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[Low back and radicular pain : which management in 2018 ?]
P Jonckheer1, C Demoulin2, A Desomer1
1Centre Fédéral d'Expertise des Soins de Santé, Bruxelles, Belgique.
Insights
Low back pain is a major public health issue. A Belgian guideline, adapted from NICE, offers comprehensive management strategies for low back and radicular pain.
Area of Science:
- Public Health
- Clinical Guideline Development
- Pain Management
Background:
- Low back pain is a prevalent reason for medical consultations and work absences.
- It represents a significant public health challenge requiring effective management strategies.
- Radicular pain often accompanies low back pain, necessitating integrated treatment approaches.
Framework:
- A multidisciplinary team of 31 clinicians developed the guideline.
- The guideline covers the entire management spectrum for low back and radicular pain.
- It provides a structured approach for healthcare professionals.
Implementation:
- The Belgian Health Care Knowledge Centre (KCE) led the guideline development.
- A British National Institute for Health and Care Excellence (NICE) guideline served as a foundational document.
- Adaptation to the Belgian healthcare context was a key aspect of implementation.
Implications:
- This guideline aims to standardize and improve the management of low back and radicular pain in Belgium.
- It offers evidence-based recommendations for clinical practice.
- The multidisciplinary approach ensures comprehensive patient care and addresses a critical public health concern.
Abstract:
Both frequent reason for consultation and cause of absence at work, low back pain is a notorious public health concern. The Belgian Health Care Knowledge Centre (KCE) has been surrounded by 31 clinicians from different disciplines to develop a guideline covering the entire management of low back and radicular pain. A recently published guideline of the British National Institute for Health and Care Excellence (NICE) was largely used as a starting point and adapted to the Belgian context.
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