Protocol for a clinical practice guideline on acupuncture for chronic non-specific low back pain

Chronic non-specific low back pain (CNLBP) is a common musculoskeletal disease that troubles adults worldwide. Adverse reactions associated with drug therapy are unavoidable, so non-pharmacological treatments have gained attention. Acupuncture can effectively relieves pain, improve function, and avoid adverse drug reactions. However, existing guidelines for low back pain have a broad scope, and the evidence assessment of acupuncture for CNLBP is not comprehensive. In addition, there are various types of acupuncture, and there is still a lack of consensus on diverse acupuncture treatment protocols. Therefore, the formulation of this guideline will fill the gap and meet the clinical needs.

The main steps for the formulation of this guideline will include: (1) Establishing a guideline development group; (2) Managing conflicts of interest; (3) Researching and identifying clinical questions; (4) Searching and assessing evidence; (5) Assessing and grading the quality of evidence; (6) Developing decision tables for recommendations; (7) Reaching consensus and making decisions on recommendations; (8) Formulating treatment protocols; (9) Drafting the guideline document; (10) Conducting peer review.

This guideline is the first to focus its scope on CNLBP. It systematically synthesizes research evidence on acupuncture treatment, combines experts' clinical experience with patients' preferences, and develops clinically applicable recommendations and treatment plans. We incorporated the GRADE approach for evidence grading and a Delphi process for expert consensus. This process enhanced the scientific rigor and practical applicability of the recommendations. This guideline aims to provide clinicians with standardized and operable acupuncture treatment plans, and promote the standardization of acupuncture in the management of CNLBP.

http://www.guidelines-registry.cn/, identifier [PREPARE-2024CN071].