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ACICR 2007 -2008 Annual Report Addendum - Alberta Centre for ...

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The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its<br />

Associated Disorders<br />

Background<br />

Goal<br />

Neck pain and its associated disorders, including headache and radiating pain into the<br />

arm and upper back, are a major problem in society. It is estimated that neck pain<br />

disables 5% of the population and that between 10% and 20% of the population<br />

experience persistent or chronic, neck pain. Little is know about the most effective ways<br />

of dealing with this important problem. Furthermore, the cost of neck pain in North<br />

America totals billions of dollars each year and is rapidly increasing.<br />

To improve health-related quality of life <strong>for</strong> people with musculoskeletal disorders and to<br />

improve prevention, diagnosis and treatment <strong>for</strong> patients with these disorders by using<br />

the best evidence to produce patient-care recommendations.<br />

Objectives 1. To complete a systematic search and critical review of the scientific literature on<br />

neck pain and its associated disorders, including the epidemiology, diagnosis,<br />

prognosis and treatment of acute and chronic neck pain. This includes neck pain<br />

resulting from whiplash injuries, work-related strains and sprains and neck pain of<br />

non-specific etiology.<br />

2. To identify the risks associated with the most common treatments <strong>for</strong> neck pain:<br />

non-steroidal anti-inflammatory drugs (NSAIDs) and adjustments or manual<br />

manipulation of the cervical spine. This will be done through literature searches and<br />

original research.<br />

3. To complete original research on the characteristics and prognosis of work-related<br />

neck injuries.<br />

4. To produce a decision analysis model to examine patient preference <strong>for</strong> treatment<br />

options and tolerance <strong>for</strong> risks inherent in these options.<br />

5. To reach a <strong>for</strong>malized consensus of experts in topic areas where there is no evidence.<br />

6. To combine these sources of evidence in a Best Evidence Synthesis, which addresses<br />

risk and prevention, diagnosis, prognosis and treatment risks and benefits, based on<br />

the best available scientific evidence. This Best Evidence Synthesis will <strong>for</strong>m the<br />

basis <strong>for</strong> patient care recommendations.<br />

Status<br />

Partners &<br />

Sponsors<br />

Published February 15, <strong>2008</strong> in Spine.<br />

Institutional Affiliations<br />

• Dartmouth College, Hanover, New Hampshire, USA<br />

• Institute <strong>for</strong> Work and Health, Toronto, Ontario, Canada<br />

• Karolinska Institute, Stockholm, Sweden<br />

• New York University, New York, USA<br />

• Newcastle Bone and Joint Institute, Newcastle, Australia<br />

• North American Spine Society, Houston, Texas, USA<br />

• Osaka University Medical School, Osaka, Japan<br />

• Queen’s Medical <strong>Centre</strong> <strong>for</strong> Spinal Studies, Nottingham, UK<br />

• São Paulo University, Brazil<br />

• Spine Unit, Schulthess Hospital, Zurich, Switzerland<br />

• Stan<strong>for</strong>d University, Stan<strong>for</strong>d, Cali<strong>for</strong>nia<br />

• The Flinn Foundation, Phoenix, Arizona, USA<br />

• University Health Network, Toronto, Ontario, Canada<br />

• University of <strong>Alberta</strong>, Edmonton, <strong>Alberta</strong>, Canada<br />

• University of Arizona, Phoenix, Arizona<br />

• University of Cali<strong>for</strong>nia, Irvine Cali<strong>for</strong>nia, USA<br />

• University of Hawaii, Manoa, USA<br />

• University of Michigan, Ann Arbor, USA<br />

• University of Toronto, Toronto, Canada<br />

• University Victor Segalen Bordeaux 2, Bordeaux, France<br />

• Virginia Commonwealth University, Richmond, Virginia, USA<br />

• WHO Collaborating Center <strong>for</strong> Neurotrauma, Stockholm, Sweden<br />

<strong>Alberta</strong> <strong>Centre</strong> <strong>for</strong> Injury Control & Research Page 38 of 66 <strong>Annual</strong> <strong>Report</strong> <strong>Addendum</strong> <strong>2007</strong>/<strong>2008</strong>

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