Prevention and treatment of low back pain
| Autor: | Nadine E Foster, Johannes R Anema, Dan Cherkin, Roger Chou, Steven P Cohen, Douglas P Gross, Paulo H Ferreira, Julie M Fritz, Bart W Koes, Wilco Peul, Judith A Turner, Chris G Maher, Rachelle Buchbinder, Jan Hartvigsen, Martin Underwood, Maurits van Tulder, Stephen P Cohen, Lucíola Menezes Costa, Peter Croft, Manuela Ferreira, Stéphane Genevay, Mark J Hancock, Damian Hoy, Jaro Karppinen, Alice Kongsted, Quinette Louw, Birgitta Öberg, Wilco C Peul, Glenn Pransky, Mark Schoene, Joachim Sieper, Rob J Smeets, Anthony Woolf |
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| Přispěvatelé: | Health Sciences, APH - Methodology, APH - Societal Participation & Health, General Practice, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, Revalidatiegeneeskunde |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Biopsychosocial model medicine.medical_specialty Diagnostic Imaging/economics SPINE SURGERY REFERRALS media_common.quotation_subject Best practice Psychological intervention MEDLINE PHYSIOTHERAPY MANAGEMENT UNITED-STATES PHYSICAL-THERAPISTS 03 medical and health sciences 0302 clinical medicine Promotion (rank) Pain Management/economics medicine MULTIDISCIPLINARY CARE PATHWAY Humans Cost-Benefit Analysis/standards 030212 general & internal medicine Intensive care medicine Low Back Pain/economics media_common United States Public Health Service/standards Analgesics Opioid/administration & dosage business.industry Public health Compensation (psychology) CLINICAL PATHWAYS General Medicine Chronic Pain/prevention & control United States/epidemiology Low back pain EMERGENCY-DEPARTMENT MEDICARE POPULATION POPULATION-BASED-INTERVENTION Female Practice Guidelines as Topic/standards medicine.symptom PRACTICE PATTERNS business 030217 neurology & neurosurgery |
| Zdroj: | Lancet Low Back Pain Series Working Group 2018, ' Prevention and treatment of low back pain: evidence, challenges, and promising directions ', The Lancet, vol. 391, no. 10137, pp. 2368-2383 . https://doi.org/10.1016/S0140-6736(18)30489-6 The Lancet, 391(10137), 2368-2383. Elsevier Limited Foster, N E, Anema, J R, Cherkin, D, Chou, R, Cohen, S P, Gross, D P, Ferreira, P H, Fritz, J M, Koes, B W, Peul, W C, Turner, J A, Maher, C G, Buchbinder, R, Hartvigsen, J, Cherkin, D, Foster, N E, Maher, C G, Underwood, M, van Tulder, M, Anema, J R, Chou, R, Cohen, S P, Menezes Costa, L, Croft, P, Ferreira, M, Ferreira, P H, Fritz, J M, Genevay, S, Gross, D P, Hancock, M J, Hoy, D, Karppinen, J, Koes, B W, Kongsted, A, Louw, Q, Öberg, B, Peul, W C, Pransky, G, Schoene, M, Sieper, J, Smeets, R J, Turner, J A, Woolf, A & Lancet Low Back Pain Series Working Group 2018, ' Prevention and treatment of low back pain : evidence, challenges, and promising directions ', The Lancet, vol. 391, no. 10137, pp. 2368-2383 . https://doi.org/10.1016/S0140-6736(18)30489-6 Lancet Low Back Pain Series Working Group 2018, ' Prevention and treatment of low back pain : evidence, challenges, and promising directions ', The Lancet, vol. 391, no. 10137, pp. 2368-2383 . https://doi.org/10.1016/S0140-6736(18)30489-6 Lancet, 391(10137), 2368-2383 Foster, N E, Anema, J R, Cherkin, D, Chou, R, Cohen, S P, Gross, D P, Ferreira, P H, Fritz, J M, Koes, B W, Peul, W C, Turner, J A, Maher, C G, Buchbinder, R, Hartvigsen, J, Cherkin, D, Foster, N E, Maher, C G, Lancet Low Back Pain Series Working Group, Underwood, M, van Tulder, M, Anema, J R, Chou, R, Cohen, S P, Menezes Costa, L, Croft, P, Ferreira, M, Ferreira, P H, Fritz, J M, Genevay, S, Gross, D P, Hancock, M J, Hoy, D, Karppinen, J, Koes, B W, Kongsted, A, Louw, Q, Öberg, B, Peul, W C, Pransky, G, Schoene, M, Sieper, J, Smeets, R J, Turner, J A & Woolf, A 2018, ' Prevention and treatment of low back pain : evidence, challenges, and promising directions ', The Lancet, vol. 391, no. 10137, pp. 2368-2383 . https://doi.org/10.1016/S0140-6736(18)30489-6 Lancet (UK), 391(10137), 2368-2383. Elsevier Ltd. Lancet, 391(10137), 2368-2383. Elsevier Science |
| ISSN: | 1474-547X 0140-6736 |
| DOI: | 10.1016/S0140-6736(18)30489-6 |
| Popis: | Many clinical practice guidelines recommend similar approaches for the assessment and management of low back pain. Recommendations include use of a biopsychosocial framework to guide management with initial non-pharmacological treatment, including education that supports self-management and resumption of normal activities and exercise, and psychological programmes for those with persistent symptoms. Guidelines recommend prudent use of medication, imaging, and surgery. The recommendations are based on trials almost exclusively from high-income countries, focused mainly on treatments rather than on prevention, with limited data for cost-effectiveness. However, globally, gaps between evidence and practice exist, with limited use of recommended first-line treatments and inappropriately high use of imaging, rest, opioids, spinal injections, and surgery. Doing more of the same will not reduce back-related disability or its long-term consequences. The advances with the greatest potential are arguably those that align practice with the evidence, reduce the focus on spinal abnormalities, and ensure promotion of activity and function, including work participation. We have identified effective, promising, or emerging solutions that could offer new directions, but that need greater attention and further research to determine if they are appropriate for large-scale implementation. These potential solutions include focused strategies to implement best practice, the redesign of clinical pathways, integrated health and occupational interventions to reduce work disability, changes in compensation and disability claims policies, and public health and prevention strategies. |
| Databáze: | OpenAIRE |
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