北美脊柱协会(NASS)的下腰痛诊断和治疗循证临床指南提供了诊断和治疗成人非特异性下腰痛的循证建议。该指南旨在反映截至2016年2月有关该主题的最高质量临床文献所反映的非特异性下腰痛的当代治疗概念。
该指南的目的是提供一种循证教育工具,以帮助脊柱专家为非特异性下腰痛的成年患者做出临床决定。本文简要总结了诊断和治疗这种疾病的循证指南建议。
这是一个指南摘要回顾。
本指南是NASS下腰痛工作组的产品。制定本指南的方法详见NASS网站上的完整指南和技术报告。简而言之,一个由脊柱护理专家组成的多学科工作组,旨在确定指南中需要解决的临床问题。文献检索策略是与医学图书馆员协商制定的。在完成系统的文献检索后,我们对指南中提出的与临床问题相关的证据进行了审查.工作组成员利用NASS证据表模板总结研究结论,确定学习的优点和缺点,并分配证据水平。工作组成员参加了网络广播和当面建议会议,以更新和制定基于证据的建议,并在必要时纳入专家意见。该指南草案已提交内部和外部同行评审程序,并最终由NASS董事会批准。
解决了82个临床问题,本文总结了答案。根据支持文献的证据水平对各自的建议进行分级。
基于证据的临床指南是使用循证医学技术和现有的最佳证据来帮助医生诊断和治疗非特异性下腰痛的成年患者。整个指南文件,包括证据表,文献检索参数,文献损耗流程图,对未来研究的建议,和所有的参考文献,可以在NASS网站上通过电子方式获得,网址为https://www。spine.org/ResearchClinicalCare/质量改进/临床指南。aspx.
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.
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.
This is a
guideline summary review.
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.
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.
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.