Chetty Laran
1 National Health Service, Occupational Health and Wellbeing Centre.
Workplace Health Saf. 2017 Sep;65(9):388-394. doi: 10.1177/2165079917702384. Epub 2017 May 23.
Low back pain (LBP) remains one of the most common and challenging musculoskeletal conditions encountered by health care professionals and is a leading cause of absenteeism. Clinical guidelines are often considered best evidence in health care. The aim of this critical review was to assess the quality and recommendations of LBP guidelines using the Appraisal of Guidelines Research and Evaluation (AGREE) instrument. Electronic databases were used to identify LBP guidelines published between 2000 and 2015. Nine guidelines were selected for review from a total of 17. Only five guidelines effectively addressed the AGREE scoring. On the basis of the appraisal and domain scores, only four guidelines were strongly recommended. Improved translation of research evidence from guidelines to clinical practice is needed.
腰痛（LBP）仍然是医疗保健专业人员遇到的最常见且具有挑战性的肌肉骨骼疾病之一，并且是旷工的主要原因。临床指南通常被视为医疗保健中的最佳证据。本批判性综述的目的是使用指南研究与评价（AGREE）工具评估腰痛指南的质量和建议。通过电子数据库识别2000年至2015年间发布的腰痛指南。从总共17份指南中选择了9份进行审查。只有5份指南有效地进行了AGREE评分。根据评估和领域得分，仅强烈推荐4份指南。需要改善从指南到临床实践的研究证据的转化。
