ArticleBMC musculoskeletal disorders2021
Determinants of clinical practice guidelines' utilization for the management of musculoskeletal disorders: a scoping review.
Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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.
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Who cites it
13 citing papers in PubMed.
- Psychological safety and primary care physicians' well-being, work conditions and guideline adherence behavior: a cross-sectional study in China.Global health action · 2025Article
- Cauda Equina Syndrome: A Survey of Guideline Utilisation in Primary Care in England.Musculoskeletal care · 2025Article
- Telerehabilitation Implementation: Perspectives from Physiotherapists Working in Complex Care.Physiotherapy Canada. Physiotherapie Canada · 2024Article
- 'Pain free if I ever will be': lived experience of workers seeking care for pain attributed to musculoskeletal disorders.BMC musculoskeletal disorders · 2024Article
- Current practice, guideline adherence, and barriers to implementation for Achilles tendinopathy rehabilitation: a survey of physical therapists and people with Achilles tendinopathy.BMJ open sport & exercise medicine · 2024Article
- Osteopathy Referrals to and from General Practitioners: Secondary Analysis of Practitioner Characteristics from an Australian Practice-Based Research Network.Healthcare (Basel, Switzerland) · 2023Article
- Guideline-Adherent Physiotherapy for Patients With Hip and Knee Osteoarthritis in Germany: Protocol for an Implementation Research Project Using the Theoretical Domains Framework and the Behavior Change Wheel.JMIR research protocols · 2023Article
- Barriers, facilitators and implementation strategies for guideline-adherence in physiotherapy: a scoping review protocol.BMJ open · 2023Article
- Physiotherapy for patients with hip and knee osteoarthritis in Germany: a survey of current practice.BMC musculoskeletal disorders · 2023Article
- Do chiropractic interns use clinical practice guidelines when managing patients with neck pain in France? A feasibility study.Chiropractic & manual therapies · 2022Article
- Does the implementation of clinical practice guidelines for low back and neck pain by physical therapists improve patient outcomes? A systematic review.Implementation science communications · 2022Review
- The utilisation of regulated standardised care packages by Danish chiropractors: a mixed methods study.Chiropractic & manual therapies · 2022Article
- Learning from the past to plan for the future: A scoping review of musculoskeletal clinical research in Sweden 2010-2020.Upsala journal of medical sciences · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextMany clinical practice guidelines have been developed for the management of musculoskeletal disorders (MSDs). However, there is a gap between evidence-based knowledge and clinical practice, and reasons are poorly understood. Understanding why healthcare providers use clinical practice guidelines is essential to improve their implementation, dissemination, and adherence.
aimTo identify determinants of clinical practice guidelines' utilization by health care providers involved in the assessment and management of MSDs.
methodA scoping review of the literature was conducted. Three databases were searched from inception to March 2021. Article identification, study design, methodological quality, type of healthcare providers, MSDs, barriers and facilitators associated with guidelines' utilization were extracted from selected articles.
results8671 citations were retrieved, and 43 articles were selected. 51% of studies were from Europe, and most were quantitative studies (64%) following a cross-sectional design (88%). Almost 80% of articles dealt with low back pain guidelines, and the most studied healthcare providers were general practitioners or physiotherapists. Five main barriers to guideline utilization were expressed by providers: 1) disagreement between recommendations and patient expectations; 2) guidelines not specific to individual patients; 3) unfamiliarity with "non-specific" term, or with the bio psychosocial model of MSDs; 4) time consuming; and 5) heterogeneity in guideline methods. Four main facilitators to guideline utilization were cited: 1) clinician's interest in evidence-based practice; 2) perception from clinicians that the guideline will improve triage, diagnosis and management; 3) time efficiency; and 4) standardized language.
conclusionIdentifying modifiable determinants is the first step in developing implementation strategies to improve guideline utilization in clinical practice.
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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.