Jeremy Y Ng1, Mitali Uppal2, Jeremy Steen2. 1. Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, Michael G. DeGroote Centre for Learning and Discovery, McMaster University, Room 2112, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada. ngjy2@mcmaster.ca. 2. Department of Health Research Methods, Evidence, and Impact, Faculty of Health Sciences, Michael G. DeGroote Centre for Learning and Discovery, McMaster University, Room 2112, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.
Abstract
BACKGROUND: Individuals with neck pain frequently turn to complementary and alternative medicine (CAM) to seek relief. However, conventional healthcare providers often lack adequate CAM therapy knowledge to deliver informed recommendations to patients. The purpose of this study was to identify mention of CAM in neck pain clinical practice guidelines (CPG) and assess the quality of CAM recommendations using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) instrument. METHODS: MEDLINE, EMBASE and CINAHL were systematically searched from 2009 to 2020 in addition to the Guidelines International Network and National Center for Complementary and Integrative Health websites. Eligible CPGs providing CAM recommendations were assessed twice with the AGREE II instrument, once to assess the overall CPG and then once to assess the CAM sections specifically. RESULTS: From 643 unique search results, 15 CPGs on the treatment and/or management of neck pain were identified, and 8 made recommendations on CAM therapy. Regarding scaled domain percentages, the overall CPG scored higher than the CAM section for 5 of 6 domains (overall, CAM): (1) scope and purpose (93.4%, 93.1%), (2) stakeholder involvement (81.6%, 81.9%), (3) rigour of development (70.8%, 66.3%), (4) clarity of presentation (64.9%, 60.8%), (5) applicability (39.3%, 33.6%), and (6) editorial independence (47.9%, 45.3%). CONCLUSIONS: Most neck pain CPGs made CAM recommendations. The quality of CAM recommendations is lower than overall recommendations across all domains with the exception of stakeholder involvement. This disparity highlights the need for CAM recommendations quality improvement. Although many patients with neck pain seek CAM therapies, few CPGs are available for healthcare providers and patients.
BACKGROUND: Individuals with neck pain frequently turn to complementary and alternative medicine (CAM) to seek relief. However, conventional healthcare providers often lack adequate CAM therapy knowledge to deliver informed recommendations to patients. The purpose of this study was to identify mention of CAM in neck pain clinical practice guidelines (CPG) and assess the quality of CAM recommendations using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) instrument. METHODS: MEDLINE, EMBASE and CINAHL were systematically searched from 2009 to 2020 in addition to the Guidelines International Network and National Center for Complementary and Integrative Health websites. Eligible CPGs providing CAM recommendations were assessed twice with the AGREE II instrument, once to assess the overall CPG and then once to assess the CAM sections specifically. RESULTS: From 643 unique search results, 15 CPGs on the treatment and/or management of neck pain were identified, and 8 made recommendations on CAM therapy. Regarding scaled domain percentages, the overall CPG scored higher than the CAM section for 5 of 6 domains (overall, CAM): (1) scope and purpose (93.4%, 93.1%), (2) stakeholder involvement (81.6%, 81.9%), (3) rigour of development (70.8%, 66.3%), (4) clarity of presentation (64.9%, 60.8%), (5) applicability (39.3%, 33.6%), and (6) editorial independence (47.9%, 45.3%). CONCLUSIONS: Most neck pain CPGs made CAM recommendations. The quality of CAM recommendations is lower than overall recommendations across all domains with the exception of stakeholder involvement. This disparity highlights the need for CAM recommendations quality improvement. Although many patients with neck pain seek CAM therapies, few CPGs are available for healthcare providers and patients.
Authors: Pedro J Saturno; Francesc Medina; Fermin Valera; Joaquina Montilla; Pilar Escolar; Juan J Gascón Journal: Int J Qual Health Care Date: 2003-12 Impact factor: 2.038
Authors: Sheilah Hogg-Johnson; Gabrielle van der Velde; Linda J Carroll; Lena W Holm; J David Cassidy; Jamie Guzman; Pierre Côté; Scott Haldeman; Carlo Ammendolia; Eugene Carragee; Eric Hurwitz; Margareta Nordin; Paul Peloso Journal: Spine (Phila Pa 1976) Date: 2008-02-15 Impact factor: 3.468
Authors: Jaime Guzman; Eric L Hurwitz; Linda J Carroll; Scott Haldeman; Pierre Côté; Eugene J Carragee; Paul M Peloso; Gabrielle van der Velde; Lena W Holm; Sheilah Hogg-Johnson; Margareta Nordin; J David Cassidy Journal: Spine (Phila Pa 1976) Date: 2008-02-15 Impact factor: 3.468
Authors: Linda J Carroll; Sheilah Hogg-Johnson; Pierre Côté; Gabrielle van der Velde; Lena W Holm; Eugene J Carragee; Eric L Hurwitz; Paul M Peloso; J David Cassidy; Jaime Guzman; Margareta Nordin; Scott Haldeman Journal: Spine (Phila Pa 1976) Date: 2008-02-15 Impact factor: 3.468