Back Pain Choices
Development of Back Pain Choices
The low back pain management algorithm, Back Pain Choices, was a distillation of the recommendations from evidence-based clinical practice guidelines produced by Australia’s National Health and Medical Research Council, The United Kingdom’s National Institute for Health and Clinical Excellence and the guideline jointly produced by the American Pain Society and American College of Physicians.
A beta version of Back Pain Choices was developed in April 2012. Key authors from the three parent guidelines (Prof Roger Chou, Prof Martin Underwood, Dr Simon French), and an expert GP musculoskeletal researcher (Prof Christian Mallon), reviewed the beta version to judge that the output fairly reflected the parent guidelines. Written comments were collated to common themes and changes were incorporated into the algorithm and Back Pain Choices.
The George Institute and The National Prescribing Service would like to acknowledge the valuable input from the following people who greatly assisted the development of Back Pain Choices:
- Professor Martin Underwood Head of Division, Division of Health Sciences, Warwick Medical School, The University of Warwick
- Professor Roger Chou, Department of Medicine, Oregon Health & Science University.
- Professor Christian Mallen, Professor of General Practice, Arthritis Research UK Primary Care Centre, Keele University, The United Kingdom
- Dr Simon French, Faculty of Medicine, Nursing and Health Sciences, Monash University
The following contributed to the development of Back Pain Choices:
- The George Institute for Global Health - Dr David Peiris; Mr Chris Williams; Prof Chris Maher; Dr Julie Redfern;
- NPS Better choices, Better health - Mr Christopher Hayward; Ms Mallory Allsopp; Dr James Reeve, Dr Jonathan Dartnell, Dr Clare Weston, Mr Mark Davis, Mr Michael Ahearn and Mr Andrew Sung-Hoon Jun, Mr Ben Smythe.
- Choi BK, Verbeek JH, Tam WW, Jiang JY. Exercises for prevention of recurrences of low-back pain. Cochrane Database Syst Rev (1):CD006555.
- Chou R, Baisden J, Carragee EJ, Resnick DK, Shaffer WO, Loeser JD. Surgery for low back pain: a review of the evidence for an American Pain Society Clinical Practice Guideline. Spine (Phila Pa 1976) 2009;34:1094-109.
- Chou R, Fu R, Carrino JA, Deyo RA. Imaging strategies for low-back pain: systematic review and meta-analysis. Lancet 2009;373:463-72.
- Chou R, Huffman LH. Medications for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med 2007;147(7):505-14.
- Chou R, Huffman LH. Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med 2007;147(7):492-504
- Chou R, Loeser JD, Owens DK, Rosenquist RW, Atlas SJ, Baisden J, et al. Interventional therapies, surgery, and interdisciplinary rehabilitation for low back pain: an evidence-based clinical practice guideline from the American Pain Society. Spine 2009;34(10):1066-77.
- Chou R, Qaseem A, Owens DK, Shekelle P. Diagnostic imaging for low back pain: advice for high-value health care from the American College of Physicians. Annals of Internal Medicine 2011;154(3):181-9.
- Chou R, Qaseem A, Snow V, Casey D, Cross JT, Jr., Shekelle P, et al. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine 2007;147(7):478-91.
- Cost B13 working group. European Guidelines for the Management of Chronic Non-Specific Low Back Pain: Cost B13 working group on guidelines for chronic low back pain, 2004.
- Hancock MJ, Maher CG, Latimer J, McLachlan AJ, Cooper CW, Day RO, et al. Assessment of diclofenac or spinal manipulative therapy, or both, in addition to recommended first-line treatment for acute low back pain: a randomised controlled trial. Lancet 2007;370:1638-43.
- Hayden JA, van Tulder MW, Tomlinson G. Systematic review: strategies for using exercise therapy to improve outcomes in chronic low back pain. Annals of Internal Medicine 2005;142:776-85.
- Henschke N, Maher CG, Refshauge KM, Herbert RD, Cumming RG, Bleasel J, et al. Prevalence of and screening for serious spinal pathology in patients presenting to primary care with acute low back pain. Arthritis Rheum 2009;60:3072-80.
- Koes B, van Tulder M, Lin C, Macedo L, McAuley J, Maher C. An updated overview of clinical guidelines for the management of low back pain in primary care. Eur Spine J 2010 19: 2075-94.
- Martimo KP, Verbeek J, Karppinen J, Furlan AD, Takala EP, Kuijer PP, et al. Effect of training and lifting equipment for preventing back pain in lifting and handling: systematic review. BMJ 2008;336:429-31.
- National Institute for Health and Clinical Excellence. Early management of persistent non-specific low back pain. Quick Reference Guide. London, 2009.
- National Institute for Health and Clinical Excellence. Early management of persistent non-specific low back pain. Information for people who use NHS services. London: National Institute for Health and Clinical Excellence, 2009.
- NHMRC. Evidence-Based Management of Acute Musculoskeletal Pain. Canberra: NHMRC, 2003.
- Peul WC, van Houwelingen HC, van den Hout WB, Brand R, Eekhof JA, Tans JT, et al. Surgery versus prolonged conservative treatment for sciatica. N Engl J Med 2007;356:2245-56.
- Professional Services Review. Report to the Professions 2008-2009. 2010. http://www.psr.gov.au/docs/publications/PSR_Report%20to%20the%20professionals_FINAL_WEB.PDF
- Sahar T, Cohen MJ, Uval-Ne'eman V, Kandel L, Odebiyi DO, Lev I, et al. Insoles for prevention and treatment of back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine (Phila Pa 1976) 2009;34:924-33.
- van Duijvenbode IC, Jellema P, van Poppel MN, van Tulder MW. Lumbar supports for prevention and treatment of low back pain. Cochrane Database Syst Rev 2008(2):CD001823.
- Waddell G. The Back Pain Revolution. 2nd ed. Edinburgh: Churchill Livingstone, 2004.
- Walker B, Muller R, Grant W. Low back pain in Australian adults. Health provider utilization and care seeking. J Manipulative Physiol Ther 2004;27:327-5.
- Walker B, Muller R, Grant W. Low back pain in Australian adults: the economic burden. Asia Pac J Public Health 2003;15:79-87.
- Wilk V, Palmer HD, Stosic RG, McLachlan AJ. Evidence and practice in the self-management of low back pain: findings from an Australian internet-based survey. Clin J Pain 2010;26:533-40.
- Williams CM, Maher CG, Hancock MJ, McAuley JH, McLachlan AJ, Britt H, et al. Low back pain and best practice care: A survey of general practice physicians. Arch Intern Med 2010;170:271-7.