Editorial Comment:
European guidelines for low back pain –
A necessary step forward
and an opportunity not to be missed

Arnau, Josep Maria; Pellisé, Ferràn; Vallano, Antonio; Prat, Núria

doi:10.1007/s00586-006-1068-z

Cited by 6 publications

(3 citation statements)

References 8 publications

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“…The concerns associated with these guidelines have been discussed previously (Kean and Buchanan, 2005;Kean et al, 2008). Recent guidelines specific for the treatment of acute and chronic low back pain ((Guidelines, 1993;Hochberg et al, 1995a, b;Tannenbaum et al, 1996, American College of Rheumatology, 2000Tannenbaum et al, 2005;American Gastroenterology Association, 2006Airaksinen et al, 2006;Arnau et al, 2006;), have advocated a balanced approach in the use of analgesics and NSAIDs including COX-2 inhibitors. As a cautionary note we agree (Kean and Buchanan, 2005;Kean et al, 2008) with the American Heart Association guidelines which advocate not only minimal use of the COX -2 inhibitors but in only selected cases (Antman et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

The clinical assessment of transitional vertebrae and back pain

Murtaugh¹,

Kean

2008

Inflammopharmacol

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This study examines the relationship between radiological evidence of lumbar transitional vertebrae (LTV) and the clinical presentation of low back pain (LBP). A retrospective review of 232 consecutive patients presenting at a specialist musculo-skeletal clinic with LBP was conducted. The medical chart for each patient was reviewed for: gender, birth date, symptoms, physical findings, imaging results, and medications prescribed. Subjects were recognized as having a lumbar transitional vertebra if it was noted on their x-ray report. The prevalence of LTV was 9.5 %. This study is consistent with previous research, indicating that the prevalence of LTV is not significantly higher amongst patients with LBP. However, this study also provides further detail about the clinical presentation and management of patients with LTV. The information presented in this study will assist health care professionals in determining the clinical significance of a LTV seen on an x-ray film or noted in a radiologist's report.

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Section: Discussionmentioning

confidence: 99%

The clinical assessment of transitional vertebrae and back pain

Murtaugh¹,

Kean

2008

Inflammopharmacol

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“…The editorial comment indicates some of its weaknesses [2] and this was further amplified in a review article [3]. The principal criticisms were that therapeutic recommendations should have been more rigorous, and lack ambiguity.…”

Section: Back Painmentioning

confidence: 99%

A survey of the “surgical and research” articles in the European Spine Journal, 2006

Mulholland

2006

Eur Spine J

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“…10 Surgical rates are increasing in the U.S. 11 and substantial geographic variations in surgical rates persist. 18,19 In addition, since guidelines reflect the current state of knowledge at the time of their publication, older guidelines inevitably require review and revision. 13,[14][15][16][17] Recognizing the lack of guideline uptake, the professional community has raised ques-tions about the quality of the methods and format of older guidelines such as that of the AHCPR.…”

Section: Introductionmentioning

confidence: 99%

The Societal Costs of Low Back Pain

Asche

Kirkness

McAdam‐Marx

et al. 2007

Journal of Pain & Palliative Care Pharmacotherapy

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The paper reviews low back pain (LBP) studies with economic implications in order to determine whether the societal cost attributed to lower back pain (LBP) have changed since 2001, a time during which LBP treatment guidelines were updated. A Medline search of publications 2001 and 2007 using broadly defined keywords produced 338 abstracts that were screened, of which 68 potentially relevant articles were retrieved and reviewed. Cost estimates for the management of LBP were high, consistent with the results of review of LBP economic studies published prior to 2001. Pharmacotherapy plays an important role in LBP treatment, although drug cost data in LBP is limited. Newer, more costly agents such cyclooxengenase-2 selective nonsterioidal anti-inflammatory agents will increase drug costs as a portion of total costs, particularly if not used in accordance with treatment guidelines.

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Editorial Comment: European guidelines for low back pain – A necessary step forward and an opportunity not to be missed

Cited by 6 publications

References 8 publications

The clinical assessment of transitional vertebrae and back pain

The clinical assessment of transitional vertebrae and back pain

A survey of the “surgical and research” articles in the European Spine Journal, 2006

The Societal Costs of Low Back Pain

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