Evidence-informed management of chronic low back pain with functional restoration

Robert Joseph Gatchel, Tom G. Mayer

Research output: Contribution to journalReview article

40 Citations (Scopus)

Abstract

Editors' preface: The management of chronic low back pain (CLBP) has proven to be very challenging in North America, as evidenced by its mounting socioeconomic burden. Choosing amongst available nonsurgical therapies can be overwhelming for many stakeholders, including patients, health providers, policy makers, and third-party payers. Although all parties share a common goal and wish to use limited health-care resources to support interventions most likely to result in clinically meaningful improvements, there is often uncertainty about the most appropriate intervention for a particular patient. To help understand and evaluate the various commonly used nonsurgical approaches to CLBP, the North American Spine Society has sponsored this special focus issue of The Spine Journal, titled Evidence-Informed Management of Chronic Low Back Pain Without Surgery. Articles in this special focus issue were contributed by leading spine practitioners and researchers, who were invited to summarize the best available evidence for a particular intervention and encouraged to make this information accessible to nonexperts. Each of the articles contains five sections (description, theory, evidence of efficacy, harms, and summary) with common subheadings to facilitate comparison across the 24 different interventions profiled in this special focus issue, blending narrative and systematic review methodology as deemed appropriate by the authors. It is hoped that articles in this special focus issue will be informative and aid in decision making for the many stakeholders evaluating nonsurgical interventions for CLBP.

Original languageEnglish
Pages (from-to)65-69
Number of pages5
JournalSpine Journal
Volume8
Issue number1
DOIs
StatePublished - 1 Jan 2008

Fingerprint

Low Back Pain
Spine
Health Insurance Reimbursement
Health Resources
Health Policy
North America
Administrative Personnel
Uncertainty
Decision Making
Research Personnel
Delivery of Health Care
Therapeutics

Keywords

  • Biopsychosocial
  • Chronic low back pain
  • Functional restoration
  • Pain management

Cite this

Gatchel, Robert Joseph ; Mayer, Tom G. / Evidence-informed management of chronic low back pain with functional restoration. In: Spine Journal. 2008 ; Vol. 8, No. 1. pp. 65-69.
@article{e949c6702de14aae929f0d9e002790c4,
title = "Evidence-informed management of chronic low back pain with functional restoration",
abstract = "Editors' preface: The management of chronic low back pain (CLBP) has proven to be very challenging in North America, as evidenced by its mounting socioeconomic burden. Choosing amongst available nonsurgical therapies can be overwhelming for many stakeholders, including patients, health providers, policy makers, and third-party payers. Although all parties share a common goal and wish to use limited health-care resources to support interventions most likely to result in clinically meaningful improvements, there is often uncertainty about the most appropriate intervention for a particular patient. To help understand and evaluate the various commonly used nonsurgical approaches to CLBP, the North American Spine Society has sponsored this special focus issue of The Spine Journal, titled Evidence-Informed Management of Chronic Low Back Pain Without Surgery. Articles in this special focus issue were contributed by leading spine practitioners and researchers, who were invited to summarize the best available evidence for a particular intervention and encouraged to make this information accessible to nonexperts. Each of the articles contains five sections (description, theory, evidence of efficacy, harms, and summary) with common subheadings to facilitate comparison across the 24 different interventions profiled in this special focus issue, blending narrative and systematic review methodology as deemed appropriate by the authors. It is hoped that articles in this special focus issue will be informative and aid in decision making for the many stakeholders evaluating nonsurgical interventions for CLBP.",
keywords = "Biopsychosocial, Chronic low back pain, Functional restoration, Pain management",
author = "Gatchel, {Robert Joseph} and Mayer, {Tom G.}",
year = "2008",
month = "1",
day = "1",
doi = "10.1016/j.spinee.2007.10.012",
language = "English",
volume = "8",
pages = "65--69",
journal = "Spine Journal",
issn = "1529-9430",
publisher = "Elsevier Inc.",
number = "1",

}

Evidence-informed management of chronic low back pain with functional restoration. / Gatchel, Robert Joseph; Mayer, Tom G.

In: Spine Journal, Vol. 8, No. 1, 01.01.2008, p. 65-69.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Evidence-informed management of chronic low back pain with functional restoration

AU - Gatchel, Robert Joseph

AU - Mayer, Tom G.

PY - 2008/1/1

Y1 - 2008/1/1

N2 - Editors' preface: The management of chronic low back pain (CLBP) has proven to be very challenging in North America, as evidenced by its mounting socioeconomic burden. Choosing amongst available nonsurgical therapies can be overwhelming for many stakeholders, including patients, health providers, policy makers, and third-party payers. Although all parties share a common goal and wish to use limited health-care resources to support interventions most likely to result in clinically meaningful improvements, there is often uncertainty about the most appropriate intervention for a particular patient. To help understand and evaluate the various commonly used nonsurgical approaches to CLBP, the North American Spine Society has sponsored this special focus issue of The Spine Journal, titled Evidence-Informed Management of Chronic Low Back Pain Without Surgery. Articles in this special focus issue were contributed by leading spine practitioners and researchers, who were invited to summarize the best available evidence for a particular intervention and encouraged to make this information accessible to nonexperts. Each of the articles contains five sections (description, theory, evidence of efficacy, harms, and summary) with common subheadings to facilitate comparison across the 24 different interventions profiled in this special focus issue, blending narrative and systematic review methodology as deemed appropriate by the authors. It is hoped that articles in this special focus issue will be informative and aid in decision making for the many stakeholders evaluating nonsurgical interventions for CLBP.

AB - Editors' preface: The management of chronic low back pain (CLBP) has proven to be very challenging in North America, as evidenced by its mounting socioeconomic burden. Choosing amongst available nonsurgical therapies can be overwhelming for many stakeholders, including patients, health providers, policy makers, and third-party payers. Although all parties share a common goal and wish to use limited health-care resources to support interventions most likely to result in clinically meaningful improvements, there is often uncertainty about the most appropriate intervention for a particular patient. To help understand and evaluate the various commonly used nonsurgical approaches to CLBP, the North American Spine Society has sponsored this special focus issue of The Spine Journal, titled Evidence-Informed Management of Chronic Low Back Pain Without Surgery. Articles in this special focus issue were contributed by leading spine practitioners and researchers, who were invited to summarize the best available evidence for a particular intervention and encouraged to make this information accessible to nonexperts. Each of the articles contains five sections (description, theory, evidence of efficacy, harms, and summary) with common subheadings to facilitate comparison across the 24 different interventions profiled in this special focus issue, blending narrative and systematic review methodology as deemed appropriate by the authors. It is hoped that articles in this special focus issue will be informative and aid in decision making for the many stakeholders evaluating nonsurgical interventions for CLBP.

KW - Biopsychosocial

KW - Chronic low back pain

KW - Functional restoration

KW - Pain management

UR - http://www.scopus.com/inward/record.url?scp=37349106346&partnerID=8YFLogxK

U2 - 10.1016/j.spinee.2007.10.012

DO - 10.1016/j.spinee.2007.10.012

M3 - Review article

C2 - 18164455

AN - SCOPUS:37349106346

VL - 8

SP - 65

EP - 69

JO - Spine Journal

JF - Spine Journal

SN - 1529-9430

IS - 1

ER -