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. 2022 Apr 15:13:144.
doi: 10.25259/SNI_220_2022. eCollection 2022.

Knowledge, attitudes, and behaviors regarding the use of clinical practice guidelines among spine surgeons in Latin America

Matheus Machado Rech  1 , Yan De Assunção Bicca  1 , Miguel Bertelli Ramos  1 , Murillo Cesar Gionedis  1 , Arthur Aguzzoli  1 , Asdrubal Falavigna  1
Affiliations

Knowledge, attitudes, and behaviors regarding the use of clinical practice guidelines among spine surgeons in Latin America

Matheus Machado Rech et al. Surg Neurol Int. .

Abstract

Background: Clinical Practice Guidelines (CPGs) are invaluable tools to assure evidence-based spine surgery care. In this study, we aimed to identify perceptions, barriers, and potential determinants for the use of CPG among Latin American spine surgeons.

Methods: A 28-item questionnaire regarding the use of CPGs was sent to the members of AO Spine Latin America. The questionnaire was subdivided into three sections: (1) demographic data; (2) perceptions and awareness of CPGs; (3) and potential barriers to CPG use. Multivariate logistic regression was performed to assess potential associations with CPG use.

Results: A total of 304 spine surgeons answered the questionnaire. Most of the participants were male (91.8%) and orthopedic spine surgeons (52.3%) who averaged 45-65 years of age. Most respondents were aware of some CPGs for spine care (68.8%) and reported using them (70.4%); lack of awareness about CPGs was the most frequent barrier to their use (65.1%).

Conclusion: Awareness of CPGs in spine surgery is of paramount importance for their use. Educational programs explaining the importance and benefits of spine care CPG surgical and clinical practice would increase the adherence of physicians to the guidelines.

Keywords: Evidence-based medicine; Guidelines; Neurosurgeon; Orthopedic surgeon; Spine.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1:
Figure 1:
Potential barriers to Clinical Practice Guidelines use. Total n=304.
See this image and copyright information in PMC

References

    1. Casey DE. Why don’t physicians (and patients) consistently follow clinical practice guidelines? JAMA Intern Med. 2013;173:1581–3. - PubMed
    1. de Macêdo Filho LJ, Aragão AC, Moura IA, Olivier LB, Albuquerque LA. Malpractice and socioeconomic aspects in neurosurgery: A developing-country reality. Neurosurg Focus. 2020;49:E13. - PubMed
    1. Falavigna A, Botelho RV, Teles AR, da Silva PG, Martins D, Guyot JP, et al. Twelve years of scientific production on Medline by Latin American spine surgeons. PLoS One. 2014;9:e87945. - PMC - PubMed
    1. Fehlings MG, Nater A. Development and implementation of guidelines in neurosurgery. Neurosurg Clin N Am. 2015;26:271–82, x. - PubMed
    1. Fischer F, Lange K, Klose K, Greiner W, Kraemer A. Barriers and strategies in guideline implementation a scoping review. Healthcare (Basel) 2016;4:E36. - PMC - PubMed

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