Evaluation of the clinical application of a leaflet for clinical practice guidelines in patients with herniated intervertebral discs: a study protocol for a randomized controlled trial

Abstract

IntroductionThis study aims to demonstrate the effectiveness of using clinical practice guideline (CPG) leaflets as a communication tool between doctors and patients. We will collect basic data on whether using leaflets based on traditional Korean medicine (TKM) CPGs accomplishes the goal of improving clinical decision-making for diagnosis and treatment by TKM doctors. We will also evaluate the leaflets as a communication tool in the treatment of lumbar herniated intervertebral discs (HIVDs) in terms of patient and physician satisfaction and ease of treatment.Methods and analysisWe will evaluate efficacy through a comparison of satisfaction and clinical outcomes in randomly allocated groups of HIVD lumbar patients visiting the Jaseng Hospital of Korean Medicine who do or do not receive CPG-based treatment. Following the evaluation, we will make recommendations on whether to implement CPG interventions for patients selecting TKM treatment after HIVD diagnosis and the method of clinical treatment. Finally, we will evaluate the perception of and satisfaction with CPGs among TKM doctors and patients.

Epidemiological Panorama of Orthopedic Spine Pathology in Mexico

“…A review of existing publications indicates that around 20% of patients experience progression of the symptoms, 19 the morbidity and mortality rates increase with age, and complications are more common in elderly patients. [20][21][22] This condition is not sex-dependent. The most affected age ranges in our study were from 46 to 65 years of age, which agrees with those reported by previous studies.…”

Evaluating the clinical application of a leaflet for clinical practice guideline in patients with lumbar herniated intervertebral discs

“…We also published the study protocol in a peer-reviewed journal. [ 14 ] Eligible participants were randomly divided into either the leaflet group or to the standard care group, with a 1:1 allocation ratio (Fig. 1 ).…”