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International Guidelines for the Diagnostics and Treatment of Acute, Subacute, and Chronic Back Pain 

International Guidelines for the Diagnostics and Treatment of Acute, Subacute, and Chronic Back Pain
Chapter:
International Guidelines for the Diagnostics and Treatment of Acute, Subacute, and Chronic Back Pain
Author(s):

Maurits van Tulder

and Bart Koes

DOI:
10.1093/med/9780199558902.003.0116
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date: 20 April 2021

Evidence-based medicine has become increasingly more important over the past decade. The management of low back pain (LBP) has been positively affected by the availability of more scientific research and better use of critical appraisal techniques to evaluate and apply research findings (Chou 2005). A large number of systematic reviews are available within and outside the framework of the Cochrane Back Review Group that have evaluated the diagnostic and therapeutic interventions of LBP (Bombardier et al. 1997; Bouter et al. 2003). This large body of evidence has greatly improved our understanding of what does and does not work for LBP. However, in clinical practice this evidence should be integrated with the clinical expertise of the care provider and patient's preferences and expectations (Sackett 1996). Recently, the evidence from trials and reviews have formed the basis for clinical practice guidelines on the management of LBP that have been developed in various countries around the world (Koes et al. 2001). This chapter provides an overview of existing guidelines on LBP and discusses the challenges of implementation of these guidelines.

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