TY - JOUR
T1 - Trials Informing Back Pain Guidelines Underreport Key Sociodemographic Data
AU - Williamson, Timothy J.
AU - Battaglia, Patrick J.
AU - Gliedt, Jordan A.
AU - Spector, Antoinette L.
AU - Williams, Joni S.
N1 - Publisher Copyright:
© Meharry Medical College.
PY - 2023/2
Y1 - 2023/2
N2 - 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.
AB - 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.
KW - Social determinants of health
KW - disparities
KW - ethnicity
KW - guidelines
KW - low back pain
KW - race
KW - socioeconomic status
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U2 - 10.1353/hpu.2023.0024
DO - 10.1353/hpu.2023.0024
M3 - Review article
C2 - 37464500
AN - SCOPUS:85148764775
SN - 1049-2089
VL - 34
SP - 357
EP - 376
JO - Journal of health care for the poor and underserved
JF - Journal of health care for the poor and underserved
IS - 1
ER -