VA/DoD Clinical Practice Guideline: Diagnosis and Treatment of Low Back Pain

Pangarkar, Sanjog; Kang, Daniel G.; Sandbrink, Friedhelm; Bevevino, Adam J.; Tillisch, Kirsten; Konitzer, Lisa N.; Sall, James

doi:10.1007/s11606-019-05086-4

Cited by 90 publications

(151 citation statements)

References 33 publications

(43 reference statements)

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“… 20 27 29 30 37 38 41 42 46 CPGs reported that women tend to have a higher prevalence of LBP and are more likely to seek care for LBP 20 27 37 42 One pregnancy-specific reference was made within Category 3, stating that two-thirds of pregnant women experience LBP. 38 Category 3 was the only category that referenced male sex or gender, stating that men, more often than women, experience LBP as a result of manual material handling. 41 Men also have a higher risk of developing ankylosing spondylitis and spondylolysis.…”

Section: Resultsmentioning

confidence: 99%

Sex and gender considerations in low back pain clinical practice guidelines: a scoping review

Rathbone

Truong

Haldenby

et al. 2020

BMJ Open Sport Exerc Med

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ObjectiveThe purpose of this scoping review is to determine if and how sex and gender have been incorporated into low back pain (LBP) clinical practice guidelines (CPG), and if sex and gender terms have been used properly.MethodsCPGs were searched on MEDLINE, Embase, NICE, TRIP and PEDro from 2010 to 2020. The inclusion criteria were English language, CGPs within physiotherapy scope of practice and for adult population with LBP of any type or duration. Three pairs of independent reviewers screened titles, abstracts and full texts. Guidelines were searched for sex/gender-related terms and recommendations were extracted. The AGREE II (Appraisal of Guidelines for Research and Evaluation II) was used to evaluate the quality of the CPGs.ResultsThirty-six CPGs were included, of which 15 were test-positive for sex or gender terms. Only 33% (n=5) of CPGs incorporated sex or gender into diagnostic or management recommendations. Sixty percent of guidelines (n=9) only referenced sex or gender in relation to epidemiology, risk factors or prognostic data, and made no specific recommendations. Overall, there was no observable relationship between guideline quality and likeliness of integrating sex or gender terms. The majority of guidelines used sex and gender terms interchangeably, and no guidelines defined sex or gender.ConclusionCPGs did not consistently consider sex and gender differences in assessment, diagnosis or treatment of LBP. When it was considered, sex and gender terms were used interchangeably, and considerations were primarily regarding pregnancy. Researchers should consider the importance of including sex-based and/or gender-based recommendations into future LBP CPGs.

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Section: Resultsmentioning

confidence: 99%

Sex and gender considerations in low back pain clinical practice guidelines: a scoping review

Rathbone

Truong

Haldenby

et al. 2020

BMJ Open Sport Exerc Med

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show abstract

“…Twenty-one CPGs met the inclusion and exclusion criteria, of which seven (33.3%) were devoted to neck pain [28,[30][31][32][33][34]49] (i.e., Canada, KNGF, APTA, DHA, OPTIMa, Scottish and SIMFER CPGs), fourteen (66.6%) CPGs were devoted to back pain [33,[35][36][37][38][39][40][41][42][43][44][45][46][47] (i.e., ACP, ACI, Belgium, Canada, DHA, German, Globe et al, NDMG, KNGF, Scottish, Colorado, TOP, VA/DoD and NICE CPGs), and 3 (14.3%) CPGs were devoted to sciatica [38,47,48] (i.e., DHA, NASS and NICE CPGs). Some guidelines contained more than one site.…”

Section: Resultsmentioning

confidence: 99%

“…[33] In addition, some guidelines suggested that manual therapy could be applied if self-care and medication therapy did not provide signi cant improvements [36] or that it could be offered as a part of multimodal management. [37,39,46,47] One CPG recommended massage for treating acute and subacute low back pain, [35] while two guidelines indicated that massage was not recommended for acute low back pain but could be considered for chronic low back pain. [40,41] One guideline stated that there was insu cient evidence to show the effect of manual therapy including massage.…”

