AI Article Synopsis
- The study aimed to summarize evidence-based guidelines for diagnosing low back disorders through a comprehensive review of 101 high or moderate quality articles.
- Diagnostic tests were graded based on the strength of evidence, with recommendations ranging from high (A) to low (C), and an expert consensus was formed for cases with insufficient evidence.
- Overall, the conclusion indicates that most patients with low back pain do not require diagnostic testing.
Article Abstract
Objective: The aim of this study was to summarize evidence-based diagnostic guidelines for low back disorders.
Methods: A comprehensive literature review was conducted. A total of 101 articles of high or moderate quality addressing low back disorders diagnostic evaluation met the inclusion criteria. Evidence-based recommendations were developed and graded from (A) to (C) in favor and against the specific diagnostic test, with (A) level having the highest quality body of literature. Expert consensus was employed for insufficient evidence (I) to develop consensus guidance.
Results: Recommendations are given for these diagnostic tests: functional capacity evaluations, roentgenograms (x-rays), magnetic resonance imaging (MRI), computerized tomography, myelography, bone scans, single proton emission computed tomography, electromyography, surface electromyography, ultrasound, thermography, fluoroscopy, videofluoroscopy, lumbar discography, MRI discography, and myeloscopy.
Conclusion: Diagnostic testing is not indicated for the majority of patients with low back pain.
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| http://dx.doi.org/10.1097/JOM.0000000000001551 | DOI Listing |
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