately clinical practice. Efforts to increase the use of optimal comparators in LBP trials are urgently needed to better understand what treatments should be recommended.
    MeSH term(s) Humans ; Low Back Pain/therapy ; Cross-Sectional Studies
    Language English
    Publishing date 2023-11-14
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2252917-2
    ISSN 1809-9246 ; 1809-9246
    ISSN (online) 1809-9246
    ISSN 1809-9246
    DOI 10.1016/j.bjpt.2023.100563
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  7. Article: Considerable Uncertainty About the Burden of Gout in the Middle East and North Africa Region.

    Maher, Christopher G / Jones, Caitlin M P / Coombs, Danielle / Ferreira, Giovanni

    The Journal of rheumatology

    2023  Volume 50, Issue 9, Page(s) 1201–1202

    MeSH term(s) Humans ; Uncertainty ; Africa, Northern/epidemiology ; Middle East/epidemiology ; Gout/epidemiology ; Quality-Adjusted Life Years ; Prevalence
    Language English
    Publishing date 2023-04-15
    Publishing country Canada
    Document type Letter ; Comment
    ZDB-ID 194928-7
    ISSN 1499-2752 ; 0315-162X
    ISSN (online) 1499-2752
    ISSN 0315-162X
    DOI 10.3899/jrheum.2022-1306
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    Zs.A 1168: Show issues Location:
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    Zs.MO 135: Show issues

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  8. Article ; Online: Has physical therapists' management of musculoskeletal conditions improved over time?

    Zadro, Joshua R / Ferreira, Giovanni

    Brazilian journal of physical therapy

    2020  Volume 24, Issue 5, Page(s) 458–462

    Abstract: Background: Our 2019 systematic review found that up to 63% of physical therapists provided recommended care for musculoskeletal conditions, up to 43% provided non-recommended care, and up to 81% provided care of unknown value. We included studies ... ...

    Abstract Background: Our 2019 systematic review found that up to 63% of physical therapists provided recommended care for musculoskeletal conditions, up to 43% provided non-recommended care, and up to 81% provided care of unknown value. We included studies published as early as 1993 and as recent as 2017.
    Objective: To determine whether physical therapists' treatment choices for musculoskeletal conditions have improved over time.
    Methods: For the original review, we included studies (until April 2018) that quantified physical therapy treatment choices for musculoskeletal conditions through surveys of physical therapists, audits of clinical notes, and other methods (e.g. clinical observation). Using medians and interquartile ranges, we summarised the percentage of physical therapists who provided treatments that were recommended, not recommended, and of unknown value. For this analysis, we stratified the findings from the above systematic review by decade (1990-1999, 2000-2009, 2010-2018).
    Results: The median percentage of physical therapists who provided recommended treatments (40% from 1990 to 1999, 50% from 2000 to 2009, and 35% from 2010 to 2018) and non-recommended treatments (41%, 28%, and 39% respectively) has not changed over time. However, more physical therapists seem to be providing treatments of unknown value (41% from 1990 to 1999, 55% from 2000 to 2009, and 70% from 2010 to 2018).
    Conclusion: Possible explanations for this trend include the growing need for clinical innovation, challenge of keeping up to date with evidence, increased exposure to treatments of unknown value, belief that evidence is not relevant to practice, and possible limitations of the data. Strategies to help physical therapists replace non-recommended care with recommended care are discussed.
    MeSH term(s) Delivery of Health Care ; Humans ; Musculoskeletal Diseases/therapy ; Physical Therapists ; Surveys and Questionnaires
    Language English
    Publishing date 2020-05-05
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 2252917-2
    ISSN 1809-9246 ; 1809-9246
    ISSN (online) 1809-9246
    ISSN 1809-9246
    DOI 10.1016/j.bjpt.2020.04.002
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  9. Article ; Online: Clinimetrics: The Back Beliefs Questionnaire.

    Ferreira, Giovanni E / Kamper, Steven J

    Journal of physiotherapy

    2020  Volume 66, Issue 3, Page(s) 200

    MeSH term(s) Back Pain ; Humans ; Psychometrics ; Surveys and Questionnaires
    Language English
    Publishing date 2020-04-11
    Publishing country Netherlands
    Document type Journal Article ; Comment
    ZDB-ID 2543915-7
    ISSN 1836-9561 ; 1836-9553 ; 0004-9514
    ISSN (online) 1836-9561
    ISSN 1836-9553 ; 0004-9514
    DOI 10.1016/j.jphys.2020.03.003
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  10. Article ; Online: Hospital variation in admissions for low back pain following an emergency department presentation: a retrospective study.

    Ferreira, Giovanni / Lobo, Marina / Richards, Bethan / Dinh, Michael / Maher, Chris

    BMC health services research

    2022  Volume 22, Issue 1, Page(s) 835

    Abstract: Background: One in 6 patients with low back pain (LBP) presenting to emergency departments (EDs) are subsequently admitted to hospital each year, making LBP the ninth most common reason for hospital admission in Australia. No studies have investigated ... ...

    Abstract Background: One in 6 patients with low back pain (LBP) presenting to emergency departments (EDs) are subsequently admitted to hospital each year, making LBP the ninth most common reason for hospital admission in Australia. No studies have investigated and quantified the extent of clinical variation in hospital admission following an ED presentation for LBP.
    Methods: We used routinely collected ED data from public hospitals within the state of New South Wales, Australia, to identify presentations of patients aged between 18 and 111 with a discharge diagnosis of LBP. We fitted a series of random effects multilevel logistic regression models adjusted by case-mix and hospital variables. The main outcome was the hospital-adjusted admission rate (HAAR). Data were presented as funnel plots with 95% and 99.8% confidence limits. Hospitals with a HAAR outside the 95% confidence limit were considered to have a HAAR significantly different to the state average.
    Results: We identified 176,729 LBP presentations across 177 public hospital EDs and 44,549 hospital admissions (25.2%). The mean (SD) age was 51.8 (19.5) and 52% were female. Hospital factors explained 10% of the variation (ICC = 0.10), and the median odds ratio (MOR) was 2.03. We identified marked variation across hospitals, with HAAR ranging from 6.9 to 65.9%. After adjusting for hospital variables, there was still marked variation between hospitals with similar characteristics.
    Conclusion: We found substantial variation in hospital admissions following a presentation to the ED due to LBP even after controlling by case-mix and hospital characteristics. Given the substantial costs associated with these admissions, our findings indicate the need to investigate sources of variation and to determine instances where the observed variation is warranted or unwarranted.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Emergency Service, Hospital ; Female ; Hospitalization ; Hospitals ; Humans ; Low Back Pain/diagnosis ; Low Back Pain/epidemiology ; Low Back Pain/therapy ; Male ; Middle Aged ; Retrospective Studies ; Young Adult
    Language English
    Publishing date 2022-07-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050434-2
    ISSN 1472-6963 ; 1472-6963
    ISSN (online) 1472-6963
    ISSN 1472-6963
    DOI 10.1186/s12913-022-08134-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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