Guideline summary review: an evidence -based clinical guideline for the diagnosis and treatment of low back pain

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dc.authoridAnnaswamy, Thiru/0000-0002-3969-9221
dc.authoridSharma, Anil K./0000-0002-9768-1644
dc.authoridRahmathulla, MD, FACS, IFAANS, MBA, Gazanfar/0000-0002-0904-1840
dc.authoridBaisden, Jamie/0000-0002-8016-2987
dc.authoridKreiner, D. Scott/0000-0002-5220-1256
dc.authoridDagenais, Simon/0000-0003-3062-9312
dc.authoridKing, Jeff/0000-0003-2334-3746
dc.authorwosidAnnaswamy, Thiru/AAE-1965-2019
dc.authorwosidSharma, Anil K./AAP-1909-2020
dc.authorwosidKILINÇER, Cumhur/C-7969-2014
dc.authorwosidResnick, Daniel/AAP-3457-2021
dc.authorwosidPark, Paul/AGX-0276-2022
dc.authorwosidRahmathulla, MD, FACS, IFAANS, MBA, Gazanfar/D-1890-2014
dc.contributor.authorKreiner, D. Scott
dc.contributor.authorMatz, Paul
dc.contributor.authorBono, Christopher M.
dc.contributor.authorCho, Charles H.
dc.contributor.authorEasa, John E.
dc.contributor.authorGhiselli, Gary
dc.contributor.authorGhogawala, Zoher
dc.date.accessioned2024-06-12T10:58:39Z
dc.date.available2024-06-12T10:58:39Z
dc.date.issued2020
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBACKGROUND CONTEXT: The North American Spine Society's (NASS) Evidence Based Clinical Guideline for the Diagnosis and Treatment of Low Back Pain features evidence-based recommendations for diagnosing and treating adult patients with nonspecific low back pain. The guideline is intended to reflect contemporary treatment concepts for nonspecific low back pain as reflected in the highest quality clinical literature available on this subject as of February 2016. PURPOSE: The purpose of the guideline is to provide an evidence-based educational tool to assist spine specialists when making clinical decisions for adult patients with nonspecific low back pain. This article provides a brief summary of the evidence-based guideline recommendations for diagnosing and treating patients with this condition. STUDY DESIGN: This is a guideline summary review. METHODS: This guideline is the product of the Low Back Pain Work Group of NASS' EvidenceBased Clinical Guideline Development Committee. The methods used to develop this guideline are detailed in the complete guideline and technical report available on the NASS website. In brief, a multidisciplinary work group of spine care specialists convened to identify clinical questions to address in the guideline. The literature search strategy was developed in consultation with medical librarians. Upon completion of the systematic literature search, evidence relevant to the clinical questions posed in the guideline was reviewed. Work group members utilized NASS evidentiary table templates to summarize study conclusions, identify study strengths and weaknesses, and assign levels of evidence. Work group members participated in webcasts and in-person recommendation meetings to update and formulate evidence-based recommendations and incorporate expert opinion when necessary. The draft guideline was submitted to an internal and external peer review process and ultimately approved by the NASS Board of Directors. RESULTS: Eighty-two clinical questions were addressed, and the answers are summarized in this article. The respective recommendations were graded according to the levels of evidence of the supporting literature. CONCLUSIONS: The evidence-based clinical guideline has been created using techniques of evidence-based medicine and best available evidence to aid practitioners in the diagnosis and treatment of adult patients with nonspecific low back pain. The entire guideline document, including the evidentiary tables, literature search parameters, literature attrition flowchart, suggestions for future research, and all of the references, is available electronically on the NASS website at https://www. spine.org/ResearchClinicalCare/QualityImprovement/ClinicalGuidelines.aspx (c) 2020 Published by Elsevier Inc.en_US
dc.identifier.doi10.1016/j.spinee.2020.04.006
dc.identifier.endpage1024en_US
dc.identifier.issn1529-9430
dc.identifier.issn1878-1632
dc.identifier.issue7en_US
dc.identifier.pmid32333996en_US
dc.identifier.scopus2-s2.0-85087313074en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage998en_US
dc.identifier.urihttps://doi.org/10.1016/j.spinee.2020.04.006
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20149
dc.identifier.volume20en_US
dc.identifier.wosWOS:000546452600002en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofSpine Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCost Utilityen_US
dc.subjectDiagnosisen_US
dc.subjectEvidence-Based Guidelineen_US
dc.subjectLow Back Painen_US
dc.subjectLumbagoen_US
dc.subjectLumbaren_US
dc.subjectLumbar Painen_US
dc.subjectLumbosa-en_US
dc.subjectCralen_US
dc.subjectPrognosisen_US
dc.subjectTreatmenten_US
dc.subjectRandomized-Controlled-Trialen_US
dc.subjectQuality-Of-Lifeen_US
dc.subjectElectrical Nerve-Stimulationen_US
dc.subjectSpinal Manipulative Therapyen_US
dc.subjectLevel Heatwrap Therapyen_US
dc.subjectTramadol/Acetaminophen Combination Tabletsen_US
dc.subjectFunctional Restoration Programen_US
dc.subjectCognitive-Behavioral Therapyen_US
dc.subjectIntensity Aerobic Exerciseen_US
dc.subjectCore Stability Exercisesen_US
dc.titleGuideline summary review: an evidence -based clinical guideline for the diagnosis and treatment of low back painen_US
dc.typeReview Articleen_US

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