Trials Informing Back Pain Guidelines Underreport Key Sociodemographic Data

Timothy J. Williamson*, Patrick J. Battaglia, Jordan A. Gliedt, Antoinette L. Spector, Joni S. Williams

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Introduction. Sociodemographic characteristics are related to low back pain (LBP) outcomes, therefore diverse representation is important when appraising clinical trials. We investigated the reporting of participant sociodemographic variables in trials informing the American College of Physicians (ACP) guidelines for the treatment of LBP. Methods. Clinical trials supporting recommended interventions in the ACP guidelines were reviewed for reporting of participant sociodemographic data. Results. Of 116 trials, 34 reported participant race and/or ethnicity. Education level, income level, and employment status were reported in 24, 10, and 31 trials, respectively; insurance coverage, marital status, and religion were reported in three, 16, and two trials, respectively. Two trials reported on dura-tion or location of residence. Language comprehension was the most frequent exclusion criterion. Conclusions. Insufficient sociodemographic data exist in trials informing the ACP guidelines for the treatment of LBP. Investigators of LBP interventions should recruit diverse study participants and report comprehensive sociodemographic data.

Original languageEnglish (US)
Pages (from-to)357-376
Number of pages20
JournalJournal of health care for the poor and underserved
Volume34
Issue number1
DOIs
StatePublished - Feb 2023

Keywords

  • Social determinants of health
  • disparities
  • ethnicity
  • guidelines
  • low back pain
  • race
  • socioeconomic status

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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