高质量的临床实践指南在治疗腰部疼痛的治疗建议中达成一致:系统性审查
Bayden J McKenzie1, Romi Haas1, Giovanni E Ferreira2
1Musculoskeletal Health and Wiser Health Care Units, School of Public Health and Preventive Medicine, Monash University, Level 4, 553 St Kilda Rd, Melbourne VIC 3004, Australia.
概括
对于腰部疼痛的高质量的临床实践指南显示,在非侵入性治疗方面存在共识,但在药理干预方面存在分歧. 需要进一步的研究来了解治疗建议中的这些变化.
科学领域:
- 临床实践指南 临床实践指南
- 腰部疼痛管理 腰部疼痛管理
- 基于证据的医学基于证据的医学.
背景情况:
- 对腰部疼痛的临床实践指南显示治疗建议的变化,影响其感知价值.
- 在高质量的指导方针之间量化一致对于跟踪变化和指导未来研究至关重要.
研究的目的:
- 评估高质量的临床实践指南与腰部疼痛治疗建议之间的一致性.
- 专注于2016年1月1日至2024年3月14日期间发布的指南.
主要方法:
- 对22个高质量的临床实践指南进行系统审查 (在AGREE II领域的得分≥70%).
- 建议被组合起来,按长期分层,并分析了一致的方向和强度.
- 报告的同意/不同意水平为122种腰部疼痛治疗的百分比.
主要成果:
- 在近三分之二的建议中发现完全或部分同意 (26%完全,39%部分).
- 准则支持患者教育,自我管理,避免恐惧和物理治疗.
- 不同意,主要是药理干预措施,发生在35%的建议.
结论:
- 需要进一步的研究来阐明治疗建议存在分歧的原因.
- 了解指南制定和推选择中的变化是必不可少的.
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