Abstract
Background and purpose:
As a prevalent condition, low back pain (LBP) burdens the global healthcare system. The aim of this systematic review is to summarize and critically appraise recent clinical prac- tice guidelines (CPGs) on non-pharmacological manage- ment of LBP.
Methods:
Six electronic databases and seven guideline clearinghous- es were searched for CPGs on LBP published between January 1, 2012 and December 20, 2022. Five reviewers in- dependently screened citations for eligible CPGs and ex- tracted the contents of guidelines that were admissible. The quality of the CPGs was then independently appraised by five reviewers using the AGREE II and AGREE-REX. The intraclass correlation coefficient was used to calculate in- ter-rater agreement for each domain and total score (ICC [2,1]).
Results:
We screened 21,427 citations from database searches and 21 from guideline clearinghouse websites, yielding 21 eligi- ble CPGs (10 non-specific LBP, 8 LBP with radiculopathy, 2 with disc herniation, and 1 isthmic spondylolisthesis) from 12 countries. Ten CPGs were rated as high quality by AGREE II. Seven CPGs were classified as high quality by AGREE-REX. The ICC values for both tools were excellent. The majority of CPGs recommend multimodal interventions, which main- ly include exercises, education, and cognitive behavioural therapies. The majority of the CPGs were found to have sig- nificant methodological limitations in the domains of Appli- cability in AGREE-II and Implementability in AGREE-REX.
Conclusion:
As the majority of the CPGs recommend multimodal ap- proaches, trials comparing the effectiveness of these ap- proaches are needed. CPG developers should make every effort to minimize methodological flaws during develop- ment.
As a prevalent condition, low back pain (LBP) burdens the global healthcare system. The aim of this systematic review is to summarize and critically appraise recent clinical prac- tice guidelines (CPGs) on non-pharmacological manage- ment of LBP.
Methods:
Six electronic databases and seven guideline clearinghous- es were searched for CPGs on LBP published between January 1, 2012 and December 20, 2022. Five reviewers in- dependently screened citations for eligible CPGs and ex- tracted the contents of guidelines that were admissible. The quality of the CPGs was then independently appraised by five reviewers using the AGREE II and AGREE-REX. The intraclass correlation coefficient was used to calculate in- ter-rater agreement for each domain and total score (ICC [2,1]).
Results:
We screened 21,427 citations from database searches and 21 from guideline clearinghouse websites, yielding 21 eligi- ble CPGs (10 non-specific LBP, 8 LBP with radiculopathy, 2 with disc herniation, and 1 isthmic spondylolisthesis) from 12 countries. Ten CPGs were rated as high quality by AGREE II. Seven CPGs were classified as high quality by AGREE-REX. The ICC values for both tools were excellent. The majority of CPGs recommend multimodal interventions, which main- ly include exercises, education, and cognitive behavioural therapies. The majority of the CPGs were found to have sig- nificant methodological limitations in the domains of Appli- cability in AGREE-II and Implementability in AGREE-REX.
Conclusion:
As the majority of the CPGs recommend multimodal ap- proaches, trials comparing the effectiveness of these ap- proaches are needed. CPG developers should make every effort to minimize methodological flaws during develop- ment.
Original language | English |
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Pages | 21 |
Number of pages | 1 |
Publication status | Published - 24 Jun 2023 |
Event | Hong Kong Physiotherapy Association 60th Anniversary Conference - Tsuen Wan , Hong Kong Duration: 24 Jun 2023 → 24 Jun 2023 |
Conference
Conference | Hong Kong Physiotherapy Association 60th Anniversary Conference |
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Country/Territory | Hong Kong |
City | Tsuen Wan |
Period | 24/06/23 → 24/06/23 |
Keywords
- Clinical practice guidelines
- Low Back Pain
- Systematic review