Clinical practice guidelines for the noninvasive management of low back pain: A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration

Wong, Jessica J.; Côté, Pierre; Sutton, Deborah; Randhawa, Kristi; Yu, Hainan; Varatharajan, Sharanya; Goldgrub, Rachel; Nordin, Margareta; Gross, Douglas P.; Shearer, Heather M.; Carroll, Linda; Stern, Paula; Ameis, Arthur; Southerst, Danielle; Mior, Silvano; Stupar, Maja; Varatharajan, Thepikaa; Taylor‐Vaisey, Anne

doi:10.1002/ejp.931

Cited by 312 publications

(300 citation statements)

References 46 publications

(134 reference statements)

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“…Relative indications for acute surgery are discussed in the next section. Nonoperative management should consist of a multimodal approach including anti-inflammatory medications, education, and physical therapy [48].…”

Section: Treatment Non-operativementioning

confidence: 99%

Lumbar Disc Herniation

Amin

Andrade

Neuman³

2017

Curr Rev Musculoskelet Med

229

202

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Purpose of Review Substantial advancements have been made in the cause, diagnosis, imaging, and treatment options available for patients with lumbar disc herniation (LDH). We examined the current evidence and highlight the concepts on the frontline of discovery in LDH. Recent Findings There are a myriad of novel etiologies of LDH detailed in recent literature including inflammatory factors and infectious microbes. In the clinical setting, recent data focuses on improvements in computer tomography as a diagnostic tool and non-traditional injection options including tumor necrosis alpha inhibitors and platelet-rich plasma. Operative treatment outcomes have focused on minimally invasive endoscopic approaches and demonstrated robust 5-year post-operative outcomes. Summary Advances in the molecular etiology of LDH will continue to drive novel treatment options. The role of endoscopic treatment for LDH will continue to evolve. Further research into10-year outcomes will be necessary as this surgical approach continues to gain widespread popularity.

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Section: Treatment Non-operativementioning

confidence: 99%

Lumbar Disc Herniation

Amin

Andrade

Neuman³

2017

Curr Rev Musculoskelet Med

229

202

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“…However, several recent reviews on low back pain have only found good evidence for NSAIDs for acute, subacute and nonradicular low back pain [7][8]. Thus, it appears that the standard medical therapy recommended in this review is incongruent with the literature and multi-disciplinary best practice guidelines.…”

mentioning

confidence: 79%

Spinal manipulation is beneficial for nonchronic low back pain

Bronson¹,

Smith

Tuchin

2017

The American Journal of Emergency Medicine

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“…For this study, the research team reviewed the literature and selected a well-constructed recent systematic review of LBP clinical practice guidelines4 , 16 supplemented by a comprehensive systematic review of non-invasive treatments for LBP 17. This high-quality evidence was identified to closely reflect optimal clinical practice.…”

Section: Methodsmentioning

confidence: 99%

An Informatics Approach to Interprofessional Management of Low Back Pain: A Feasibility Study using the Omaha System

Austin

Monsen

Schulz

2017

jhi

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Background Low back pain (LBP) is a complex health care issue that often involves multiple providers across various care settings. Health information technology holds promise to improve care delivery by providing infrastructure for communication, clinical documentation and management of patient data. Standardised terminology is essential for interoperability and enables evaluation of clinical data generated by documentation in an electronic health record (EHR). Objective The purpose of this study was to demonstrate the feasibility of mapping evidence-based practice (EBP) for conservative management of LBP to the Omaha System and foster inter-professional communication and collaboration among diverse practitioners and patients. Methods EBP guidelines for non-invasive treatment of LBP were mapped to the Omaha System using a clinical expert approach with attention to content feasibility, linguistic validity and granularity of terms. Results A clinical guideline for LBP management was developed consisting of 13 interventions for pain and neuro-musculo-skeletal problems. The most common intervention categories were case management followed by treatments and procedures, teaching, guidance, and counselling and surveillance. Scope of practice overlap was identified among primary care, chiropractic and physical therapy practice. Conclusion Use of the guideline may facilitate clinical documentation using the Omaha System for LBP management and has potential to generate meaningful data to evaluate clinical effectiveness and promote quality research. The use of encoded EBP evidence within an EHR can increase the use of available evidence, enable interprofessional communication, improve quality of care, and enhance the usability of data across care settings.

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Clinical practice guidelines for the noninvasive management of low back pain: A systematic review by the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration

Cited by 312 publications

References 46 publications

Lumbar Disc Herniation

Lumbar Disc Herniation

Spinal manipulation is beneficial for nonchronic low back pain

An Informatics Approach to Interprofessional Management of Low Back Pain: A Feasibility Study using the Omaha System

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