ฉันรักแปลNote from PTJ's Editor in Chief: Both investigators and readers get frustrated reading research on low back pain because of different definitions of “chronic” and different outcome measures. Lack of consensus on study methods makes it difficult to determine if contradictory findings are based on different methods or different interventions; lack of consensus also prevents synthesis across studies. Dr. Partap Khalsa, Deputy Director, National Center for Complementary and Integrative Health, announced the release of Research Standards for Chronic Low Pain, and the hope is that future investigations will adopt them and reduce variability in research reporting. The task force on research standards was an international, multidisciplinary team including Anthony Delitto, PT, PhD, FAPTA. Its findings have been published in leading pain journals. PTJ is among the first professional journals to share the report with its readers.
Despite rapidly increasing intervention, functional disability due to chronic low back pain (cLBP) has increased in recent decades. We often cannot identify mechanisms to explain the major negative impact cLBP has on patients' lives. Such cLBP is often termed non-specific and may be due to multiple biologic and behavioral etiologies. Researchers use varied inclusion criteria, definitions, baseline assessments, and outcome measures, which impede comparisons and consensus. Therefore, NIH Pain Consortium charged a Research Task Force (RTF) to draft standards for research on cLBP. The resulting multidisciplinary panel recommended using 2 questions to define cLBP; classifying cLBP by its impact (defined by pain intensity, pain interference, and physical function); use of a minimum dataset to describe research participants (drawing heavily on the PROMIS methodology); reporting “responder analyses” in addition to mean outcome scores; and suggestions for future research and dissemination. The Pain Consortium has approved the recommendations, which investigators should incorporate into NIH grant proposals. The RTF believes that these recommendations will advance the field, help to resolve controversies, and facilitate future research addressing the genomic, neurologic, and other mechanistic substrates of chronic low back pain. We expect that the RTF recommendations will become a dynamic document and undergo continual improvement. Perspective: A task force was convened by the NIH Pain Consortium with the goal of developing research standards for chronic low back pain. The results included recommendations for definitions, a minimum dataset, reporting outcomes, and future research. Greater consistency in reporting should facilitate comparisons among studies and the development of phenotypes.
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Ek is lief vir die vertaling Nota van PTJ se Hoofredakteur: Beide navorsers en lesers kry gefrustreerd lees navorsing oor lae rugpyn weens verskillende definisies van "chroniese" en verskillende uitkoms maatreëls gebrek aan konsensus oor studiemetodes maak dit moeilik om te bepaal of teenstrydige bevindinge is.. gebaseer op verskillende metodes of verskillende intervensies;. 'n gebrek aan konsensus verhoed ook sintese oor studies dr Partap Khalsa, adjunk-direkteur, Nasionale Sentrum vir Aanvullende en integrerende Gesondheid, aangekondig die vrylating van Research Standaarde vir Chroniese Lae Pyn, en die hoop is dat toekomstige. ondersoeke sal hulle neem en verminder variasie in navorsing verslagdoening. Die taak van krag op navorsing standaarde was 'n internasionale, multi-dissiplinêre span, insluitende Anthony Delitto, PT, PhD, FAPTA. Die bevindinge is gepubliseer in die voorste pyn tydskrifte. PTJ is een van die eerste professionele tydskrifte. die verslag te deel met sy lesers. Ten spyte van vinnig groeiende ingryping, het funksionele ongeskiktheid as gevolg van chroniese lae rugpyn (CLBP) het in die afgelope dekades. Ons kan dikwels nie identifiseer meganismes om die groot negatiewe impak CLBP het op Lives pasiënte se Verduidelik. Sulke CLBP. word dikwels genoem nie-spesifieke en kan wees as gevolg van verskeie biologiese en gedragsprobleme etiologieë. Navorsers gebruik gevarieerde insluiting kriteria, definisies, basislyn assessering, en uitkoms maatreëls, wat vergelykings en konsensus belemmer. Daarom, NIH Pain Consortium gehef word 'n Ondersoek Taakmag (RTF. ) standaarde vir navorsing oor cLBP stel Die gevolglike multidissiplinêre paneel het aanbeveel behulp 2 vrae cLBP definieer;. klassifisering cLBP deur die impak daarvan (gedefinieer deur pyn intensiteit, pyn inmenging, en fisiese funksie); gebruik van 'n minimum dataset navorsing deelnemers beskryf (. teken swaar op die PROMIS metodologie); verslaggewing "terugvoering ontledings" bykomend tot uitkoms tellings beteken, en voorstelle vir toekomstige navorsing en verspreiding Die Pyn Consortium het die aanbevelings, wat ondersoekbeamptes moet inkorporeer in NIH-toekenning voorstelle goedgekeur Die RTF glo dat hierdie... aanbevelings sal die veld te bevorder, te help om regsake te los, en toekomstige navorsing te fasiliteer die aanspreek van die genomiese, neurologiese en ander meganistiese substrate van chroniese lae rugpyn Ons verwag dat die aanbevelings RTF 'n dinamiese dokument sal word en ondergaan voortdurende verbetering Perspective.. A. taakmag is byeengeroep deur die NIH Pain Consortium met die doel van die ontwikkeling van navorsing standaarde vir chroniese lae rugpyn. Die resultate ingesluit aanbevelings vir definisies, 'n minimum dataset rapporteer uitkomste en toekomstige navorsing. Groter konsekwentheid in verslagdoening moet vergelykings tussen studies en te fasiliteer. die ontwikkeling van fenotipes.
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