D Scott Kreiner1, Paul Matz2, Christopher M Bono3, Charles H Cho4, John E Easa5, Gary Ghiselli6, Zoher Ghogawala7, Charles A Reitman8, Daniel K Resnick9, William C Watters10, Thiru M Annaswamy11, Jamie Baisden12, Walter S Bartynski13, Shay Bess14, Randall P Brewer15, R Carter Cassidy16, David S Cheng17, Sean D Christie18, Norman B Chutkan19, Bernard Allan Cohen20, Simon Dagenais21, Dennis E Enix22, Paul Dougherty23, S Raymond Golish24, Padma Gulur13, Steven W Hwang25, Cumhur Kilincer26, Jeffrey A King12, Adam C Lipson27, Anthony J Lisi28, Richard J Meagher29, John E O'Toole30, Paul Park31, Murat Pekmezci32, Daniel R Perry33, Ravi Prasad34, David A Provenzano35, Kris E Radcliff36, Gazanfar Rahmathulla37, Tom E Reinsel38, Robert L Rich39, Daniel S Robbins40, Karie A Rosolowski41, Jonathan N Sembrano42, Anil K Sharma43, Alison A Stout44, Christopher K Taleghani45, Ryan A Tauzell46, Terry Trammell47, Yakov Vorobeychik48, Amy M Yahiro41. 1. Barrow Neurological Institute, 4530 E. Muirwood Dr. Ste. 110, Phoenix, AZ 85048-7693, USA. Electronic address: scott.kreiner@barrowbrainandspine.com. 2. Advantage Orthopedics and Neurosurgery, Casper, WY, USA. 3. Massachusetts General Hospital, Boston, MA, USA. 4. Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. 5. Michigan State University, Holland, MI, USA. 6. Denver Spine Surgeons, Greenwood Village, CO, USA. 7. Lahey Hospital and Medical Center, Burlington, MA, USA; Tufts University School of Medicine, Boston, MA, USA. 8. Medical University of South Carolina, Charleston, SC, USA. 9. University of Wisconsin, Madison, WI, USA. 10. Institute of Academic Medicine Houston Methodist Hospital, Houston, TX, USA. 11. VA North Texas Health Care System, UT Southwestern Medical Center, Dallas, TX, USA. 12. Medical College of Wisconsin, Milwaukee, WI, USA. 13. Duke University, Durham, NC, USA. 14. Denver International Spine Center, Denver, CO, USA. 15. River Cities Interventional Pain Specialists, Shreveport, LA, USA. 16. University of Kentucky College of Medicine, Lexington, KY, USA. 17. University of Southern California, Los Angeles, CA, USA. 18. QE II Health Sciences Centre, Halifax NS B3H 3A7, Canada. 19. The CORE Institute, Phoenix, AZ, USA. 20. Neurological Monitoring Associates, LLC, Milwaukee, WI, USA. 21. Spine Research LLC, Winchester, MA, USA. 22. Ballwin, Missouri. 23. VA Finger Lakes Healthcare System, Canandaigua, NY, USA. 24. Jupiter Medical Center, Jupiter, FL, USA. 25. Shriners Hospital for Children, Philadelphia, PA, USA. 26. Trakya University Faculty of Medicine, Edirne, Turkey. 27. IGEA Brain & Spine, Union, NJ, USA. 28. VACT Healthcare System, West Haven, CT, USA. 29. Princeton Brain, Spine & Sports Medicine, Mullica Hill, NJ, USA. 30. Rush University, Chicago, IL, USA. 31. University Of Michigan, Ann Arbor, MI, USA. 32. University of California, San Francisco, CA, USA. 33. Choice Physical Therapy, Christiansburg, VA, USA. 34. University of California, Davis, Sacramento, CA, USA. 35. Pain Diagnostics and Interventional Care, Sewickley, PA, USA. 36. Rothman Institute, Thomas Jefferson University, Egg Harbor Township, NJ, USA. 37. University of Florida College of Medicine, Jacksonville, FL, USA. 38. Huntington, WV, USA. 39. Bladen Medical Associates, Elizabethtown, NC, USA. 40. Synergy Surgicalists, Portland, ME, USA. 41. North American Spine Society, Burr Ridge, IL, USA. 42. University of Minnesota, Minneapolis, MN, USA. 43. Spine and Pain Centers, Wall, NJ, USA. 44. Evergreen Sport and Spine Center, Kirkland, WA, USA. 45. Maui Brain and Spine, Wailuku, HI, USA. 46. Choice Physical Therapy & Wellness, Christiansburg, VA, USA. 47. Trammell Consulting LLC, Pittsboro, IN, USA. 48. Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Abstract
BACKGROUND CONTEXT: The North American Spine Society's (NASS) Evidence Based Clinical Guideline for the Diagnosis and Treatment of Low Back Pain features evidence-based recommendations for diagnosing and treating adult patients with nonspecific low back pain. The guideline is intended to reflect contemporary treatment concepts for nonspecific low back pain as reflected in the highest quality clinical literature available on this subject as of February 2016. PURPOSE: The purpose of the guideline is to provide an evidence-based educational tool to assist spine specialists when making clinical decisions for adult patients with nonspecific low back pain. This article provides a brief summary of the evidence-based guideline recommendations for diagnosing and treating patients with this condition. STUDY DESIGN: This is a guideline summary review. METHODS: This guideline is the product of the Low Back Pain Work Group of NASS' Evidence-Based Clinical Guideline Development Committee. The methods used to develop this