GuidelineEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2019
Danish national clinical guidelines for surgical and nonsurgical treatment of patients with lumbar spinal stenosis.
Guideline 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, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Non-operative treatment for lumbar spinal stenosis with neurogenic claudication: an updated systematic review.BMJ open · 2022Pooled it
- Exercise for Neuropathic Pain: A Systematic Review and Expert Consensus.Frontiers in medicine · 2021Pooled it
- Decompression with fusion versus decompression in the treatment of lumbar spinal stenosis: A systematic review and meta-analysis.Medicine · 2020Pooled it
- Prognostic Factors and Treatment Effect Modifiers for Acupuncture Response in Patients with Neurogenic Claudication of Degenerative Lumbar Spinal Stenosis: Secondary Analysis of a Randomized Controlled Trial.Journal of pain research · 2026Trial
- The Clinical Effectiveness of a Physiotherapy Delivered Physical and Psychological Group Intervention for Older Adults With Neurogenic Claudication: The BOOST Randomized Controlled Trial.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022Trial
- Nonsurgical interventions for lumbar spinal stenosis with neurogenic claudication: A systematic review and network meta-analysis.Integrative medicine research · 2026Article
- Use of prescribed analgesics before and after a standardised chiropractic care programme among patients with lumbar spinal stenosis: a nationwide cohort study.Chiropractic & manual therapies · 2026Article
- The long-term clinical course of non-surgically treated lumbar spinal stenosis: a systematic review and meta-analysis.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 · 2026Review
- Therapeutic exercise following lumbar spine surgery: a narrative review.North American Spine Society journal · 2025Article
- Disc bulging predicts poor outcomes of decompression surgery for lumbar spinal canal stenosis.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 · 2025Article
- Pain trajectories over 12 months following conservative care consultation in patients with lumbar spinal stenosis.BMC research notes · 2024Article
- Preoperative risk factors for nonsatisfaction after lumbar interbody fusion.Brain & spine · 2024Article
- A propensity-matched study of patients with symptomatic lumbar spinal stenosis opting for surgery versus not.Brain & spine · 2024Article
- Similar improvements in patient-reported outcomes for non-specific low back pain patients with and without lumbar spinal stenosis symptoms following a structured education and exercise therapy program.BMC musculoskeletal disorders · 2023Article
- Rehabilitation after lumbar spine surgery in adults: a systematic review with meta-analysis.Archives of physiotherapy · 2023Review
- Surgical trends and regional variation in Danish patients diagnosed with lumbar spinal stenosis between 2002 and 2018: a retrospective registry-based study of 83,783 patients.BMC health services research · 2023Article
- A Protocol for a Single-Centered, Pragmatic, Randomized, Controlled, Parallel Trial Comparing Comprehensive Nonsurgical Therapy Options for Individuals with Lumbar Spinal Stenosis.Journal of pain research · 2023Article
- Consensus on a standardised treatment pathway algorithm for lumbar spinal stenosis: an international Delphi study.BMC musculoskeletal disorders · 2022Article
- Surgery rates for lumbar spinal stenosis in Denmark between 2002 and 2018: a registry-based study of 43,454 patients.Acta orthopaedica · 2022Article
- The utilisation of regulated standardised care packages by Danish chiropractors: a mixed methods study.Chiropractic & manual therapies · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo summarize the recommendations from the national clinical guideline published by the Danish Health Authority regarding surgical and nonsurgical interventions in treatment of lumbar spinal stenosis in patients above the age of 65 years.
methodsA multidisciplinary working group formulated recommendations based on the GRADE approach.
resultsSeven of the recommendations were based on randomized controlled trials and three on professional consensus. The guideline recommends surgical decompression for symptomatic lumbar spinal stenosis. Supervised exercise and postsurgical supervised exercise are recommended due to the general beneficial effects of training on general health, even though there was no evidence on an effect on neurogenic pain. The guideline does not recommend manual therapy, paracetamol, NSAIDs, opioids, neurogenic pain medication, muscle relaxants, and decompression combined with instrumented fusion as there was no evidence of the beneficial effect.
conclusionThe recommendations are based on low to very low quality of evidence or professional consensus as well as patient preferences and positive or harmful effects of the intervention. The true treatment effect may therefore be different from the estimated effects, which is why the results should be interpreted with caution. The working group recommends intensified research in relation to all aspects of management of lumbar spinal stenosis. These slides can be retrieved under Electronic Supplementary Material.
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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.