Logo image
Back
Mapping guideline-informed care for chronic non-specific low back pain with the biopsychosocial approach: A rapid review
Journal article   Open access   Peer reviewed

Mapping guideline-informed care for chronic non-specific low back pain with the biopsychosocial approach: A rapid review

Matthew J Leach, Mike Climstein, Gary Fryer, Saravana Kumar and Tamara Agnew
Pain practice, Vol.23(5), pp.543-552
06/2023
DOI: https://doi.org/10.1111/papr.13214
PMID: 36853009
pdf
Mapping guideline-informed care for chronic non-specific low back pain with the biopsychosocial approach: A rapid review389.41 kBDownloadView
In Press Open Access CC BY-NC-ND V4.0
url
Mapping guideline-informed care for chronic non-specific low back pain with the biopsychosocial approach: A rapid reviewView
Published (Version of record) Open CC BY-NC-ND V4.0

Related links

Metrics

26 File views/ downloads
77 Record Views
9 Times Cited - Web of Science

UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

Source: InCites

Abstract

Clinical guidelines Biopsychosocial model Review Low back pain Multidisciplinary care
Background Current evidence favors a multidisciplinary biopsychosocial approach to the management of chronic non-specific low back pain (CLBP). However, it is unclear whether such an approach is facilitated by current clinical guidelines. This rapid review set out to examine the extent to which clinical guideline recommendations for managing CLBP address domains of the biopsychosocial approach. Methods MEDLINE, EMBASE, CINAHL, and the gray literature were searched for any clinical guidelines targeting the management of CLBP, published within the last 6 years. Title/abstract and full-text screening were undertaken by two reviewers using the accelerated approach. Data extraction and critical appraisal were completed by two reviewers, independently. Extracted data were synthesized in narrative form. Results Fifteen guidelines met the review inclusion criteria. One-half of the guidelines were considered to be of medium quality. All guidelines provided management recommendations addressing the biological domain of the biopsychosocial approach; 13 (87%) guidelines reported recommendations addressing the psychological domain, and 8 (53%) guidelines presented recommendations addressing the social domain. Only 53% (8/15) of guidelines reported recommendations addressing all three domains of the biopsychosocial approach. Guideline recommendations both across and within the biopsychosocial domains were varied and inconsistent. Conclusions The CLBP clinical guidelines included in this review provided detailed guidance on the biological domain, yet limited attention and detail were afforded to the psychological and social domains. Several recommendations are presented on how to improve the quality of future CLBP guidelines, and to help foster the provision of a biopsychosocial approach to CLBP management.

Details

Logo image