Willem J.J. Assendelft, MD, PhD; Sally C. Morton, PhD; Emily I. Yu, MPH; Marika J. Suttorp, MS; Paul G. Shekelle, MD, PhD
Grant Support: No external funding was obtained for this study.
Acknowledgments: The authors thank the members of the Editorial Board of the Cochrane Back Review Group for constructive comments on the protocol and draft version of this article. They also thank Bart W. Koes, PhD, and Maurits W. van Tulder, PhD, for helping develop some of the methods of searching and quality assessment used in this review.
Potential Financial Conflicts of Interest: None disclosed.
Requests for Single Reprints: Paul G. Shekelle, MD, PhD, RAND, 1700 Main Street, PO Box 2138, Santa Monica, CA 90407; e-mail, firstname.lastname@example.org.
Current Author Addresses: Dr. Assendelft: Dutch College of General Practitioners, Lomanlaan 103, Utrecth, the Netherlands.
Drs. Morton, Suttorp, and Shekelle: RAND, 1700 Main Street, PO Box 2138, Santa Monica, CA 90407.
Dr. Yu: University of Michigan Medical School, 1301 Catherine Street, Ann Arbor, MI 48109.
Author Contributions: Conception and design: W.J.J. Assendelft, P.G. Shekelle.
Analysis and interpretation of the data: W.J.J. Assendelft, S.C. Morton, E.I. Yu, M.J. Suttorp, P.G. Shekelle.
Drafting of the article: W.J.J. Assendelft, S.C. Morton, P.G. Shekelle.
Critical revision of the article for important intellectual content: W.J.J. Assendelft, S.C. Morton, M.J. Suttorp, P.G. Shekelle.
Final approval of the article: W.J.J. Assendelft, M.J. Suttorp, P.G. Shekelle.
Statistical expertise: S.C. Morton, M.J. Suttorp, P.G. Shekelle.
Administrative, technical, or logistic support: E.I. Yu, M.J. Suttorp, P.G. Shekelle.
Collection and assembly of data: W.J.J. Assendelft, S.C. Morton, E.I. Yu, M.J. Suttorp, P.G. Shekelle.
Assendelft WJ, Morton SC, Yu EI, Suttorp MJ, Shekelle PG. Spinal Manipulative Therapy for Low Back Pain: A Meta-Analysis of Effectiveness Relative to Other Therapies. Ann Intern Med. 2003;138:871-881. doi: 10.7326/0003-4819-138-11-200306030-00008
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Published: Ann Intern Med. 2003;138(11):871-881.
Low back pain is a disabling disorder that greatly affects western society; it is a burden for the individual patient and an additional cost for society because of loss of work and medical expenses (1, 2). Therefore, adequate treatment of low back pain is an important issue for patients, treating clinicians, and health care policymakers. Spinal manipulative therapy is widely used for low back pain. It has been studied in many randomized, controlled trials (RCTs), which are heterogeneous in size, design, and quality of performance. These trials have been summarized in numerous systematic reviews (3).
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Rheumatology, Back Pain.
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