Neck pain clinical practice guidelines: a systematic review of the quality and quantity of complementary and alternative medicine recommendations

被引:3
|
作者
Ng, Jeremy Y. [1 ]
Uppal, Mitali [1 ]
Steen, Jeremy [1 ]
机构
[1] McMaster Univ, Dept Hlth Res Methods Evidence & Impact, Michael G DeGroote Ctr Learning & Discovery, Fac Hlth Sci, Rm 2112 1280 Main St West, Hamilton, ON L8S 4K1, Canada
关键词
Neck pain; Complementary and alternative medicine; Systematic review; AGREE II; Clinical practice guideline; 2000-2010; TASK-FORCE; AGREE II; HEALTH-CARE; ONTARIO PROTOCOL; MANAGEMENT; BONE; ACUPUNCTURE; PREVALENCE; DISORDERS; THERAPIES;
D O I
10.1007/s00586-022-07288-7
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background Individuals with neck pain frequently turn to complementary and alternative medicine (CAM) to seek relief. However, conventional healthcare providers often lack adequate CAM therapy knowledge to deliver informed recommendations to patients. The purpose of this study was to identify mention of CAM in neck pain clinical practice guidelines (CPG) and assess the quality of CAM recommendations using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) instrument. Methods MEDLINE, EMBASE and CINAHL were systematically searched from 2009 to 2020 in addition to the Guidelines International Network and National Center for Complementary and Integrative Health websites. Eligible CPGs providing CAM recommendations were assessed twice with the AGREE II instrument, once to assess the overall CPG and then once to assess the CAM sections specifically. Results From 643 unique search results, 15 CPGs on the treatment and/or management of neck pain were identified, and 8 made recommendations on CAM therapy. Regarding scaled domain percentages, the overall CPG scored higher than the CAM section for 5 of 6 domains (overall, CAM): (1) scope and purpose (93.4%, 93.1%), (2) stakeholder involvement (81.6%, 81.9%), (3) rigour of development (70.8%, 66.3%), (4) clarity of presentation (64.9%, 60.8%), (5) applicability (39.3%, 33.6%), and (6) editorial independence (47.9%, 45.3%). Conclusions Most neck pain CPGs made CAM recommendations. The quality of CAM recommendations is lower than overall recommendations across all domains with the exception of stakeholder involvement. This disparity highlights the need for CAM recommendations quality improvement. Although many patients with neck pain seek CAM therapies, few CPGs are available for healthcare providers and patients.
引用
收藏
页码:2650 / 2663
页数:14
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