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2011, Number 3

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Cir Cir 2011; 79 (3)

Practice guidelines for the management of low back pain

Guevara-López U, Covarrubias-Gómez A, Elías-Dib J, Reyes-Sánchez A, Rodríguez-Reyna TS

Language: Spanish
References: 45
Page: 286-302
PDF size: 301.18 Kb.


ABSTRACT

It has been documented that pain in its diverse modalities is the most common cause of medical attention. In Mexico, an increase in its frequency has promoted its consideration in several health programs. On the other hand, inadequate pain management will cause severe physical, psychoaffective, and socioeconomic repercussions for patients, families, and public health services. Despite this panorama, there has not been an agreement to establish better diagnostic and therapeutic methods for the management of chronic pain. A consensus group was reunited and was integrated by medical experts from private and public institutions and from various states of the Mexican Republic. To assure the development of these practice guidelines, these experts had experience in the assessment and treatment of conditions causing pain. With the guidelines used by other consensus groups, meetings were held to analyze and discuss published literary evidence for the management of low back pain. The recommendations were classified according to their methodological strength. As a result of this meeting, consensus recommendations were based on evidence and operational conclusions of such proactive educational plans, institutional policies and diagnostic recommendations for pharmacological and nonpharmacological treatment in order for Mexican physicians to provide a better therapeutic approach to low back pain.


REFERENCES

  1. Jensen TS, Gottrup H, Kasch H, Nikolajsen L, Terkelsen AJ, Witting N. Has basic research contributed to chronic pain treatment? Acta Anaesthesiol Scand 2001;45:1128-1135.

  2. Harstall C, Ospina M. How prevalent is chronic pain? Pain Clin Update 2003;11:1-4.

  3. Covarrubias-Gómez A. Papel del anestesiólogo en el manejo del dolor crónico. Rev Mex Anest 2008;31(suppl 1):S235-S237.

  4. Gureje O, Von Korff M, Simon GE, Gater R. Persistent pain and wellbeing: a World Health Organization Study in Primary Care. JAMA 1998;280:147-151.

  5. Dirección General de Información en Salud. Base de datos de servicios otorgados y programas sustantivos en línea, 2000-2005. Sistema Nacional de Información en Salud (SINAIS). Secretaría de Salud. Disponible en http://www.sinais.salud.gob.mx/descargas/pdf/IB_2005.pdf

  6. Instituto Nacional de Estadística, Geografía e Informática. Banco de Información Económica. México. Disponible en http://dgcnesyp.inegi.org.mx/cgi-win/bdiecoy.exe/495?s=est&c=12499 (accessed February 4, 2009).

  7. Organization for Economic Cooperation and Development (OECD). OECD Health Data 2008. United States. Disponible en http://stats.oecd.org/health/

  8. Jacobs JM, Hammerman-Rozenberg R, Cohen A, Stessman J. Chronic back pain among the elderly: prevalence, associations, and predictors. Spine (Phila 1976) 2006;31:E203-E207.

  9. Dirección de Prestaciones Médicas. Motivos de consulta en medicina familiar en el IMSS. Rev Med IMSS 2003;41:441-448.

  10. Rico-Licona C. Incidencia de padecimientos ortopédicos en pacientes adultos atendidos en un hospital de asistencia privada. Acta Ortop Mex 2007;21:177-181.

  11. Guevara-López U, Covarrubias-Gómez A, Ochoa-Carrillo F, Fernández-Orozco A, Bernal-Sahagún R. Parámetros de práctica para el manejo del dolor en cáncer. Cir Cir 2006;74:381-396.

  12. American Society of Anesthesiologists Task Force on Acute Pain Management. Practice guidelines for acute pain management in the perioperative setting: an updated report by the American Society of Anesthesiologists Task Force on Acute Pain Management. Anesthesiology 2004;100:1573-1581.

  13. Guevara-López U, Covarrubias-Gómez A, Rodríguez-Cabrera R, Carrasco-Rojas A, Aragón G, Ayón-Villanueva H. Parámetros de práctica para el manejo del dolor en México. Cir Cir 2007;75:385-407.

  14. Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, McQuay HJ. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 1996;17:1-12.

  15. Khan KS, Daya S, Jadad A. The importance of quality in primary studies producing unbiased systematic reviews. Arch Intern Med 1996;156:661-666.

  16. Norma Oficial Mexicana. NOM-168-SSA1-1998, del expediente clínico. Disponible en http://bibliotecas.salud.gob.mx/cgi-bin/library?site=localhost&a=p&p=about&c=nomssa&ct=1&qto=3&l=es&w=utf-8

  17. Chou R, Qaseem A, Snow V, Casey D, Cross JT, Shekelle P, et al. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med 2007;147:478-491.

  18. European Commission. European Cooperation in the field of Scientific and Technical Research. COSTB13: Low back pain, guidelines for its management. Disponible en www.backpaineurope.org

  19. van Tulder M, Becker A, Bekkering T, Breen A, Gil del Real MT, Hutchinson A, et al. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J 2006;15(suppl 2):S169–S191.

  20. Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006;15 (suppl 2):S192-S300.

