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Table 3 Studies results according to the type of inflammatory biomarker

From: The importance of inflammatory biomarkers in non-specific acute and chronic low back pain: a systematic review

Biomarker

Articles

Type of statistic

Source

Technique

Results

Association: No, positive, negative (r)

Hs-CRP

Gebhardt 2006 [40]

ANOVA, Bonferroni’s correction for multiple comparisons

Serum

ELISA

There were no significant differences between groups

No (ALBP) No (CLBP)

CRP

Briggs 2013 [30]

Chi-square, odds ratio, logistic regression

Serum

NR

Significantly higher in the LBP group (OR = 1.74; 95% CI)

Positive

CRP

Klyne 2016 [34]

Mann–Whitney U test, Kruskal–Wallis, ANOVA, quantile and linear regression models

Serum

ELISA

Significantly higher in the LBP group (p = 0.003)

Positive

CRP

Klyne 2018 [41]

T-test

Serum

ELISA

Significantly higher in the LBP group (p = 0.014)

Positive

CRP

Ngai Ho 2019 [36]

Linear regression and logistic regression

Serum

Latex immunoassay methodology

Significantly higher in the LBP group (OR = 1.01, [1.00–1.01], p = 0.013)

Positive

Hs-CRP

Dadkhah 2020 [38]

T-test and Chi-square

Serum

NR

Significantly higher in the LBP group (P < 0.001)

Positive

Hs-CRP

Beynon 2021 [42]

Multinomial logistic regression and multi-trajectory models

Serum

Immunoturbidimetric method

There were no significant differences between groups

No

CRP

Hao-Wei Xu 2021 [39]

Chi-squared, Spearman's correlation and multiple regression

Serum

ELISA

Significantly higher in the LBP group (p < 0.001)

Positive

CRP

Klyne 2022 [43]

ANOVAs, Tukey's post hoc, multiple comparisons test

Serum

ELISA

Significantly higher in the LBP group (p < 0.001)

Positive

IL-1 and IL-1β

Klyne 2016 [34]

Mann–Whitney U test, Kruskal–Wallis, ANOVA, quantile and linear regression

Serum

ELISA

There were no significant differences between groups (p = 0.197)

No

Luchting 2016 [33]

Mann–Whitney U test, Fisher's test, one-way ANOVA test

Serum

ELISA

Significantly higher in the neuropathic pain group (1.4-fold). No significant difference in the CLBP group

No

Queiroz 2017 [35]

Spearman's correlation, linear regression models

Serum

ELISA

No significant difference between groups

No

Klyne 2018 [41]

T-test

Serum

ELISA

No significant difference between groups (p > 0.240)

No

Teodorczyk-Injeyan 2019

Kruskal–Wallis, Mann–Whitney and Spearman’s correlation

Serum

ELISA

Significantly higher in the ALBP group (P = 0.0001 to 0.003). No significant difference in the CLBP group

Positive (ALBP) No (CLBP)

Dadkhah 2020 [38]

T-test and Chi-square

Serum

NR

Significantly higher in the LBP group (P = 0.001)

Positive

Hao-Wei Xu 2021 [39]

Chi-squared test, Spearman's correlation and multiple regression

Serum

ELISA

No significant difference between groups (P = 0.516)

No

Klyne 2022 [43]

ANOVAs, Tukey's post hoc, multiple comparisons test

Serum

ELISA

No significant difference between groups (p > 0 .314)

No

IL-6

Heffner 2011 [29]

Independent t tests and Pearson’s correlation coefficients

Serum

ELISA

No significant difference between groups (P = 0.14)

No

Queiroz 2016 [32]

Mann–Whitney U test

Serum

ELISA

No significant difference between groups (p = 0.373)

No

Yong Li 2016

Student's t test and Tukey's post hoc

Serum

ELISA

Significantly higher in the CLBP group (P < 0.05)

Positive

Klyne 2016 [34]

F-test

Serum

ELISA

Elevated in the high pain subgroup (F = 3.2, p = 0.045), but there were no significant differences between low pain and control group (p = 0.141)

Positive

Queiroz 2017 [35]

Mann–Whitney U test

Serum

ELISA

Significantly higher in the LBP group (P < 0.2)

Positive

Klyne 2018 [41]

T-test

Serum

ELISA

No significant difference between groups (p > 0.240)

No

Teodorczyk-Injeyan 2019 [37]

Kruskal–Wallis, Mann–Whitney and Spearman’s correlation

Serum

ELISA

Significantly higher in the ALBP group (P = 0.0001 to 0.003). No significant difference in the CLBP group

Positive (ALBP) No (CLBP)

Dadkhah 2020 [38]

T-test and Chi-square

Serum

NR

Significantly higher in the LBP group (P = 0.037)

Positive

Hao-Wei Xu 2021 [39]

Chi-squared test, Spearman’s correlation, multiple regression

Serum

ELISA

Significantly higher in the LBP group (P = 0.013)

Positive

Klyne 2022 [43]

ANOVAs, Tukey's post hoc, multiple comparisons test

Serum

ELISA

Significantly higher in the LBP group (p = 0.004)

Positive

IL-10

Yong Li 2016 [19]

Student's t test and Tukey's post hoc

Serum

ELISA

Significantly lower in the CLBP group (P < 0.01)

Negative

Teodorczyk-Injeyan 2019 [37]

Kruskal–Wallis, Mann–Whitney and Spearman’s correlation

Serum

ELISA

Significantly lower in the ALBP and CLBP group (P = 0.008 and 0.03, respectively)

Negative

TNF-α

Queiroz 2016 [32]

Mann–Whitney U test

Serum

ELISA

Significantly higher in the ALBP group (p = 0.016)

Positive

Klyne 2016 [34]

F-test

Serum

ELISA

There were no significant differences between groups (p = 0.174)

No

Queiroz 2017 [35]

Spearman's, linear regression models

Serum

ELISA

Significantly higher in the LBP group (P < 0.2)

Positive

Klyne 2018 [41]

T-test

Serum

ELISA

No significant difference between groups (p > 0.240)

No

Teodorczyk-Injeyan 2019 [37]

Kruskal–Wallis, Mann–Whitney and Spearman’s correlation

Serum

ELISA

Significantly higher in the ALBP group (P = 0.0001 to 0.003). Significantly higher in the CLBP group (P = 0.003)

Positive (ALBP) Positive (CLBP)

Dadkhah 2020 [38]

T-test and Chi-square

Serum

NR

Significantly higher in the LBP group (P < 0.001)

Positive

Hao-Wei Xu 2021 [39]

Chi-squared test, Spearman’s correlation, multiple regression

Serum

ELISA

There were no significant differences between groups (P > 0.05)

No

Klyne 2022 [43]

ANOVAs, Tukey's post hoc, multiple comparisons test

Serum

ELISA

Significantly higher in the LBP group (p < 0.001)

Positive