Empfehlungen für das Management nicht spezifischer Rückenschmerzen

2020 ◽  
Vol 24 (01) ◽  
pp. 6-7
Author(s):  
Arne Vielitz

Oliveira CB, Maher CG, Pinto RZ et al. Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview. Eur Spine J 2018; 27: 2791–2803. doi: 10.1007/s00586–018–5673–2. Epub 2018 Jul 3

2018 ◽  
Vol 27 (11) ◽  
pp. 2791-2803 ◽  
Author(s):  
Crystian B. Oliveira ◽  
Chris G. Maher ◽  
Rafael Z. Pinto ◽  
Adrian C. Traeger ◽  
Chung-Wei Christine Lin ◽  
...  

2017 ◽  
Vol 52 (8) ◽  
pp. 493-496 ◽  
Author(s):  
Chad E Cook ◽  
Steven Z George ◽  
Michael P Reiman

Screening for red flags in individuals with low back pain (LBP) has been a historical hallmark of musculoskeletal management. Red flag screening is endorsed by most LBP clinical practice guidelines, despite a lack of support for their diagnostic capacity. We share four major reasons why red flag screening is not consistent with best practice in LBP management: (1) clinicians do not actually screen for red flags, they manage the findings; (2) red flag symptomology negates the utility of clinical findings; (3) the tests lack the negative likelihood ratio to serve as a screen; and (4) clinical practice guidelines do not include specific processes that aid decision-making. Based on these findings, we propose that clinicians consider: (1) the importance of watchful waiting; (2) the value-based care does not support clinical examination driven by red flag symptoms; and (3) the recognition that red flag symptoms may have a stronger relationship with prognosis than diagnosis.


2012 ◽  
Vol 16 (4) ◽  
pp. 424-455 ◽  
Author(s):  
Lucie Brosseau ◽  
George A. Wells ◽  
Stéphane Poitras ◽  
Peter Tugwell ◽  
Lynn Casimiro ◽  
...  

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