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Expression of concern: Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis

Abstract

Editorial Note

As discussed in a recent editorial, the British Journal of Sports Medicine (BJSM) rescinds the Expression of Concern [1] for a recent network meta-analysis (NMA) [2] that was issued solely on the basis of comments by Professor Maher and colleagues [3]. The original authors (Dr Belavy and colleagues) have responded [4]. The original NMA paper did not require any changes. We editors of the BJSM have full confidence in the findings of the NMA [2]. The findings of the NMA inform clinical practice and can serve to inform clinical practice guidelines.

Karim Khan, MD, PhD

Editor-in-Chief, BJSM

July 27th, 2020

REFERENCES

1 Expression of concern: Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. Br J Sports Med 2020;:bjsports-2019-100886eoc1. doi:10.1136/bjsports-2019-100886eoc1

2 Owen PJ, Miller CT, Mundell NL, et al. Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. Br J Sports Med 2019;:in press. doi:10.1136/bjsports-2019-100886

3 Maher CG, Hayden JA, Saragiotto BT, et al. Letter in response to: “Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis” by Owen et al. Br J Sports Med Published Online First: 5 February 2020. doi:10.1136/bjsports-2019-101812

4 Belavy DL, Owen PJ, Miller CT, et al. Response to Discussion: “Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis.” Br J Sports Med Published Online First: 10 June 2020. doi:10.1136/bjsports-2020-102673

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Owen PJ, Miller CT, Mundell NL, et al. Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. Br J Sports Med Published Online First: 30 October 2019. Doi. 10.1136/bjsports-2019-100886

The manuscript ‘Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis’ was published in British Journal of Sports Medicine.

This is in response to the discussion article by Maher and colleagues with concerns that the article may indicate the cardinal limitation of network meta-analysis and the impact of appearing not to address this limitation.

The journal has asked the authors to respond. In the meantime, we are releasing this statement of concern to alert readers and policymakers to uncertainty about the weight and significance of the findings reported herein.

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