Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview

Detalhes bibliográficos
Autor(a) principal: Crystian Bitencourt Soares de Oliveira
Data de Publicação: 2018
Outros Autores: Christopher Gerard Maher, Rafael Zambelli de Almeida Pinto, Adrian Traeger, Chung-Wei Christine Lin, Jean-François Chenot, Maurits van Tulder, Bart Willem Koes
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFMG
Texto Completo: https://doi.org/10.1007/s00586-018-5673-2
http://hdl.handle.net/1843/48979
https://orcid.org/0000-0002-6911-7018
https://orcid.org/0000-0002-1628-7857
https://orcid.org/0000-0002-2775-860X
https://orcid.org/0000-0002-1646-1907
https://orcid.org/0000-0001-6192-7238
https://orcid.org/0000-0001-8877-2950
https://orcid.org/0000-0002-7589-8471
https://orcid.org/0000-0002-0450-9969
Resumo: CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
id UFMG_51cc1bfce3c30221a14ab6be88fdef3b
oai_identifier_str oai:repositorio.ufmg.br:1843/48979
network_acronym_str UFMG
network_name_str Repositório Institucional da UFMG
repository_id_str
spelling 2023-01-18T15:04:52Z2023-01-18T15:04:52Z2018271127912803https://doi.org/10.1007/s00586-018-5673-21432-0932http://hdl.handle.net/1843/48979https://orcid.org/0000-0002-6911-7018https://orcid.org/0000-0002-1628-7857https://orcid.org/0000-0002-2775-860Xhttps://orcid.org/0000-0002-1646-1907https://orcid.org/0000-0001-6192-7238https://orcid.org/0000-0001-8877-2950https://orcid.org/0000-0002-7589-8471https://orcid.org/0000-0002-0450-9969CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível SuperiorOutra AgênciaObjective: The aim of this study was to provide an overview of the recommendations regarding the diagnosis and treatment contained in current clinical practice guidelines for patients with non-specific low back pain in primary care. We also aimed to examine how recommendations have changed since our last overview in 2010. Method: The searches for clinical practice guidelines were performed for the period from 2008 to 2017 in electronic databases. Guidelines including information regarding either the diagnosis or treatment of non-specific low back pain, and targeted at a multidisciplinary audience in the primary care setting, were considered eligible. We extracted data regarding recommendations for diagnosis and treatment, and methods for development of guidelines. Results: We identified 15 clinical practice guidelines for the management of low back pain in primary care. For diagnosis of patients with non-specific low back pain, the clinical practice guidelines recommend history taking and physical examination to identify red flags, neurological testing to identify radicular syndrome, use of imaging if serious pathology is suspected (but discourage routine use), and assessment of psychosocial factors. For treatment of patients with acute low back pain, the guidelines recommend reassurance on the favourable prognosis and advice on returning to normal activities, avoiding bed rest, the use of nonsteroidal anti-inflammatory drugs (NSAIDs) and weak opioids for short periods. For treatment of patients with chronic low back pain, the guidelines recommend the use of NSAIDs and antidepressants, exercise therapy, and psychosocial interventions. In addition, referral to a specialist is recommended in case of suspicion of specific pathologies or radiculopathy or if there is no improvement after 4 weeks. While there were a few discrepancies across the current clinical practice guidelines, a substantial proportion of recommendations was consistently endorsed. In the current review, we identified some differences compared to the previous overview regarding the recommendations for assessment of psychosocial factors, the use of some medications (e.g., paracetamol) as well as an increasing amount of information regarding the types of exercise, mode of delivery, acupuncture, herbal medicines, and invasive treatments.engUniversidade Federal de Minas GeraisUFMGBrasilEEF - DEPARTAMENTO DE FISIOTERAPIAEuropean Spine JournalDor lombarDiagnósticoTratamentoLow back painClinical guidelinesDiagnosisTreatmentClinical practice guidelines for the management of non-specific low back pain in primary care: an updated overviewinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://link.springer.com/article/10.1007/s00586-018-5673-2#Abs1Crystian Bitencourt Soares de OliveiraChristopher Gerard MaherRafael Zambelli de Almeida PintoAdrian TraegerChung-Wei Christine LinJean-François