Poor overall quality of clinical practice guidelines for musculoskeletal pain: a systematic review
© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. OBJECTIVES: Undertake a systematic critical appraisal of contemporary clinical practice guidelines (CPGs) for co...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Journal Article |
| Published: |
BMJ Group
2018
|
| Online Access: | http://hdl.handle.net/20.500.11937/68727 |
| _version_ | 1848761875306643456 |
|---|---|
| author | Lin, I. Wiles, L. Waller, Rob Goucke, R. Nagree, Y. Gibberd, M. Straker, Leon Maher, C. O'Sullivan, P. |
| author_facet | Lin, I. Wiles, L. Waller, Rob Goucke, R. Nagree, Y. Gibberd, M. Straker, Leon Maher, C. O'Sullivan, P. |
| author_sort | Lin, I. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. OBJECTIVES: Undertake a systematic critical appraisal of contemporary clinical practice guidelines (CPGs) for common musculoskeletal (MSK) pain conditions: spinal (lumbar, thoracic and cervical), hip/knee (including osteoarthritis) and shoulder.DESIGN: Systematic review of CPGs (PROSPERO number: CRD42016051653).Included CPGs were written in English, developed within the last 5?years, focused on adults and described development processes. Excluded CPGs were for: traumatic MSK pain, single modalities (eg, surgery), traditional healing/medicine, specific disease processes (eg, inflammatory arthropathies) or those that required payment.DATA SOURCES AND METHOD OF APPRAISAL: Four scientific databases (MEDLINE, Embase, CINAHL and Physiotherapy Evidence Database) and four guideline repositories. The Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument was used for critical appraisal.RESULTS: 4664 records were identified, and 34 CPGs were included. Most were for osteoarthritis (n=12) or low back pain (n=11), most commonly from the USA (n=12). The mean overall AGREE II score was 45% (SD=19.7). Lowest mean domain scores were for applicability (26%, SD=19.5) and editorial independence (33%, SD=27.5). The highest score was for scope and purpose (72%, SD=14.3). Only 8 of 34 CPGS were high quality: for osteoarthritis (n=4), low back pain (n=2), neck (n=1) and shoulder pain (n=1). |
| first_indexed | 2025-11-14T10:38:37Z |
| format | Journal Article |
| id | curtin-20.500.11937-68727 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:38:37Z |
| publishDate | 2018 |
| publisher | BMJ Group |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-687272018-06-29T12:35:36Z Poor overall quality of clinical practice guidelines for musculoskeletal pain: a systematic review Lin, I. Wiles, L. Waller, Rob Goucke, R. Nagree, Y. Gibberd, M. Straker, Leon Maher, C. O'Sullivan, P. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. OBJECTIVES: Undertake a systematic critical appraisal of contemporary clinical practice guidelines (CPGs) for common musculoskeletal (MSK) pain conditions: spinal (lumbar, thoracic and cervical), hip/knee (including osteoarthritis) and shoulder.DESIGN: Systematic review of CPGs (PROSPERO number: CRD42016051653).Included CPGs were written in English, developed within the last 5?years, focused on adults and described development processes. Excluded CPGs were for: traumatic MSK pain, single modalities (eg, surgery), traditional healing/medicine, specific disease processes (eg, inflammatory arthropathies) or those that required payment.DATA SOURCES AND METHOD OF APPRAISAL: Four scientific databases (MEDLINE, Embase, CINAHL and Physiotherapy Evidence Database) and four guideline repositories. The Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument was used for critical appraisal.RESULTS: 4664 records were identified, and 34 CPGs were included. Most were for osteoarthritis (n=12) or low back pain (n=11), most commonly from the USA (n=12). The mean overall AGREE II score was 45% (SD=19.7). Lowest mean domain scores were for applicability (26%, SD=19.5) and editorial independence (33%, SD=27.5). The highest score was for scope and purpose (72%, SD=14.3). Only 8 of 34 CPGS were high quality: for osteoarthritis (n=4), low back pain (n=2), neck (n=1) and shoulder pain (n=1). 2018 Journal Article http://hdl.handle.net/20.500.11937/68727 10.1136/bjsports-2017-098375 BMJ Group restricted |
| spellingShingle | Lin, I. Wiles, L. Waller, Rob Goucke, R. Nagree, Y. Gibberd, M. Straker, Leon Maher, C. O'Sullivan, P. Poor overall quality of clinical practice guidelines for musculoskeletal pain: a systematic review |
| title | Poor overall quality of clinical practice guidelines for musculoskeletal pain: a systematic review |
| title_full | Poor overall quality of clinical practice guidelines for musculoskeletal pain: a systematic review |
| title_fullStr | Poor overall quality of clinical practice guidelines for musculoskeletal pain: a systematic review |
| title_full_unstemmed | Poor overall quality of clinical practice guidelines for musculoskeletal pain: a systematic review |
| title_short | Poor overall quality of clinical practice guidelines for musculoskeletal pain: a systematic review |
| title_sort | poor overall quality of clinical practice guidelines for musculoskeletal pain: a systematic review |
| url | http://hdl.handle.net/20.500.11937/68727 |