Chronic Low Back Pain: Evidence-Informed Management Considerations for Nurse Practitioners

Dupuis, Marlena; Duff, Elsie

doi:10.1016/j.nurpra.2019.05.004

Cited by 3 publications

(9 citation statements)

References 22 publications

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“…The included guidelines were assessed for quality against the seven AGREE GRS criteria (Table 3). In relation to the “process of development,” most ( n = 9, 60%) guidelines were considered to be medium quality (scoring between 3 and 5 on a 7‐point scale), 17,19,24–30 with four (27%) guidelines rated as high quality (scoring 6 or 7) 18,20,21,23 and two rated as low quality (scoring 1 or 2) 22,31 . For “presentation style,” four guidelines were considered to be high quality, 17,20,23,25 three considered to be low quality, 22,26,31 and the remaining eight rated as medium quality 18,19,21,24,27–30 …”

Section: Resultsmentioning

confidence: 99%

“…In relation to the "process of development," most (n = 9, 60%) guidelines were considered to be medium quality (scoring between 3 and 5 on a 7-point scale), 17,19,[24][25][26][27][28][29][30] with four (27%) guidelines rated as high quality (scoring 6 or 7) 18,20,21,23 and two rated as low quality (scoring 1 or 2). 22,31 For "presentation style," four guidelines were considered to be high quality, 17,20,23,25 three considered to be low quality, 22,26,31 and the remaining eight rated as medium qual ity. 18,19,21,24,[27][28][29][30] In terms of "completeness of reporting," eight guidelines were rated as medium quality, 18,19,21,24,26,[28][29][30] four T A B L E 1 Elements of each domain of the biopsychosocial approach that impact the management of CLBP.…”

Section: Quality Of Included Guidelinesmentioning

confidence: 99%

“…as high quality, 17,20,23,25 and three as low quality. 22,27,31 When assessed against the 'clinical validity' criterion, most included guidelines were rated as medium quality (n = 8), 18,19,24,[26][27][28][29][30] followed by high quality (n = 5), 17,20,21,23,25 and low quality (n = 2). 22,31 The 'overall quality' of included guidelines was rated as medium for nine guidelines, 18,19,21,24,[26][27][28][29][30] high for four guidelines, 17,20,23,25 and low for two guidelines.…”

Section: Quality Of Included Guidelinesmentioning

confidence: 99%

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Mapping guideline‐informed care for chronic non‐specific low back pain with the biopsychosocial approach: A rapid review

et al. 2023

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Background Current evidence favors a multidisciplinary biopsychosocial approach to the management of chronic non‐specific low back pain (CLBP). However, it is unclear whether such an approach is facilitated by current clinical guidelines. This rapid review set out to examine the extent to which clinical guideline recommendations for managing CLBP address domains of the biopsychosocial approach. Methods MEDLINE, EMBASE, CINAHL, and the gray literature were searched for any clinical guidelines targeting the management of CLBP, published within the last 6 years. Title/abstract and full‐text screening were undertaken by two reviewers using the accelerated approach. Data extraction and critical appraisal were completed by two reviewers, independently. Extracted data were synthesized in narrative form. Results Fifteen guidelines met the review inclusion criteria. One‐half of the guidelines were considered to be of medium quality. All guidelines provided management recommendations addressing the biological domain of the biopsychosocial approach; 13 (87%) guidelines reported recommendations addressing the psychological domain, and 8 (53%) guidelines presented recommendations addressing the social domain. Only 53% (8/15) of guidelines reported recommendations addressing all three domains of the biopsychosocial approach. Guideline recommendations both across and within the biopsychosocial domains were varied and inconsistent. Conclusions The CLBP clinical guidelines included in this review provided detailed guidance on the biological domain, yet limited attention and detail were afforded to the psychological and social domains. Several recommendations are presented on how to improve the quality of future CLBP guidelines, and to help foster the provision of a biopsychosocial approach to CLBP management.

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Section: Resultsmentioning

confidence: 99%

Section: Quality Of Included Guidelinesmentioning

confidence: 99%

Section: Quality Of Included Guidelinesmentioning

confidence: 99%

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Mapping guideline‐informed care for chronic non‐specific low back pain with the biopsychosocial approach: A rapid review

et al. 2023

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“…This is why scientific evidence is necessary to guide management and avoid unnecessary procedures. 20 , 21 …”

Section: Discussionmentioning

confidence: 99%

Systemic photobiomodulation in nursing professionals with chronic low back pain

Inocêncio¹,

Andraus²,

Ferrari³

et al. 2022

Rev Bras Med Trab

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O tratamento da dor lombar é um desafio para profissionais da área da saúde. Sua alta prevalência determina custos elevados ao sistema de saúde. É prioritária a busca por modalidades de tratamento eficazes em melhoria de dor e incapacidade funcional associada. A evidência sobre diversos tratamentos conservadores de dor lombar, aguda ou crônica, vem crescendo nos últimos anos, sem possibilitar, no entanto, afirmações definitivas sobre reais efeitos da maioria das intervenções, bem como de possível superioridade de uma sobre a outra. Há razoável evidência contemporânea de benefício com tratamento medicamentoso, intervenções fisioterapêuticas, exercício e abordagem biopsicossocial da dor lombar. Medicamentos são utilizados como sintomáticos, a maior eficácia de curto prazo sendo obtida com AINEs e relaxantes musculares em dor aguda e com opioides e anticonvulsivantes (sobre componente neuropático) em dor crônica. Dentre as medidas não medicamentosas, mostram-se razoavelmente eficazes: manutenção da atividade, exercícios, terapia manual, laserterapia de baixa potência (dor com radiculopatia), acupuntura (dor lombar crônica), educação, programa de reabilitação multidisciplinar biopsicossocial e terapia cognitivo-comportamental.

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“…LBP can be challenging to manage and often the best response is achieved with a multimodal approach. 5,6…”

Section: Overviewmentioning

confidence: 99%

Low back pain in women: Why does it hurt?

Martin¹,

Hale²,

Holland³

2023

WHC

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Chronic Low Back Pain: Evidence-Informed Management Considerations for Nurse Practitioners

Cited by 3 publications

References 22 publications

Mapping guideline‐informed care for chronic non‐specific low back pain with the biopsychosocial approach: A rapid review

Mapping guideline‐informed care for chronic non‐specific low back pain with the biopsychosocial approach: A rapid review

Systemic photobiomodulation in nursing professionals with chronic low back pain

Low back pain in women: Why does it hurt?

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