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Evidence-informed management of chronic low back pain with needle acupuncture.

Abstract

The management of chronic low back pain (CLBP) has proven to be very challenging in North America, as evidenced by its mounting socioeconomic burden. Choosing among available nonsurgical therapies can be overwhelming for many stakeholders, including patients, health providers, policy makers, and third-party payers. Although all parties share a common goal and wish to use limited health-care resources to support interventions most likely to result in clinically meaningful improvements, there is often uncertainty about the most appropriate intervention for a particular patient. To help understand and evaluate the various commonly used nonsurgical approaches to CLBP, the North American Spine Society has sponsored this special focus issue to The Spine Journal, titled Evidence-Informed Management of Chronic Low Back Pain Without Surgery. Articles in this special focus issue were contributed by leading spine practitioners and researchers, who were invited to summarize the best available evidence for a particular intervention and encouraged to make this information accessible to nonexperts. Each of the articles contains five sections (description, theory, evidence of efficacy, harms, and summary) with common subheadings to facilitate comparison across the 24 different interventions profiled in this special focus issue, blending narrative and systematic review methodology as deemed appropriate by the authors. It is hoped that articles in this special focus issue will be informative and aid in decision making for the many stakeholders evaluating nonsurgical interventions for CLBP.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    University Health Network, Rehabilitation Solutions, Toronto Western Hospital, Fell Pavillion 4-132, 399 Bathurst Street, Toronto, Ontario, Canada MST 258.

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    Source

    MeSH

    Acupuncture Analgesia
    Chronic Disease
    Evidence-Based Medicine
    Humans
    Low Back Pain
    Needles

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    18164464