First Lumbar Treatment of Chronic Mixed Low Back Pain with High Dose Capsaicin 8% Patch

Prosenz, Julian; Neuwersch, Stefan; Kloimstein, Herwig; Likar, Rudolf; Gustorff, Burkhard

doi:10.14302/issn.2688-5328.ijp-17-1581

Cited by 2 publications

(3 citation statements)

References 36 publications

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Section: Discussionmentioning

confidence: 99%

“…The version of the information sheet 'Back pain" reviewed in May 2015 mentioned low-evidence based treatment options such as herbal medicines including cayenne, devil's claw, white willow bark and comfrey, which have been omitted in the updated version by Arthritis Australia reviewed in December 2017, which only mentions the evidencebased treatment option of capsaicin patches. [23] Guiding coordinated care Different initiatives to develop and modify self-management resources aimed at improving musculoskeletal health were undertaken in Australia [24]. A personalized approach in self-management is particularly crucial for those with atypical symptoms and co-morbidities, as some self-management options can have unfavourable effects in these groups [25].…”

Section: Ad Hoc Directives and Lack Of Updatesmentioning

confidence: 99%

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What guides back pain care? A content analysis of low back pain directives in the Australian context

Parambath

Costa

Schneider

et al. 2023

Health Res Policy Sys

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Background Low back pain (LBP) is a major cause of disease burden around the world. There is known clinical variation in how LBP is treated and addressed; with one cited reason the lack of availability, or use of, evidence-based guidance for clinicians, consumers, and administrators. Despite this a considerable number of policy directives such as clinical practice guidelines, models of care and clinical tools with the aim of improving quality of LBP care do exist. Here we report on the development of a repository of LBP directives developed in the Australian health system and a content analysis of those directives aimed at deepening our understanding of the guidance landscape. Specifically, we sought to determine: (1) What is the type, scale, and scope of LBP directives available? (2) Who are the key stakeholders that drive low back pain care through directives? (3) What content do they cover? (4) What are their gaps and deficiencies? Methods We used online web search and snowballing methods to collate a repository of LBP policy documents collectively called 'directives' including Models of Care (MOC), information sheets, clinical tools, guidelines, surveys, and reports, from the last 20 years. The texts of the directives were analysed using inductive qualitative content analysis adopting methods from descriptive policy content analysis to categorise and analyse content to determine origins, actors, and themes. Results Eighty-four directives were included in our analysis. Of those, 55 were information sheets aimed at either healthcare providers or patients, nine were clinical tools, three were reports, four were guidelines, four were MOC, two were questionnaires and five were referral forms/criteria. The three main categories of content found in the directives were 1. Low back pain features 2. Standards for clinical encounters and 3. Management of LBP, each of which gave rise to different themes and subthemes. Universities, not-for-profit organizations, government organisations, hospitals/Local Health Districts, professional organisations, consumers, and health care insurers were all involved in the production of policy directives. However, there were no clear patterns of roles, responsibilities or authority between these stakeholder groups. Conclusion Directives have the potential to inform practice and to contribute to reducing evidence-policy-practice discordance. Documents in our repository demonstrate that while a range of directives exist across Australia, but the evidence base for many was not apparent. Qualitative content analysis of the directives showed that while there has been increasing attention given to models of care, this is not yet reflected in directives, which generally focus on more specific elements of LBP care at the individual patient and practitioner level. The sheer number and variety of directives, from a wide range of sources and various locations within the Australian health system suggests a fragmented policy landscape without clear authoritative sources. There is a need for clearer, easily accessible trustworthy policy directives that are regularly reviewed and that meet the needs of care providers, and information websites need to be evaluated regularly for their evidence-based nature and quality.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Ad Hoc Directives and Lack Of Updatesmentioning

confidence: 99%

What guides back pain care? A content analysis of low back pain directives in the Australian context

Parambath

Costa

Schneider

et al. 2023

Health Res Policy Sys

View full text Add to dashboard Cite

show abstract

“…The version of the information sheet 'Back pain" reviewed in May 2015 mentioned lowevidence based treatment options such as herbal medicines including cayenne, devil's claw, white willow bark and comfrey, which have been omitted in the updated version by Arthritis Australia reviewed in December 2017, which only mentions the evidence-based treatment option of capsaicin patches. 23 Guiding coordinated care Different initiatives to and modify self-management resources aimed at improving musculoskeletal health were undertaken in Australia. 24 A personalized approach in self-management is particularly crucial for those with atypical symptoms and comorbidities, as some self-management options can have unfavourable effects in these groups.…”

Section: Ad Hoc Directives and Lack Of Updatesmentioning

confidence: 99%

What guides back pain care? A content analysis of low back pain directives in the Australian context

Parambath

Costa

Schneider

et al. 2022

Preprint

View full text Add to dashboard Cite

Background Low back pain (LBP) is a major cause of disease burden around the world. There is known clinical variation in how LBP is treated and addressed; with one cited reason the lack of availability, or use of, evidence-based guidance for clinicians, consumers, and administrators. Despite this a considerable number of policy directives such as clinical practice guidelines, models of care and clinical tools with the aim of improving quality of LBP care do exist. Here we report on the development of a repository of LBP directives developed in the Australian health system and a content analysis of those directives aimed at deepening our understanding of the guidance landscape. Specifically, we sought to determine: 1) What is the type, scale, and scope of LBP directives available? 2) Who are the key stakeholders that drive low back pain care through directives? 3) What content do they cover? 4) What are their gaps and deficiencies? Methods We used online web search and snowballing methods to collate a repository of LBP policy documents collectively called 'directives' including Models of Care (MOC), information sheets, clinical tools, guidelines, surveys, and reports. The texts of the directives were analysed using inductive qualitative content analysis adopting methods from descriptive policy content analysis to categorise and analyse content to determine origins, actors, and themes. Results  Eighty-four directives were included in our analysis. Of those, fifty-five were information sheets aimed at either healthcare providers or patients, nine were clinical tools, three were reports, four were guidelines, three were MOC, two were questionnaires, and five were referral forms/criteria. The three main categories of content found in the directives were 1. Low back pain features 2. Standards for clinical encounters and 3. Management of LBP, each of which gave rise to different themes and subthemes. Universities, not-for-profit organizations, government organisations, hospitals/Local Health Districts, professional organisations, consumers, and health care insurers were all involved in the production of policy directives. However, there were no clear patterns of roles, responsibilities or authority between these stakeholder groups. Conclusion Directives have the potential to inform practice and to contribute to reducing evidence-policy-practice discordance. Documents in our repository demonstrate that while a range of directives exist across Australia, but the evidence base for many was not apparent. Qualitative content analysis of the directives showed that while there has been increasing attention given to models of care, this is not yet reflected in directives, which generally focus on more specific elements of LBP care at the individual patient and practitioner level. The sheer number and variety of directives, from a wide range of sources and various locations within the Australian health system suggests a fragmented policy landscape without clear authoritative sources. There is a need for clearer, easily accessible trustworthy policy directives that are regularly reviewed and that meet the needs of care providers, and information websites need to be evaluated regularly for their evidence-based nature and quality.

show abstract

First Lumbar Treatment of Chronic Mixed Low Back Pain with High Dose Capsaicin 8% Patch

Cited by 2 publications

References 36 publications

What guides back pain care? A content analysis of low back pain directives in the Australian context

What guides back pain care? A content analysis of low back pain directives in the Australian context

What guides back pain care? A content analysis of low back pain directives in the Australian context

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