Guideline Warfare Over Interventional Therapies for Low Back Pain: Can We Raise the Level of Discourse?

摘要: Abstract As guidelines proliferate and are used to inform efforts improve the quality efficiency of care, disputes over guideline recommendations likely become more common contentious. It is appropriate for come under close scrutiny, given their important clinical policy implications, critiques that point out missing evidence, improper methods, or errors in interpretation can be valuable. But valid, they should based on accurate information a sound scientific basis. A 2009 sponsored by American Pain Society (APS) use invasive tests interventional procedures found insufficient evidence make most procedures. was subsequently subject lengthy Interventional Physicians (ASIPP) sought challenge methods develop APS guideline, alleged review commissioned question integrity process. We show ASIPP contain numerous fail adhere standards reviewing provide suggestions how future regarding might addressed constructive manner. Perspective In order best serve patients clinicians, debates information, current methodological standards, acknowledge deficiencies when present, handle conflicts interest vigorous transparent