Section: Manual Therapymentioning

confidence: 99%

The Evidence Mapping and Methodological Quality of Clinical Practice Guidelines of Diagnosis and Management for Spinal Pain: A Cross-Sectional Study

Huang

Qin

Zheng

et al. 2021

Preprint

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Objectives: To systematically review clinical practice guidelines (CPGs) for treating spinal pain, to assess the quality of different CPGs, and finally to provide an evidence map for the specific explication of research trends and gaps.Method: We searched CPGs in PubMed, Embase, Web of Science, Guidelines International Network (GIN), National Health and Medical Research Council (NHMRC), Scottish Intercollegiate Guidelines Network (SIGN) and the National Institute for Health and Care Excellence (NICE). We extracted basic information, recommendations, methodological quality, and reporting quality of the CPGs. Four researchers independently evaluated the quality of the CPGs according to the Appraisal of Guidelines Research and Evaluation (AGREE II) and Reporting Items for Practice Guidelines in Healthcare (RIGHT). Results: According to the AGREE II checklist, we found that the mean score was relatively high in four domains, namely, scope and purpose (78.39), stakeholder involvement (63.04), clarity of presentation (72.04), and rigor of development (61.25). However, the mean score of two domains (editorial independence and application) was relatively low. Among the seven domains of the RIGHT checklist, one field (basic information) had the highest reporting rate (86.61%), while another field (funding, declaration, and management of interest) obtained the lowest reporting rate (53.00%). Conclusion: Our study provided evidence mapping, which is a good tool to reduce research waste and facilitate the process of knowledge transfer. The results of our study can also be used to optimize the implementation of these recommendations and to improve the development of reliable CPGs for treating spinal pain.

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“…We will include studies on patients that have been diagnosed as LMS by clinicians based on Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis & Treatment of Low Back Pain, [ 12 ] VA/DoD Clinical Practice Guideline: Diagnosis and Treatment of Low Back Pain and Criteria for Diagnosis, [ 13 ] and Efficacy of TCM Diseases. [ 14 ] There will be no restriction on age, gender, ethnicity, and profession.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness and safety of warm needle acupuncture on lumbar muscles strain

Huang¹,

Cheng²,

Xie³

et al. 2021

Medicine

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Background: Lumbar muscle strain (LMS) is the most common orthopedic syndrome, with high incidence globally and lingering disease, which seriously affects patients’ work efficiency and quality of life. Warm needle acupuncture (WNA) is a treatment method combining acupuncture technology with warm and medicinal effect of moxibustion. It has outstanding curative effect and wide range of treatment, especially in the treatment of pain diseases. We aim to collect clinical evidence and demonstrate the efficacy and safety of WNA on LMS. Methods/design: We will search the following database sources for the randomized controlled trials: PubMed, Cochrane Library, Excerpta Medica Database (EMBASE), Web of Science, WHO International Clinical Trials Registry Platform (TCTRP), Chinese Biomedical Literature Database (CBM), Chinese National Knowledge Infrastructure Database (CNKI), Chinese Scientific Journals Database (VIP), and the Wanfang Database. All randomized controlled trials of WNA for lumbar muscle strain (LMS) in the above database will be considered for inclusion, and high-quality articles will be screened for data extraction and analysis, to summarize the therapeutic effect of WNA on LMS patients. Result: This study will provide a rational synthesis of current evidences for warm needle acupuncture on lumbar muscle strain. Conclusion: The conclusion of this study will provide evidence to judge the effectiveness and safety of WNA on LMS. Trial registration: INPLASY2020120100 (DOI number: 10.37766/inplasy2020.12.0100).

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VA/DoD Clinical Practice Guideline: Diagnosis and Treatment of Low Back Pain

Cited by 90 publications

References 33 publications

Sex and gender considerations in low back pain clinical practice guidelines: a scoping review

Sex and gender considerations in low back pain clinical practice guidelines: a scoping review

The Evidence Mapping and Methodological Quality of Clinical Practice Guidelines of Diagnosis and Management for Spinal Pain: A Cross-Sectional Study

Effectiveness and safety of warm needle acupuncture on lumbar muscles strain

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