nach oben

Erschienen in:

15.09.2018 | Review

A critical appraisal of the quality of low back pain practice guidelines using the AGREE II tool and comparison with previous evaluations: a EuroAIM initiative

verfasst von: Fabio Martino Doniselli, Moreno Zanardo, Luigi Manfrè, Giacomo Davide Edoardo Papini, Alex Rovira, Francesco Sardanelli, Luca Maria Sconfienza, Estanislao Arana

Erschienen in: European Spine Journal | Ausgabe 11/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To assess the methodologic quality of guidelines for the management of low back pain (LBP) and compare their recommendations.

Methods

No ethics committee approval was needed for this systematic review. In March 2017, a systematic search was performed using MEDLINE, EMBASE, National Guideline Clearinghouse, and National Institute for Health and Clinical Excellence to find practice guidelines of assessment and management of LBP. The evaluation of guidelines quality was performed independently by four authors using the AGREE II tool, and the results were compared with previous appraisals performed in 2004 and 2009.

Results

Of 114 retrieved guidelines, eight were appraised. All except one reached the level of “acceptable” in overall result, with two of them reaching the highest scores. Only two guidelines reached a level of “acceptable” in every domain; the others had at least one domain with low scores. The guidelines had the higher scores (range = 63–94%) on “Scope and purpose” and “Clarity of presentation” (47–89%). “Stakeholder Involvement” has the highest variability between the guidelines results (40–96%). “Rigor of Development” reached an intermediate mean result (34–90%), “Applicability” (42–70%), and “Editorial Independence” (38–85%). Only three guidelines had a radiologist among authors and reached higher scores compared to guidelines without a radiologist among the authors. Compared to previous assessments, low-level guidelines were 53% in 2004, 36% in 2009, and 13% in 2017.

Conclusions

Considering all guidelines, only one had a “low” overall score, while half of them were rated as of “high” quality. Future guidelines might take this into account to improve clinical applicability.

Graphical abstract

Nur mit Berechtigung zugänglich

Deyo RA, Weinstein JN (2001) Low back pain. N Engl J Med 344:363–370. https://doi.org/10.1056/NEJM200102013440508 CrossRefPubMed

Hoy D, March L, Brooks P et al (2014) The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis 73:968–974. https://doi.org/10.1136/annrheumdis-2013-204428 CrossRef

Croft PR, Macfarlane GJ, Papageorgiou AC et al (1998) Outcome of low back pain in general practice: a prospective study. BMJ 316:1356–1359. https://doi.org/10.1136/bmj.316.7141.1356 CrossRefPubMedPubMedCentral

Artus M, van der Windt D, Jordan KP et al (2014) The clinical course of low back pain: a meta-analysis comparing outcomes in randomised clinical trials (RCTs) and observational studies. BMC Musculoskelet Disord 15:68. https://doi.org/10.1186/1471-2474-15-68 CrossRefPubMedPubMedCentral

Breen A (2017) Low back pain: identifying sub-groups, clinical prediction rules and measuring results. Complement Ther Clin Pract. https://doi.org/10.1016/j.ctcp.2017.07.005 CrossRefPubMed

Chou R, Deyo RA, Jarvik JG (2012) Appropriate use of lumbar imaging for evaluation of low back pain. Radiol Clin N Am 50:569–585. https://doi.org/10.1016/j.rcl.2012.04.005 CrossRefPubMed

Andersen JC (2011) Is immediate imaging important in managing low back pain? J Athl Train 46:99–102. https://doi.org/10.4085/1062-6050-46.1.99 CrossRefPubMedPubMedCentral

Lavelle LP, Dunne RM, Carroll AG et al (2015) Evidence-based practice of radiology. Radiographics 35:1802–1813. https://doi.org/10.1148/rg.2015150027 CrossRefPubMed

Egger M, Smith GD, Altman DG (2008) Systematic reviews in health care: meta-analysis in context. BMJ Books, London. ISBN 978-0-727-91488-0

10.

Sardanelli F, Bashir H, Berzaczy D et al (2014) The role of imaging specialists as authors of systematic reviews on diagnostic and interventional imaging and its impact on scientific quality: report from the EuroAIM evidence-based radiology working group. Radiology 272:533–540. https://doi.org/10.1148/radiol.14131730 CrossRefPubMed

11.

Shaneyfelt TM, Mayo-Smith MF, Rothwangl J (1999) Are guidelines following guidelines? The methodological quality of clinical practice guidelines in the peer-reviewed medical literature. JAMA 281:1900–1905. https://doi.org/10.1001/jama.281.20.1900 CrossRefPubMed

12.

