Evidence map›Paper›PMID 40045041›Full record

SynthesisSchmerz (Berlin, Germany)2026

[The influence of diagnostic labels on treatment preferences of people with musculoskeletal pain : A systematic literature review].

Melanie Rupitsch, Sabine Monsberger, Jean-Pascal Grenier

Abstract readSystematic ReviewEnglish AbstractReview
PubMed Publisher
In one paragraph

Synthesis in Schmerz (Berlin, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Melanie RupitschFH-Bachelorstudiengang Physiotherapie, fhg-Zentrum für Gesundheitsberufe Tirol GmbH, Innrain 98, 6020, Innsbruck, Österreich.
Sabine MonsbergerFH-Bachelorstudiengang Physiotherapie, fhg-Zentrum für Gesundheitsberufe Tirol GmbH, Innrain 98, 6020, Innsbruck, Österreich.
Jean-Pascal GrenierDepartment Innere Medizin II, Infektiologie, Immunologie, Rheumatologie, Pneumologie, Universitätsklinikum Innsbruck, Anichstraße 35, 6020, Innsbruck, Österreich. jean-pascal.grenier@edu.fhg-tirol.ac.at.ORCID http://orcid.org/0000-0003-4390-7422

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients often report uncertainty about the information provided by physicians and physiotherapists, as well as difficulties in making decisions regarding medical interventions. Making autonomous and informed decisions requires clear explanations about the condition, its associated limitations, prognosis, and treatment options.

objectiveThis systematic review aimed to investigate how common diagnostic labels for the same musculoskeletal pathology influence the perceived severity of a condition and patients' treatment preferences.

methodsSystematic literature search in MEDLINE (via PubMed), the Cochrane Library, and the PEDro database.

resultsHealthy individuals as well as patients associate diagnostic labels suggesting pathoanatomical damage in musculoskeletal pain syndromes with more pain, greater disability, and a perceived need for advanced imaging and invasive interventions. Overall, there is a significant correlation between diagnostic labels and patients' treatment preferences. DISCUSSION: Diagnostic labels such as "low back pain episode," "persistent hip pain," and "bursitis," which do not suggest severe structural damage, are often associated with a better prognosis and less perceived need for invasive interventions or advanced imaging. In contrast, labels indicating structural damage (e.g., "degeneration") can trigger fear, avoidance behaviour, and catastrophizing. Using labels that promote self-efficacy and convey a positive prognosis could therefore be a valuable strategy to improve care for patients with musculoskeletal pain.

conclusionSevere-sounding diagnostic labels are associated with a preference for more invasive treatments, catastrophizing tendencies, and a perceived need for advanced imaging in individuals with musculoskeletal pain.

Indexed as

Musculoskeletal PainPatient PreferenceHumansPain MeasurementPrognosisChronic PainMusculoskeletal painPerson centred communicationTerminologyTreatment preferences

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.