  21. van Tulder MW, Koes BW, Bouter LM. Conservative treatment of acute and chronic nonspecific low back pain: a systematic review of randomized controlled trials of the most common interventions. Spine 1997;22:2128-2156.

  22. Roelofs PD, Deyo RA, Koes BW, Scholten RJ, van Tulder MW. Nonsteroidal anti-inflammatory drugs for low back pain: an updated Cochrane review. Spine (Phila 1976) 2008;33:1766-1774.

  23. Davies RA, Maher CG, Hancock MJ. A systematic review of paracetamol for non-specific low back pain. Eur Spine J 2008;17:1423-1430.

  24. National Collaborating Centre for Chronic Conditions. Rheumatoid arthritis: national clinical guideline for management and treatment in adults. London: Royal College of Physicians; 2009.

  25. Luqmani R, Hennell S, Estrach C, Birrell F, Bosworth A, Davenport G, et al; British Society for Rheumatology; British Health Professionals in Rheumatology Standards, Guidelines and Audit Working Group. British Society for Rheumatology and British Health Professionals in Rheumatology. Guidelines for the management of rheumatoid arthritis (the first two years). Rheumatology 2006;45:1167-1169.

  26. Antman EM, Bennett JS, Daugherty A, Furberg C, Roberts H, Taubert KA. Use of Nonsteroidal Antiinflammatory Drugs: An Update for Clinicians: A Scientific Statement From the American Heart Association. Circulation 2007;115:1634-1642.

  27. Stanos SP. Topical agents for the management of musculoskeletal pain. J Pain Symptom Manage 2007;33:342-355.

  28. Hyllested M, Jones S, Pedersen JL, Kehlet H. Comparative effect of paracetamol, NSAIDs or their combination in postoperative pain management: a qualitative review. Br J Anaesth 2002;88:199-214.

  29. De Craen AJM, Di Giulio G, Lampe-Schoenmaeckers AJEM, Kessels AGH, Kleijnen J. Analgesic efficacy and safety of paracetamolcodeine combinations versus paracetamol alone: a systematic review. Br Med J 1996;313:321-325.

  30. Chou R, Fanciullo GJ, Fine PG, Adler JA, Ballantyne JC, Davies P, et al. American Pain Society–American Academy of Pain Medicine Opioids Guidelines Panel. Clinical guidelines for the use of chronic opioid therapy in chronic noncancer pain. J Pain 2009;10:113-130.

  31. van Tulder M, Touray T, Furlan A, Solway S, Bouter L. Cochrane Back Review Group. Muscle relaxants for nonspecific low back pain: a systematic review within the framework of the Cochrane Collaboration. Spine 2003;28:1978-1992.

  32. See S, Ginzburg R. Choosing a skeletal muscle relaxant. Am Fam Physician 2008;78:365-370.

  33. Royal College of General Practitioners. Clinical Guidelines for the Management of Acute Low Back Pain; London: 1996, 1999.

  34. Salerno SM, Browning R, Jackson JL. The effect of antidepressant treatment on chronic back pain: a meta-analysis. Arch Intern Med 2002;162:19-24.

  35. Fishbain D. Evidence-based data on pain relief with antidepressants. Ann Med 2000;32:305-316.

  36. Urquhart DM, Hoving JL, Assendelft WW, Roland M, van Tulder MW. Antidepressants for non-specific low back pain. Cochrane Database Syst Rev 2008;23(1):CD001703.

  37. Staiger TO, Gaster B, Sullivan MD, Deyo RA. Systematic review of antidepressants in the treatment of chronic low back pain. Spine 2003;28:2540-2545.

  38. Kroenke K, Krebs EE, Bair MJ. Pharmacotherapy of chronic pain: a synthesis of recommendations from systematic reviews. Gen Hosp Psychiatry 2009;31:206-219.

  39. McCleane G. Does gabapentin have an analgesic effect on background, movement and referred pain? A randomised, double-blind, placebo controlled study. The Pain Clinic 2001;13:103-107.

  40. Yildirim K, Sisecioglu M, Karatay S, Erdal A, Levent A, Ugur M, et al. The effectiveness of gabapentin in patients with chronic radiculopathy. Pain Clinic 2003;15:213-218.

  41. U.S. Preventive Services Task Force. Primary care interventions to prevent low back pain in adults: Recommendation statement. Am Family Phys 2005;71:2337- 2338.

  42. Waddell G, Feder G, Lewis M. Systematic reviews of bed rest and advice to stay active for acute low back pain. Br J Gen Pract 1997;47:647-652.

  43. Hagen KB, Jamtvedt G, Hilde G, Winnem MF. The updated Cochrane Review of bed rest for low back pain and sciatica. Spine 2005;30:542-546.

  44. Staal JB, de Bie R, de Vet HC, Hildebrandt J, Nelemans P. Injection therapy for subacute and chronic low-back pain. Cochrane Database Syst Rev 2008;16(3):CD001824.

  45. Chou R, Loeser JD, Owens DK, Rosenquist RW, Atlas SJ, Baisden J, et al; American Pain Society Low Back Pain Guideline Panel. Interventional therapies, surgery, and interdisciplinary rehabilitation for low back pain: an evidence-based clinical practice guideline from the American Pain Society. Spine 2009;34:1066-1077.




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