Grilli R, Magrini N, Penna A et al (2000) Practice guidelines developed by specialty societies: the need for a critical appraisal. Lancet 355:103–106. https://doi.org/10.1016/S0140-6736(99)02171-6 CrossRefPubMed

13.

van Tulder MW, Tuut M, Pennick V et al (2004) Quality of primary care guidelines for acute low back pain. Spine 29:E357–E362. https://doi.org/10.1097/01.brs.0000137056.64166.51 CrossRefPubMed

14.

Bouwmeester W, van Enst A, van Tulder M (2009) Quality of low back pain guidelines improved. Spine 34:2562–2567. https://doi.org/10.1097/brs.0b013e3181b4d50d CrossRefPubMed

15.

Dagenais S, Tricco AC, Haldeman S (2010) Synthesis of recommendations for the assessment and management of low back pain from recent clinical practice guidelines. Spine J 10:514–529CrossRef

16.

Brouwers MC, Kho ME, Browman GP et al (2010) AGREE II: Advancing guideline development, reporting and evaluation in healthcare. CMAJ 182:E839–E842. https://doi.org/10.1016/j.spinee.20 CrossRefPubMedPubMedCentral

17.

AGREE Next Steps Consortium (2017) The AGREE II Instrument [Electronic version]. http://www.agreetrust.org. Accessed 13 June 2018

18.

Messina C, Bignotti B, Tagliafico A et al (2017) A critical appraisal of the quality of adult musculoskeletal ultrasound guidelines using the AGREE II tool: an EuroAIM initiative. Insights Imaging 8:491–497. https://doi.org/10.1007/s13244-017-0563-4 CrossRefPubMedPubMedCentral

19.

Messina C, Bignotti B, Bazzocchi A et al (2017) A critical appraisal of the quality of adult dual-energy X-ray absorptiometry guidelines in osteoporosis using the AGREE II tool: an EuroAIM initiative. Insights Imaging 8:311–317. https://doi.org/10.1007/s13244-017-0553-6 CrossRefPubMedPubMedCentral

20.

Sekercioglu N, Al-Khalifah R, Ewusie JE et al (2017) A critical appraisal of chronic kidney disease mineral and bone disorders clinical practice guidelines using the AGREE II instrument. Int Urol Nephrol 49:273–284. https://doi.org/10.1007/s11255-016-1436-3 CrossRefPubMed

21.

Chiodo AE, Alvarez DJ, Graziano GP et al (2010) Acute low back pain. Clinical alignment and performance excellence. Updated 2010. http://www.med.umich.edu/1info/FHP/practiceguides/back/back.pdf. Accessed 13 June 2018

22.

Delitto A, George SZ, Van Dillen LR et al (2012) Low back pain. J Orthop Sports Phys Ther 42:A1–A57. https://doi.org/10.2519/jospt.2012.0301 CrossRefPubMedPubMedCentral

23.

Goertz M, Thorson D, Bonsell J et al (2012) Adult acute and subacute low back pain. Institute for Clinical Systems Improvement, Bloomington

24.

Toward Optimized Practice (TOP) Low Back Pain Working Group (2015) Evidence-informed primary care management of low back pain: clinical practice guideline. Edmonton, AB: Toward optimized practice. http://www.topalbertadoctors.org/cpgs/885801. Accessed 13 June 2018

25.

The National Guideline Centre (UK) (2016) Low back pain and sciatica in over 16 s: assessment and management. 2016, NICE, London. http://www.nice.org.uk/guidance/ng59. Accessed 13 June 2018

26.

Allegri M, Montella S, Salici F et al (2016) Mechanisms of low back pain: a guide for diagnosis and therapy. Version 2. F1000Res. https://f1000research.com/articles/5-1530/v2#article-reports. Accessed 13 June 2018

27.

Stochkendahl MJ, Kjaer P, Hartvigsen J et al (2018) National clinical guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy. Eur Spine J 27:60. https://doi.org/10.1007/s00586-017-5099-2 CrossRefPubMed

28.

Qaseem A, Wilt TJ, McLean RM et al (2017) Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann Internal Med 166:514–530. https://doi.org/10.7326/M16-2367 CrossRef

29.

Spitzer WO, LeBlanc FE, Dupuis M et al (1987) Scientific approach to the assessment and management of activity-related spinal disorders. Spine 12:S1–S59CrossRef

30.

Bigos S, Bowyer O, Braen G (1994) Acute low back problems in adults. Clinical practice guideline no. 14. AHCPR Publication No. 95-0642. Rockville, MD: Agency for Health Care Policy and Research, Public Health Service, U.S. Department of Health and Human Services

31.

Faas A, Chavannes AW, Koes BW et al (1996) NHG-Standard ‘lage-rugpijn’. Huisarts Wet 39:18–31

32.

Borkan JM, Reis S, Werner S et al (1996) Guidelines for the treatment of low back pain in primary care. Harefuah 130:145–151PubMed

33.

