关键词: back pain clinical guideline epidural steroid injection intervention lumbar disorder minimally invasive spine procedure radiofrequency ablation spinal cord stimulation

来  源:   DOI:10.2147/JPR.S386879   PDF(Pubmed)

Abstract:
UNASSIGNED: Painful lumbar spinal disorders represent a leading cause of disability in the US and worldwide. Interventional treatments for lumbar disorders are an effective treatment for the pain and disability from low back pain. Although many established and emerging interventional procedures are currently available, there exists a need for a defined guideline for their appropriateness, effectiveness, and safety.
UNASSIGNED: The ASPN Back Guideline was developed to provide clinicians the most comprehensive review of interventional treatments for lower back disorders. Clinicians should utilize the ASPN Back Guideline to evaluate the quality of the literature, safety, and efficacy of interventional treatments for lower back disorders.
UNASSIGNED: The American Society of Pain and Neuroscience (ASPN) identified an educational need for a comprehensive clinical guideline to provide evidence-based recommendations. Experts from the fields of Anesthesiology, Physiatry, Neurology, Neurosurgery, Radiology, and Pain Psychology developed the ASPN Back Guideline. The world literature in English was searched using Medline, EMBASE, Cochrane CENTRAL, BioMed Central, Web of Science, Google Scholar, PubMed, Current Contents Connect, Scopus, and meeting abstracts to identify and compile the evidence (per section) for back-related pain. Search words were selected based upon the section represented. Identified peer-reviewed literature was critiqued using United States Preventive Services Task Force (USPSTF) criteria and consensus points are presented.
UNASSIGNED: After a comprehensive review and analysis of the available evidence, the ASPN Back Guideline group was able to rate the literature and provide therapy grades to each of the most commonly available interventional treatments for low back pain.
UNASSIGNED: The ASPN Back Guideline represents the first comprehensive analysis and grading of the existing and emerging interventional treatments available for low back pain. This will be a living document which will be periodically updated to the current standard of care based on the available evidence within peer-reviewed literature.
摘要:
未经证实:痛性腰椎疾患是美国和世界范围内致残的主要原因。腰椎疾病的介入治疗是治疗腰背痛引起的疼痛和残疾的有效方法。尽管目前有许多已建立和新兴的介入程序,对于它们的适当性,需要一个明确的指导方针,有效性,和安全。
UASSIGNED:ASPNBackGuideline的开发旨在为临床医生提供关于下背部疾病的介入治疗的最全面的综述。临床医生应利用ASPNBackGuideline来评估文献的质量,安全,下背部疾病介入治疗的疗效。
UNASSIGNED:美国疼痛与神经科学学会(ASPN)确定了对全面临床指南的教育需求,以提供循证建议。麻醉学领域的专家,Physiatry,神经病学,神经外科,放射学,和疼痛心理学制定了ASPN后指南。使用Medline搜索英语的世界文学,EMBASE,科克伦中部,BioMedCentral,WebofScience,谷歌学者,PubMed,当前内容连接,Scopus,和会议摘要,以确定和汇编与背部相关的疼痛的证据(每节)。搜索单词是根据所表示的部分选择的。使用美国预防服务工作组(USPSTF)标准对确定的同行评审文献进行了批评,并提出了共识点。
UNASSIGNED:在对现有证据进行全面审查和分析之后,ASPNBackGuideline组能够对文献进行评分,并为每种最常用的下腰痛介入治疗提供治疗等级.
UASSIGNED:ASPNBackGuideline是对现有和新兴的下腰痛介入治疗方法的首次综合分析和分级。这将是一份活文件,将根据同行评审文献中的可用证据定期更新为当前的护理标准。
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