Evidence-based evaluation and management of chronic low back pain: Understanding and using clinical practice guidelines

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Evaluation and management of chronic low back pain is often a challenge. Many treatments are available, each with its own unique profile of benefits, harms, costs, and burdens. In addition, the evidence sup-porting different treatments is variable. All these factors make it difficult for clinicians to know the best options for management. Clinical practice guidelines are a type of preprocessed evidence that can help clinicians make decisions based on the best available research evidence. However, guidelines can be misleading if they do not follow methods to insure comprehensiveness, methodologic rigor, and transparency. This article explains how clinicians can determine whether a clinical practice guideline is trustworthy, reviews the methods used in sev-eral recent higher-quality, multidisciplinary guidelines on evaluation and management of chronic low back pain, describes their recommendations, and highlights areas of discrepancy between the guidelines.

Original languageEnglish (US)
Pages (from-to)67-97
Number of pages31
JournalCritical Reviews in Physical and Rehabilitation Medicine
Volume21
Issue number1
DOIs
StatePublished - Dec 1 2009

Keywords

  • Evidence-based medicine
  • Guidelines
  • Low back pain

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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