ChenotMaurits van TulderBart Willem Koesapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/48979/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALClinical practice guidelines for the management of non specifc low back pain.pdfClinical practice guidelines for the management of non specifc low back pain.pdfapplication/pdf968674https://repositorio.ufmg.br/bitstream/1843/48979/2/Clinical%20practice%20guidelines%20for%20the%20management%20of%20non%20specifc%20low%20back%20pain.pdfe9faab12da4b403a83da083109d645ebMD521843/489792023-01-18 12:04:52.822oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-01-18T15:04:52Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
dc.title.pt_BR.fl_str_mv Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview
title Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview
spellingShingle Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview
Crystian Bitencourt Soares de Oliveira
Low back pain
Clinical guidelines
Diagnosis
Treatment
Dor lombar
Diagnóstico
Tratamento
title_short Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview
title_full Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview
title_fullStr Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview
title_full_unstemmed Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview
title_sort Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview
author Crystian Bitencourt Soares de Oliveira
author_facet Crystian Bitencourt Soares de Oliveira
Christopher Gerard Maher
Rafael Zambelli de Almeida Pinto
Adrian Traeger
Chung-Wei Christine Lin
Jean-François Chenot
Maurits van Tulder
Bart Willem Koes
author_role author
author2 Christopher Gerard Maher
Rafael Zambelli de Almeida Pinto
Adrian Traeger
Chung-Wei Christine Lin
Jean-François Chenot
Maurits van Tulder
Bart Willem Koes
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Crystian Bitencourt Soares de Oliveira
Christopher Gerard Maher
Rafael Zambelli de Almeida Pinto
Adrian Traeger
Chung-Wei Christine Lin
Jean-François Chenot
Maurits van Tulder
Bart Willem Koes
dc.subject.por.fl_str_mv Low back pain
Clinical guidelines
Diagnosis
Treatment
topic Low back pain
Clinical guidelines
Diagnosis
Treatment
Dor lombar
Diagnóstico
Tratamento
dc.subject.other.pt_BR.fl_str_mv Dor lombar
Diagnóstico
Tratamento
description CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
publishDate 2018
dc.date.issued.fl_str_mv 2018
dc.date.accessioned.fl_str_mv 2023-01-18T15:04:52Z
dc.date.available.fl_str_mv 2023-01-18T15:04:52Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1843/48979
dc.identifier.doi.pt_BR.fl_str_mv https://doi.org/10.1007/s00586-018-5673-2
dc.identifier.issn.pt_BR.fl_str_mv 1432-0932
dc.identifier.orcid.pt_BR.fl_str_mv https://orcid.org/0000-0002-6911-7018
https://orcid.org/0000-0002-1628-7857
https://orcid.org/0000-0002-2775-860X
https://orcid.org/0000-0002-1646-1907
https://orcid.org/0000-0001-6192-7238
https://orcid.org/0000-0001-8877-2950
https://orcid.org/0000-0002-7589-8471
https://orcid.org/0000-0002-0450-9969
url https://doi.org/10.1007/s00586-018-5673-2
http://hdl.handle.net/1843/48979
https://orcid.org/0000-0002-6911-7018
https://orcid.org/0000-0002-1628-7857
https://orcid.org/0000-0002-2775-860X
https://orcid.org/0000-0002-1646-1907
https://orcid.org/0000-0001-6192-7238
https://orcid.org/0000-0001-8877-2950
https://orcid.org/0000-0002-7589-8471
https://orcid.org/0000-0002-0450-9969
identifier_str_mv 1432-0932
dc.language.iso.fl_str_mv eng
language eng
dc.relation.ispartof.pt_BR.fl_str_mv European Spine Journal
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.publisher.initials.fl_str_mv UFMG
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv EEF - DEPARTAMENTO DE FISIOTERAPIA
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMG
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Repositório Institucional da UFMG
collection Repositório Institucional da UFMG
bitstream.url.fl_str_mv https://repositorio.ufmg.br/bitstream/1843/48979/1/License.txt
https://repositorio.ufmg.br/bitstream/1843/48979/2/Clinical%20practice%20guidelines%20for%20the%20management%20of%20non%20specifc%20low%20back%20pain.pdf
bitstream.checksum.fl_str_mv fa505098d172de0bc8864fc1287ffe22
e9faab12da4b403a83da083109d645eb
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
repository.name.fl_str_mv Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)
repository.mail.fl_str_mv
_version_ 1801676780777504768

Registros relacionados