最近的临床实践指南,用于管理腰部疼痛:全球比较
Tianyu Zhou1, David Salman2,3, Alison H McGregor2
1MSk lab, Department of Surgery & Cancer, Imperial College London, London, 2nd Floor, Sir Michael Uren Hub, 86 Wood Lane, W12 0BZ, UK. t.zhou20@imperial.ac.uk.
BMC musculoskeletal disorders
|May 1, 2024
概括
腰部疼痛 (LBP) 管理指南在全球范围内有很大的差异. 这项研究比较了22条临床实践指南 (CPG),发现急性,亚急性和慢性LBP的建议异质.
科学领域:
- 整形外科 整形外科 整形外科
- 物理医学和康复 康复
- 基于证据的实践.
背景情况:
- 腰部疼痛 (LBP) 影响全球84%的成年人,需要标准化的管理方法.
- 临床实践指南 (CPG) 旨在合理化LBP管理,但因国家而异.
- 这项研究比较了最近的非特定LBP的国际CPG.
研究的目的:
- 识别和比较最近的临床实践指南 (CPG) 中关于腰部疼痛 (LBP) 管理的全球建议.
- 评估这些指南的质量和异质性.
主要方法:
- 搜索了主要数据库 (MEDLINE,EMBASE,CINAHL,PEDro) 在2017-2022年期间发布的CPG.
- 包括专注于非特定LBP管理和/或治疗的CPG.
- 使用研究和评估指南评估 (AGREE) II工具评估指南质量.
主要成果:
- 确定了22个中高质量的CPG.
- 在LBP各个阶段 (急性,亚急性,慢性) 的建议中发现了显著的异质性.
- 常见的建议包括NSAIDs,运动,保持活跃和脊柱操纵;用于慢性LBP的针.
结论:
- CPG涵盖了大多数LBP管理方面,但显示出相当大的差异.
- 一些建议缺乏明确性,并且有重叠的治疗方法.
- 需要进一步协调LBP指导方针,以实现一致的患者护理.
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