National Health Committee. National Advisory Committee on Health and Disability, Accident Rehabilitation and Compensation Insurance Corporation (1997) New Zealand acute low back pain guide. Wellington, New Zealand. https://www.healthnavigator.org.nz/media/1006/nz-acute-low-back-pain-guide-acc.pdf. Accessed 13 June 2018

34.

Kendall NAS, Linton SJ, Main CJ (1997) Guide to assessing psychosocial yellow flags in acute low back pain: risk factors for long-term disability and work loss. Accident Rehabilitation and Compensation Insurance Corporation of New Zealand and the National Health Committee, Wellington, New Zealand

35.

Malmivaara A, Kotilainen E, Laasonen E et al (1999) Clinical practice guidelines of the Finnish medical association duodecim. Diseases of the Low Back, Finland

36.

Keel P, Weber M, Roux E et al (1998) Kreuzschmerzen: Hintergrunde, Pravention, Behandlung. Verbindung der Schweizer rzte, Bern

37.

Veterans Health Administration (2001) Low back pain or sciatica in the primary care setting. Department of veterans affairs, office of quality and performance, Washington, DC. https://www.healthquality.va.gov/guidelines/Pain/lbp/VADoDLBPCPG092917.pdf. Accessed 13 June 2018

38.

Agency for Health Care Administration and the Florida Department of Health (1999) University of Florida patients with low back pain or injury: medical practice guidelines

39.

Nachemson AL, Jonsson E (2000) Neck and back pain: the scientific evidence of causes, diagnosis, and treatment. Lippincott Williams and Wilkins, Philadelphia

40.

Danish Institute for Health Technology Assessment (2000) Low back pain: frequency, management and prevention from a health technology perspective. National Board of Health, Copenhagen, Denmark. http://www.chiro.org/LINKS/GUIDELINES/FULL/Low_Back_Pain_Frequency_Management.shtml. Accessed 13 June 2018

41.

Arzneimittelkommission der deutschen rtzeschaft (2000) Empfehlungen zur Therapie von Kreuzschmerzen. Koln, Germany

42.

Abenhaim L, Rossignol M, Valat JP et al (2000) The role of activity in the therapeutic management of back pain. Report of the international Paris task force on back pain. Spine 25:1S–33SCrossRef

43.

Hutchinson A, Waddell G, Feder G et al (1996) Clinical guidelines for the management of acute low back pain. Royal College of General Practitioners, London. http://www.chiro.org/LINKS/GUIDELINES/FULL/Royal_College/index.html

44.

Bekkering GE, Hendriks HJM, Koes BW et al (2001) KNGF-richtlijn lage rugpijn. Ned Tijdschr Fysiother 111:1–24

45.

Institute for Clinical Systems Improvement (2001) Health care guideline: adult low back pain. Institute for Clinical Systems Improvement, Bloomington

46.

Philadelphia panel (2001) Philadelphia panel evidence-based clinical practice guidelines on selected rehabilitation interventions for low back pain. Phys Ther 81:1641–1674

47.

The Dutch Institute for Healthcare Improvement (2003) Clinical guideline for non-specific low back pain. Ned Tijdschr Fys 113:1–24 (in Dutch)

48.

Australian Acute Musculoskeletal Pain Guidelines Group (2003) Management of acute musculoskeletal pain (National Library of Australia Cataloguing-in-Publication). Brisbane, Australia: Australian Academic Press. http://www.sif-fisioterapia.it/wp-content/uploads/2014/12/Acute-Musculoscheletral-Pain-Australia-2003.pdf. Accessed 13 June 2018

49.

Airaksinen O, Brox JI, Cedraschi C et al (2006) European guidelines for the management of chronic non-specific low back pain. Eur Spine J 15:S192–S300. https://doi.org/10.1007/s00586-006-1072-1 CrossRefPubMedPubMedCentral

50.

Van Tulder MW, Becker A, Bekkering T et al (2006) European guidelines for the management of acute low back pain in primary care. Eur Spine J 15(Suppl 2):S169–S191. https://doi.org/10.1007/s00586-006-1071-2 CrossRefPubMedPubMedCentral

51.

National Health Committee (2004) New Zealand acute low back pain guide. National Advisory Committee on Health and Disability, Accident Rehabilitation and Compensation Insurance Corporation, Wellington, New Zealand. https://www.healthnavigator.org.nz/media/1006/nz-acute-low-back-pain-guide-acc.pdf. Accessed 13 June 2018

52.

Institute for Clinical Systems Improvement (ICSI) (2005) Adult low back pain. ICSI, Bloomington

53.

Bekkering GE, Hendriks HJM, Koes BW et al (2003) National practice guideline for the physiotherapeutic management of patients with low back pain. Physiotherapy 89:82–96. https://doi.org/10.1016/S0031-9406(05)60579-2 CrossRef

54.

