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April 10, 2026European Journal of Pain0 citationsOpen Access

Research Waste in Randomised Control Trials of Spinal Manipulative Therapy for Chronic Low Back Pain: Evidence From Trial Sequential Analysis

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LELouise ElliottFCFlora ChamberlainAYAmin Yarahmadi

Key Points

  • The research aims to quantify the level of waste in chronic low back pain trials and promote more meaningful research questions.
  • Assessment of trial data using trial sequential analysis
  • Evaluation of research efforts in randomized control trials
  • Comparison of outcomes to identify redundancy in evidence produced
  • Significant levels of research waste identified in existing trials
  • Recommendations for prioritizing innovative questions in future research
  • Potential for improved patient outcomes through better resource allocation

Abstract

This important research quantifies research waste in the field of chronic low back pain, a condition affecting billions worldwide. We advocate for trials addressing novel questions to ensure finite resources go towards effective treatments rather than producing redundant evidence; upholding research ethics. Highlighting innovative use of trial sequential analysis will provide a model for visually and quantitatively demonstrating research waste which if utilised across disciplines can ensure research prioritisation, increased production of high-value evidence-based medicine for patients, ultimately improving outcomes.

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Cite This Study

Elliott et al. (2026) studied this question.

synapsesocial.com/papers/69d893eb6c1944d70ce04e9bhttps://doi.org/10.1002/ejp.70270
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