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; Tamara Agnew

doi:10.1111/papr.13214

Back

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

Appears in Recent Faculty of Health Publications

Files and links (2)

pdf

Mapping guideline-informed care for chronic non-specific low back pain with the biopsychosocial approach: A rapid review389.41 kBDownload View

In PressCC BY-NC-ND V4.0, Open Access

url

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

Published (Version of record)CC BY-NC-ND V4.0, Open

Metrics

10 File views/ downloads

65 Record Views

3 Times Cited - Web of Science

See more details

UN Sustainable Development Goals (SDGs)

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

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

Title: Mapping guideline-informed care for chronic non-specific low back pain with the biopsychosocial approach: A rapid review
Creators: Matthew J Leach - Southern Cross University
Mike Climstein - Southern Cross University
Gary Fryer - Victoria University
Saravana Kumar - University of South Australia
Tamara Agnew - Flinders University
Publication Details: Pain practice, Vol.23(5), pp.543-552
Publisher: Wiley
Grant note: Open access publishing facilitated by Southern Cross University, as part of the Wiley - Southern Cross University agreement via the Council of Australian University Librarians.
Identifiers: 991013093113802368
Copyright: © 2023 The Authors. Pain Practice published by Wiley Periodicals LLC on behalf of World Institute of Pain. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Academic Unit: National Centre for Naturopathic Medicine; Human Sciences; Faculty of Health
Language: English
Resource Type: Journal article

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

Files and links (2)

Metrics

UN Sustainable Development Goals (SDGs)

Abstract

Details

Southern Cross University Social media