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National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy

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Stochkendahl, Mette Jensen ; Kjaer, Per ; Hartvigsen, Jan ; Kongsted, Alice ; Aaboe, Jens ; Andersen, Birthe Margrethe ; Andersen, Mikkel Ø ; Fournier, Gilles ; Højgaard, Betina ; Jensen, Martin Bach ; Jensen, Lone Donbæk ; Karbo, Ture ; Kirkeskov, Lilli ; Melbye, Martin ; Morsel-Carlsen, Lone ; Nordsteen, Jan ; Palsson, Thorvaldur Skuli ; Rasti, Zoreh ; Silbye, Peter Frost ; Steiness, Morten Zebitz ; Tarp, Simon ; Vaagholt, Morten. / National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. I: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 2018 ; Bind 27, Nr. 1. s. 60-75.

Bibtex

@article{05dd9500f180486d8371de26a85e9ecd,
title = "National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy",
abstract = "PURPOSE: 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.METHODS: Two multidisciplinary working groups formulated recommendations based on the GRADE approach.RESULTS: 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.CONCLUSION: 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.",
keywords = "Journal Article, Review",
author = "Stochkendahl, {Mette Jensen} and Per Kjaer and Jan Hartvigsen and Alice Kongsted and Jens Aaboe and Andersen, {Birthe Margrethe} and Andersen, {Mikkel {\O}} and Gilles Fournier and Betina H{\o}jgaard and Jensen, {Martin Bach} and Jensen, {Lone Donb{\ae}k} and Ture Karbo and Lilli Kirkeskov and Martin Melbye and Lone Morsel-Carlsen and Jan Nordsteen and Palsson, {Thorvaldur Skuli} and Zoreh Rasti and Silbye, {Peter Frost} and Steiness, {Morten Zebitz} and Simon Tarp and Morten Vaagholt",
note = "COPECARE",
year = "2018",
doi = "10.1007/s00586-017-5099-2",
language = "English",
volume = "27",
pages = "60--75",
journal = "European Spine Journal",
issn = "0940-6719",
publisher = "Springer",
number = "1",

}

RIS

TY - JOUR

T1 - National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy

AU - Stochkendahl, Mette Jensen

AU - Kjaer, Per

AU - Hartvigsen, Jan

AU - Kongsted, Alice

AU - Aaboe, Jens

AU - Andersen, Birthe Margrethe

AU - Andersen, Mikkel Ø

AU - Fournier, Gilles

AU - Højgaard, Betina

AU - Jensen, Martin Bach

AU - Jensen, Lone Donbæk

AU - Karbo, Ture

AU - Kirkeskov, Lilli

AU - Melbye, Martin

AU - Morsel-Carlsen, Lone

AU - Nordsteen, Jan

AU - Palsson, Thorvaldur Skuli

AU - Rasti, Zoreh

AU - Silbye, Peter Frost

AU - Steiness, Morten Zebitz

AU - Tarp, Simon

AU - Vaagholt, Morten

N1 - COPECARE

PY - 2018

Y1 - 2018

N2 - PURPOSE: 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.METHODS: Two multidisciplinary working groups formulated recommendations based on the GRADE approach.RESULTS: 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.CONCLUSION: 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.

AB - PURPOSE: 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.METHODS: Two multidisciplinary working groups formulated recommendations based on the GRADE approach.RESULTS: 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.CONCLUSION: 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.

KW - Journal Article

KW - Review

U2 - 10.1007/s00586-017-5099-2

DO - 10.1007/s00586-017-5099-2

M3 - Journal article

VL - 27

SP - 60

EP - 75

JO - European Spine Journal

JF - European Spine Journal

SN - 0940-6719

IS - 1

ER -

ID: 51499996