Chavannes AW, Mens JMA, Koes BW et al (2005) Dutch general practice guideline for non-specific low back pain. Huisarts Wet 48:113–123 (in Dutch)

55.

Negrini S, Giovannoni S, Minozzi S et al (2006) Diagnostic therapeutic flow-charts for low back pain patients: the Italian clinical guidelines. Euro Medicophys 42:151–170

56.

Drug Committee of the German Medical Society (2007) Recommendations for treatment of low back pain. Koln, Germany (in German)

57.

Chou R, Qaseem A, Snow V, Clinical Efficacy Assessment Subcommittee of the American College of Physicians, American College of Physicians, American Pain Society Low Back Pain Guidelines Panel et al (2007) Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med 147:478–491. https://doi.org/10.7326/0003-4819-147-7-200710020-00006 CrossRefPubMed

58.

Friedrich M, Likar R (2007) Evidenz- und konsensusbasierte osterreichische Leitlinien fur das Management akuter und chronischer unspezifischer Kreuzschmerzen. Wien Klin Wochenschr 119:189–197CrossRef

59.

Rossignol M, Arsenault B, Dionne C et al (2007) Clinic on Low-back pain in interdisciplinary practice (CLIP) guidelines. http://www.santpub-mtl.qc.ca/clip. Accessed 13 June 2018

60.

Stubbs B, Koyanagi A, Thompson T et al (2016) The epidemiology of back pain and its relationship with depression, psychosis, anxiety, sleep disturbances, and stress sensitivity: data from 43 low- and middle-income countries. Gen Hosp Psychiatry 43:63–70. https://doi.org/10.1016/j.genhosppsych.2016.09.008 CrossRefPubMed

61.

Rego MH, Nagiah S (2016) Over-imaging in uncomplicated low back pain: a 12-month audit of a general medical unit. Intern Med J 46:1437–1439. https://doi.org/10.1111/imj.13279 CrossRefPubMed

62.

Jame SZ, Sari AA, Majdzadeh R et al (2014) The extent of inappropriate use of magnetic resonance imaging in low back pain and its contributory factors. Int J Prev Med 5:1029–1036PubMedPubMedCentral

63.

Gidwani R, Sinnott P, Avoundjian T et al (2016) Inappropriate ordering of lumbar spine magnetic resonance imaging: are providers Choosing Wisely? Am J Manag Care 22:e68–e76PubMed

64.

Emery DJ, Shojania KG, Forster AJ et al (2013) Overuse of magnetic resonance imaging. JAMA Intern Med 173:823–825. https://doi.org/10.1001/jamainternmed.2013.3804 CrossRefPubMed

65.

Avoundjian T, Gidwani R, Yao D et al (2016) Evaluating two measures of lumbar spine MRI overuse: administrative data versus chart review. J Am Coll Radiol 13:1057–1066. https://doi.org/10.1016/j.jacr.2016.04.013 CrossRefPubMed

66.

Oikarinen H, Meriläinen S, Pääkkö E et al (2009) Unjustified CT examinations in young patients. Eur Radiol 19:1161–1165. https://doi.org/10.1007/s00330-008-1256-7 CrossRefPubMed

67.

MacDermid JC, Brooks D, Solway S et al (2005) Reliability and validity of the AGREE instrument used by physical therapists in assessment of clinical practice guidelines. BMC Health Serv Res 5:18. https://doi.org/10.1186/1472-6963-5-18 CrossRefPubMedPubMedCentral

Titel: A critical appraisal of the quality of low back pain practice guidelines using the AGREE II tool and comparison with previous evaluations: a EuroAIM initiative
verfasst von: Fabio Martino Doniselli
Moreno Zanardo
Luigi Manfrè
Giacomo Davide Edoardo Papini
Alex Rovira
Francesco Sardanelli
Luca Maria Sconfienza
Estanislao Arana
Publikationsdatum: 15.09.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe 11/2018
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-018-5763-1

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

25.04.2024 | Hypertonie | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

A critical appraisal of the quality of low back pain practice guidelines using the AGREE II tool and comparison with previous evaluations: a EuroAIM initiative

Abstract

Purpose

Methods

Results

Conclusions

Graphical abstract

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Graphical abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 11/2018

A novel technique of cervical pedicle screw placement with a pilot screw under the guidance of intraoperative 3D imaging from C-arm cone-beam CT without navigation for safe and accurate insertion

Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview

Motion analysis of dynamic cervical implant stabilization versus anterior discectomy and fusion: a retrospective analysis of 70 cases

The prevalence of chronic low back pain and lumbar deformities in patients with Parkinson’s disease: implications on spinal surgery

Percutaneous ultrasonographic evaluation of the spinal cord after cervical laminoplasty: time-dependent changes

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Update Orthopädie und Unfallchirurgie