Evidence map›Paper›PMID 20602122›Full record

ReviewEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2010

An updated overview of clinical guidelines for the management of non-specific low back pain in primary care.

Bart W Koes, Maurits van Tulder, Chung-Wei Christine Lin, Luciana G Macedo, James McAuley, Chris Maher

5 registry-linked trialsAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in 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, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 466 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
466citing papers in PubMed, 15 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03364075 phase2terminatednot on this mapstarted 2017, after this paper: background citation

Genetic Variants Associated With the Occurrence of Localized Low Back Pain or Low Back Pain With Widespread Pain Symptoms, and Their Response to Treatment With Duloxetine or Propranolol

TypeinterventionalSponsorMark WareRan2017 to 2018Enrolled10ConditionsLow Back PainArmsDuloxetine, Propranolol, Genotype for SNPs associated to Serotonin and COMT, Placebo Treatment
NCT03502187 nacompletednot on this mapstarted 2018, after this paper: background citation

Home-based Approaches for Subacute Low Back Pain in Active Duty: Randomized, Controlled Trial

TypeinterventionalSponsorUniversity of TennesseeRan2018 to 2020Enrolled133ConditionsSubacute Low Back PainArmsProgressive Exercise Plan, NeuromuscularElectricalStimulation(NMES), Primary Care Management (PCM)
NCT04744883 early_phase1active not recruitingnot on this mapstarted 2020, after this paper: background citation

Evaluating Specific and Non-Specific Mechanisms in Two Distinct Complementary/Integrative Interventions for Chronic Pain

TypeinterventionalSponsorRush University Medical CenterRan2020 to 2026Enrolled140ConditionsChronic Low-back PainArmsSpinal Manipulation Therapy (SMT), Naloxone, Placebo, Mindfulness Based Stress Reduction Therapy (MT)
NCT07178548 completednot on this mapstarted 2025, after this paper: background citation

Assessing Compliance With Low Back Pain Treatment Guidelines: Attitudes of Physiotherapists and Internship Students

TypeobservationalSponsorMedipol UniversityRan2025 to 2025Enrolled106ConditionsLow Back Pain, Guideline Adherence, Physiotherapist, Physiotherapist StudentsArmsOnline Survey
NCT07482527 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Thoracic Mobility Versus Hip Mobility Exercises to Core Stabilization in Lumbar Spondylitis

TypeinterventionalSponsorCairo UniversityRan2026 to 2026Enrolled60ConditionsIndividuals With Lumbar SpondylosisArmsGroup A : Core stabilization exercises (control group), Group B: Thoracic Mobility Exercises (1st experimental group only), Group C: Hip Mobility Exercises (2nd experimental group only)
3 · Its place in the literature

Who cites it

466 citing papers in PubMed, 15 syntheses or guidelines pooled it.

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  11. Acupuncture for the Management of Low Back Pain.Current pain and headache reports · 2021
    Pooled it
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  14. Non-steroidal anti-inflammatory drugs for acute low back pain.The Cochrane database of systematic reviews · 2020
    Pooled it
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406 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Bart W KoesDepartment of General Practice, Erasmus MC, PO Box 2040, 3000 CA Rotterdam, The Netherlands. b.koes@erasmusmc.nl
Maurits van Tulder
Chung-Wei Christine Lin
Luciana G Macedo
James McAuley
Chris Maher

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to present and compare the content of (inter)national clinical guidelines for the management of low back pain. To rationalise the management of low back pain, evidence-based clinical guidelines have been issued in many countries. Given that the available scientific evidence is the same, irrespective of the country, one would expect these guidelines to include more or less similar recommendations regarding diagnosis and treatment. We updated a previous review that included clinical guidelines published up to and including the year 2000. Guidelines were included that met the following criteria: the target group consisted mainly of primary health care professionals, and the guideline was published in English, German, Finnish, Spanish, Norwegian, or Dutch. Only one guideline per country was included: the one most recently published. This updated review includes national clinical guidelines from 13 countries and 2 international clinical guidelines from Europe published from 2000 until 2008. The content of the guidelines appeared to be quite similar regarding the diagnostic classification (diagnostic triage) and the use of diagnostic and therapeutic interventions. Consistent features for acute low back pain were the early and gradual activation of patients, the discouragement of prescribed bed rest and the recognition of psychosocial factors as risk factors for chronicity. For chronic low back pain, consistent features included supervised exercises, cognitive behavioural therapy and multidisciplinary treatment. However, there are some discrepancies for recommendations regarding spinal manipulation and drug treatment for acute and chronic low back pain. The comparison of international clinical guidelines for the management of low back pain showed that diagnostic and therapeutic recommendations are generally similar. There are also some differences which may be due to a lack of strong evidence regarding these topics or due to differences in local health care systems. The implementation of these clinical guidelines remains a challenge for clinical practice and research.

Indexed as

Practice Guidelines as TopicPrimary Health CareEvidence-Based MedicineHumansLow Back Pain

Identifiers

PMID20602122
PMCPMC2997201

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.