guideline are detailed in the complete guideline and technical report available on the NASS website. In brief, a multidisciplinary work group of spine care specialists convened to identify clinical questions to address in the guideline. The literature search strategy was developed in consultation with medical librarians. Upon completion of the systematic literature search, evidence relevant to the clinical questions posed in the guideline was reviewed. Work group members utilized NASS evidentiary table templates to summarize study conclusions, identify study strengths and weaknesses, and assign levels of evidence. Work group members participated in webcasts and in-person recommendation meetings to update and formulate evidence-based recommendations and incorporate expert opinion when necessary. The draft guideline was submitted to an internal and external peer review process and ultimately approved by the NASS Board of Directors. RESULTS: Eighty-two clinical questions were addressed, and the answers are summarized in this article. The respective recommendations were graded according to the levels of evidence of the supporting literature. CONCLUSIONS: The evidence-based clinical guideline has been created using techniques of evidence-based medicine and best available evidence to aid practitioners in the diagnosis and treatment of adult patients with nonspecific low back pain. The entire guideline document, including the evidentiary tables, literature search parameters, literature attrition flowchart, suggestions for future research, and all of the references, is available electronically on the NASS website at https://www.spine.org/ResearchClinicalCare/QualityImprovement/ClinicalGuidelines.aspx.
BACKGROUND CONTEXT: The North American Spine Society's (NASS) Evidence Based Clinical Guideline for the Diagnosis and Treatment of Low Back Pain features evidence-based recommendations for diagnosing and treating adult patients with nonspecific low back pain. The guideline is intended to reflect contemporary treatment concepts for nonspecific low back pain as reflected in the highest quality clinical literature available on this subject as of February 2016. PURPOSE: The purpose of the guideline is to provide an evidence-based educational tool to assist spine specialists when making clinical decisions for adult patients with nonspecific low back pain. This article provides a brief summary of the evidence-based guideline recommendations for diagnosing and treating patients with this condition. STUDY DESIGN: This is a guideline summary review. METHODS: This guideline is the product of the Low Back Pain Work Group of NASS' Evidence-Based Clinical Guideline Development Committee. The methods used to develop this guideline are detailed in the complete guideline and technical report available on the NASS website. In brief, a multidisciplinary work group of spine care specialists convened to identify clinical questions to address in the guideline. The literature search strategy was developed in consultation with medical librarians. Upon completion of the systematic literature search, evidence relevant to the clinical questions posed in the guideline was reviewed. Work group members utilized NASS evidentiary table templates to summarize study conclusions, identify study strengths and weaknesses, and assign levels of evidence. Work group members participated in webcasts and in-person recommendation meetings to update and formulate evidence-based recommendations and incorporate expert opinion when necessary. The draft guideline was submitted to an internal and external peer review process and ultimately approved by the NASS Board of Directors. RESULTS: Eighty-two clinical questions were addressed, and the answers are summarized in this article. The respective recommendations were graded according to the levels of evidence of the supporting literature. CONCLUSIONS: The evidence-based clinical guideline has been created using techniques of evidence-based medicine and best available evidence to aid practitioners in the diagnosis and treatment of adult patients with nonspecific low back pain. The entire guideline document, including the evidentiary tables, literature search parameters, literature attrition flowchart, suggestions for future research, and all of the references, is available electronically on the NASS website at https://www.spine.org/ResearchClinicalCare/QualityImprovement/ClinicalGuidelines.aspx.
Authors: Rahim Lalji; Léonie Hofstetter; Alice Kongsted; Viktor von Wyl; Milo A Puhan; Cesar A Hincapié Journal: BMJ Open Date: 2022-07-13 Impact factor: 3.006
Authors: Mingxiao Yang; Susan Q Li; Colleen M Smith; Yi Lily Zhang; Ting Bao; Jun J Mao Journal: Biomed Pharmacother Date: 2021-05-18 Impact factor: 7.419