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Anales del Sistema Sanitario de Navarra

versión impresa ISSN 1137-6627


ANGEL GARCIA, D.; MARTINEZ NICOLAS, I.; SATURNO HERNANDEZ, P.J.  y  LOPEZ SORIANO, F.. Clinical approach to chronic lumbar pain: a systematic review of recommendations included in existing practice guidelines. Anales Sis San Navarra [online]. 2015, vol.38, n.1, pp.117-130. ISSN 1137-6627.

This paper presents a systematic review of clinical practice guidelines based on evidence, with explicit recommendations on the treatment of chronic low back pain. The main objective was to analyze their content and provide a synthesis in order to improve the translation of this evidence into practice. The recommendations were analyzed and then classified by treatment; evidence level and strength of recommendation were identified and translated into our gradation system. Eight guidelines met the inclusion criteria. Exercise and back school treatment are shown as the best therapies. Pharmacotherapy is indicated during short periods of time. The guidelines analyzed show similar therapeutic approaches. The recommendations have been synthesized in order to allow clinical selection of the best treatment and avoid bad practices with their corresponding costs, providing a more efficient management of the patient.

Palabras clave : Low back chronic pain; Pain management; Practice guideline; Evidence-based practice.

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