Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , |
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 |
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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 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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Universidade Federal de Minas Gerais |
dc.publisher.initials.fl_str_mv |
UFMG |
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Brasil |
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EEF - DEPARTAMENTO DE FISIOTERAPIA |
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Universidade Federal de Minas Gerais |
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reponame:Repositório Institucional da UFMG instname:Universidade Federal de Minas Gerais (UFMG) instacron:UFMG |
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