Abstract
Objectives Undertake a systematic critical appraisal of contemporary clinical practice guidelines (CPGs) for common musculoskeletal (MSK) pain conditions: spinal (lumbar, thoracic and cervical), hip/knee (including osteoarthritis) and shoulder.
Design Systematic review of CPGs (PROSPERO number: CRD42016051653). Included CPGs were written in English, developed within the last 5 years, focused on adults and described development processes. Excluded CPGs were for: traumatic MSK pain, single modalities (eg, surgery), traditional healing/medicine, specific disease processes (eg, inflammatory arthropathies) or those that required payment.
Data sources and method of appraisal Four scientific databases (MEDLINE, Embase, CINAHL and Physiotherapy Evidence Database) and four guideline repositories. The Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument was used for critical appraisal.
Results 4664 records were identified, and 34 CPGs were included. Most were for osteoarthritis (n= 12) or low back pain (n= 11), most commonly from the USA (n= 12). The mean overall AGREE II score was 45% (SD= 19.7). Lowest mean domain scores were for applicability (26%, SD= 19.5) and editorial independence (33%, SD= 27.5). The highest score was for scope and purpose (72%, SD= 14.3). Only 8 of 34 CPGS were high quality: for osteoarthritis (n= 4), low back pain (n= 2), neck (n= 1) and shoulder pain (n= 1).
| Original language | English |
|---|---|
| Pages (from-to) | 337-+ |
| Number of pages | 8 |
| Journal | British Journal of Sports Medicine |
| Volume | 52 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 1 Mar 2018 |
Cite this
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Poor overall quality of clinical practice guidelines for musculoskeletal pain : a systematic review. / Lin, Ivan; Wiles, Louise K.; Waller, Robert; Goucke, Roger; Nagree, Yusuf; Gibberd, Michael; Straker, Leon; Maher, Christopher G.; O'Sullivan, Peter P. B.
In: British Journal of Sports Medicine, Vol. 52, No. 5, 01.03.2018, p. 337-+.Research output: Contribution to journal › Review article
TY - JOUR
T1 - Poor overall quality of clinical practice guidelines for musculoskeletal pain
T2 - a systematic review
AU - Lin, Ivan
AU - Wiles, Louise K.
AU - Waller, Robert
AU - Goucke, Roger
AU - Nagree, Yusuf
AU - Gibberd, Michael
AU - Straker, Leon
AU - Maher, Christopher G.
AU - O'Sullivan, Peter P. B.
PY - 2018/3/1
Y1 - 2018/3/1
N2 - Objectives Undertake a systematic critical appraisal of contemporary clinical practice guidelines (CPGs) for common musculoskeletal (MSK) pain conditions: spinal (lumbar, thoracic and cervical), hip/knee (including osteoarthritis) and shoulder.Design Systematic review of CPGs (PROSPERO number: CRD42016051653). Included CPGs were written in English, developed within the last 5 years, focused on adults and described development processes. Excluded CPGs were for: traumatic MSK pain, single modalities (eg, surgery), traditional healing/medicine, specific disease processes (eg, inflammatory arthropathies) or those that required payment.Data sources and method of appraisal Four scientific databases (MEDLINE, Embase, CINAHL and Physiotherapy Evidence Database) and four guideline repositories. The Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument was used for critical appraisal.Results 4664 records were identified, and 34 CPGs were included. Most were for osteoarthritis (n= 12) or low back pain (n= 11), most commonly from the USA (n= 12). The mean overall AGREE II score was 45% (SD= 19.7). Lowest mean domain scores were for applicability (26%, SD= 19.5) and editorial independence (33%, SD= 27.5). The highest score was for scope and purpose (72%, SD= 14.3). Only 8 of 34 CPGS were high quality: for osteoarthritis (n= 4), low back pain (n= 2), neck (n= 1) and shoulder pain (n= 1).
AB - Objectives Undertake a systematic critical appraisal of contemporary clinical practice guidelines (CPGs) for common musculoskeletal (MSK) pain conditions: spinal (lumbar, thoracic and cervical), hip/knee (including osteoarthritis) and shoulder.Design Systematic review of CPGs (PROSPERO number: CRD42016051653). Included CPGs were written in English, developed within the last 5 years, focused on adults and described development processes. Excluded CPGs were for: traumatic MSK pain, single modalities (eg, surgery), traditional healing/medicine, specific disease processes (eg, inflammatory arthropathies) or those that required payment.Data sources and method of appraisal Four scientific databases (MEDLINE, Embase, CINAHL and Physiotherapy Evidence Database) and four guideline repositories. The Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument was used for critical appraisal.Results 4664 records were identified, and 34 CPGs were included. Most were for osteoarthritis (n= 12) or low back pain (n= 11), most commonly from the USA (n= 12). The mean overall AGREE II score was 45% (SD= 19.7). Lowest mean domain scores were for applicability (26%, SD= 19.5) and editorial independence (33%, SD= 27.5). The highest score was for scope and purpose (72%, SD= 14.3). Only 8 of 34 CPGS were high quality: for osteoarthritis (n= 4), low back pain (n= 2), neck (n= 1) and shoulder pain (n= 1).
KW - LOW-BACK-PAIN
KW - KNEE OSTEOARTHRITIS
KW - GLOBAL BURDEN
KW - DISEASE 2010
KW - EUROPEAN-SOCIETY
KW - ECONOMIC-ASPECTS
KW - PRIMARY-CARE
KW - OF-INTEREST
KW - NECK PAIN
KW - AGREE II
U2 - 10.1136/bjsports-2017-098375
DO - 10.1136/bjsports-2017-098375
M3 - Review article
VL - 52
SP - 337-+
JO - British Journal of Sports Medicine
JF - British Journal of Sports Medicine
SN - 0306-3674
IS - 5
ER -