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A user-friendly clinical practice guideline summary for managing low back pain in South Africa

BACKGROUND: Clinical practice guidelines (CPGs) provide conveniently packaged evidence-based recommendations to inform clinical decisions. However, intended end-users often do not know how to source, appraise, interpret or choose among CPGs. Moreover, it can be confusing when recommendations on the...

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Autores principales: Stander, Jessica, Grimmer, Karen, Brink, Yolandi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7059441/
https://www.ncbi.nlm.nih.gov/pubmed/32161826
http://dx.doi.org/10.4102/sajp.v76i1.1366
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author Stander, Jessica
Grimmer, Karen
Brink, Yolandi
author_facet Stander, Jessica
Grimmer, Karen
Brink, Yolandi
author_sort Stander, Jessica
collection PubMed
description BACKGROUND: Clinical practice guidelines (CPGs) provide conveniently packaged evidence-based recommendations to inform clinical decisions. However, intended end-users often do not know how to source, appraise, interpret or choose among CPGs. Moreover, it can be confusing when recommendations on the same topic differ among CPGs, in wording, intent and underpinning evidence. OBJECTIVES: This article reports on the processes of: (1) identifying current CPGs for acute and subacute low back pain (LBP) to fit the needs of South African physiotherapists, (2) collating and summarising CPG recommendations to produce a user-friendly end-user product and (3) testing the utility of the summary CPG document on South African physiotherapy clinicians to efficiently determine acceptability, appropriateness and feasibility to inform clinical decision-making. METHOD: An adapted approach was followed by systematically searching online CPG repositories and online databases for LBP CPGs; screening and critically appraising identified CPGs; summarising recommendations from relevant CPGs and organising them into clinical practice activities. Feedback on utility was obtained from 11 physiotherapists. RESULTS: Three high-quality, international CPGs provided 25 recommendations on the assessment and management of acute and subacute LBP relevant to South African physiotherapy practice. They were organised into 10 headings. Physiotherapy user feedback suggested that this document would assist in clinical decision-making. CONCLUSION: Organised recommendations extracted from multiple, relevant CPGs provide an end-user-friendly resource for physiotherapists treating LBP. CLINICAL IMPLICATIONS: Collated and organised CPG recommendations may effectively assist South African physiotherapists’ clinical decision-making in assessing and managing patients with acute and subacute LBP.
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spelling pubmed-70594412020-03-11 A user-friendly clinical practice guideline summary for managing low back pain in South Africa Stander, Jessica Grimmer, Karen Brink, Yolandi S Afr J Physiother Original Research BACKGROUND: Clinical practice guidelines (CPGs) provide conveniently packaged evidence-based recommendations to inform clinical decisions. However, intended end-users often do not know how to source, appraise, interpret or choose among CPGs. Moreover, it can be confusing when recommendations on the same topic differ among CPGs, in wording, intent and underpinning evidence. OBJECTIVES: This article reports on the processes of: (1) identifying current CPGs for acute and subacute low back pain (LBP) to fit the needs of South African physiotherapists, (2) collating and summarising CPG recommendations to produce a user-friendly end-user product and (3) testing the utility of the summary CPG document on South African physiotherapy clinicians to efficiently determine acceptability, appropriateness and feasibility to inform clinical decision-making. METHOD: An adapted approach was followed by systematically searching online CPG repositories and online databases for LBP CPGs; screening and critically appraising identified CPGs; summarising recommendations from relevant CPGs and organising them into clinical practice activities. Feedback on utility was obtained from 11 physiotherapists. RESULTS: Three high-quality, international CPGs provided 25 recommendations on the assessment and management of acute and subacute LBP relevant to South African physiotherapy practice. They were organised into 10 headings. Physiotherapy user feedback suggested that this document would assist in clinical decision-making. CONCLUSION: Organised recommendations extracted from multiple, relevant CPGs provide an end-user-friendly resource for physiotherapists treating LBP. CLINICAL IMPLICATIONS: Collated and organised CPG recommendations may effectively assist South African physiotherapists’ clinical decision-making in assessing and managing patients with acute and subacute LBP. AOSIS 2020-02-20 /pmc/articles/PMC7059441/ /pubmed/32161826 http://dx.doi.org/10.4102/sajp.v76i1.1366 Text en © 2020. The Authors https://creativecommons.org/licenses/by/4.0/ Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.
spellingShingle Original Research
Stander, Jessica
Grimmer, Karen
Brink, Yolandi
A user-friendly clinical practice guideline summary for managing low back pain in South Africa
title A user-friendly clinical practice guideline summary for managing low back pain in South Africa
title_full A user-friendly clinical practice guideline summary for managing low back pain in South Africa
title_fullStr A user-friendly clinical practice guideline summary for managing low back pain in South Africa
title_full_unstemmed A user-friendly clinical practice guideline summary for managing low back pain in South Africa
title_short A user-friendly clinical practice guideline summary for managing low back pain in South Africa
title_sort user-friendly clinical practice guideline summary for managing low back pain in south africa
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7059441/
https://www.ncbi.nlm.nih.gov/pubmed/32161826
http://dx.doi.org/10.4102/sajp.v76i1.1366
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