Title |
National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy
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Published in |
European Spine Journal, April 2017
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DOI | 10.1007/s00586-017-5099-2 |
Pubmed ID | |
Authors |
Mette Jensen Stochkendahl, Per Kjaer, Jan Hartvigsen, Alice Kongsted, Jens Aaboe, Margrethe Andersen, Mikkel Ø. Andersen, Gilles Fournier, Betina Højgaard, Martin Bach Jensen, Lone Donbæk Jensen, Ture Karbo, Lilli Kirkeskov, Martin Melbye, Lone Morsel-Carlsen, Jan Nordsteen, Thorvaldur Skuli Palsson, Zoreh Rasti, Peter Frost Silbye, Morten Zebitz Steiness, Simon Tarp, Morten Vaagholt |
Abstract |
To summarise recommendations about 20 non-surgical interventions for recent onset (<12 weeks) non-specific low back pain (LBP) and lumbar radiculopathy (LR) based on two guidelines from the Danish Health Authority. Two multidisciplinary working groups formulated recommendations based on the GRADE approach. Sixteen recommendations were based on evidence, and four on consensus. Management of LBP and LR should include information about prognosis, warning signs, and advise to remain active. If treatment is needed, the guidelines suggest using patient education, different types of supervised exercise, and manual therapy. The guidelines recommend against acupuncture, routine use of imaging, targeted treatment, extraforaminal glucocorticoid injection, paracetamol, NSAIDs, and opioids. Recommendations are based on low to moderate quality evidence or on consensus, but are well aligned with recommendations from international guidelines. The guideline working groups recommend that research efforts in relation to all aspects of management of LBP and LR be intensified. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 16 | 19% |
United Kingdom | 7 | 8% |
France | 4 | 5% |
United States | 3 | 4% |
Canada | 3 | 4% |
Denmark | 3 | 4% |
Australia | 2 | 2% |
Sweden | 2 | 2% |
Brazil | 2 | 2% |
Other | 9 | 11% |
Unknown | 33 | 39% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 58 | 69% |
Scientists | 17 | 20% |
Practitioners (doctors, other healthcare professionals) | 8 | 10% |
Science communicators (journalists, bloggers, editors) | 1 | 1% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 2 | <1% |
Australia | 1 | <1% |
Unknown | 759 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 120 | 16% |
Student > Bachelor | 107 | 14% |
Researcher | 59 | 8% |
Other | 47 | 6% |
Student > Doctoral Student | 47 | 6% |
Other | 145 | 19% |
Unknown | 237 | 31% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 200 | 26% |
Nursing and Health Professions | 164 | 22% |
Sports and Recreations | 34 | 4% |
Neuroscience | 26 | 3% |
Social Sciences | 13 | 2% |
Other | 62 | 8% |
Unknown | 263 | 35% |