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. 2022 Oct;31(10):2650-2663.
doi: 10.1007/s00586-022-07288-7. Epub 2022 Jul 23.

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

Jeremy Y Ng  1 , Mitali Uppal  2 , Jeremy Steen  2
Affiliations

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

Jeremy Y Ng et al. Eur Spine J. 2022 Oct.

Abstract

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.

Keywords: AGREE II; Clinical practice guideline; Complementary and alternative medicine; Neck pain; Systematic review.

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References

    1. Ferrari R, Russell AS (2003) Neck pain. Best Pract Res Clin Rheumatol 17:57–70. https://doi.org/10.1016/S1521-6942(02)00097-9 - DOI - PubMed
    1. Guzman J, Hurwitz EL, Carroll LJ et al (2008) A new conceptual model of neck pain: linking onset, course, and care: the bone and joint decade 2000–2010 task force on neck pain and its associated disorders. Spine 33:S14. https://doi.org/10.1097/BRS.0b013e3181643efb - DOI - PubMed
    1. Hogg-Johnson S, van der Velde G, Carroll LJ et al (2008) The burden and determinants of neck pain in the general population: results of the bone and joint decade 2000–2010 task force on neck pain and its associated disorders. Spine 33:S39. https://doi.org/10.1097/BRS.0b013e31816454c8 - DOI - PubMed
    1. (2019) What can you do about non-specific neck pain? Institute for Quality and Efficiency in Health Care (IQWiG). https://www.ncbi.nlm.nih.gov/books/NBK338118
    1. Carroll LJ, Hogg-Johnson S, Côté P et al (2008) Course and prognostic factors for neck pain in workers: results of the bone and joint decade 2000–2010 task force on neck pain and its associated disorders. Spine 33:S93. https://doi.org/10.1097/BRS.0b013e31816445d4 - DOI - PubMed

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