Korean Medicine Clinical Practice Guidelines for Lumbar Herniated Intervertebral Disc in Adults: Based on Grading of Recommendations Assessment, Development and Evaluation (GRADE)

A significant number of individuals suffer from low back pain throughout their lifetime, and the medical costs related to low back pain and disc herniation are gradually increasing in Korea. Korean medicine interventions have been used for the treatment of lumbar intervertebral disc herniation. Ther...

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Bibliographic Details
Published in:Healthcare (Basel) 2022-01, Vol.10 (2), p.246
Main Authors: Goo, Bonhyuk, Jo, Min-Gi, Kim, Eun-Jung, Lee, Hyun-Jong, Kim, Jae-Soo, Nam, Dongwoo, Kang, Jung Won, Kim, Tae-Hun, Park, Yeon-Cheol, Baek, Yong-Hyeon, Nam, Sang-Soo, Lee, Myeong Soo, Seo, Byung-Kwan
Format: Article
Language:English
Subjects:
Acupuncture
Back pain
Bias
Clinical medicine
Clinical practice guidelines
Herbal medicine
Intervention
Manipulative therapy
Medical research
Medicine
Patients
Physicians
Questionnaires
Usability
Working groups
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Summary:A significant number of individuals suffer from low back pain throughout their lifetime, and the medical costs related to low back pain and disc herniation are gradually increasing in Korea. Korean medicine interventions have been used for the treatment of lumbar intervertebral disc herniation. Therefore, we aimed to update the existing Korean medicine clinical practice guidelines for lumbar intervertebral disc herniation. A review of the existing guidelines for clinical treatment and analysis of questionnaires targeting Korean medicine doctors were performed. Subsequently, key questions on the treatment method of Korean medicine used for disc herniation in actual clinical trials were derived, and drafts of recommendations were formed after literature searches using the Grading of Recommendations, Assessment, Development and Evaluation. An expert consensus was reached on the draft through the Delphi method and final recommendations were made through review by the development project team and the monitoring committee. Fifteen recommendations for seven interventions for lumbar disc herniation were derived, along with the grade of recommendation and the level of evidence. The existing Korean medicine clinical practice guidelines for lumbar intervertebral disc herniation have been updated. Continuous updates will be needed through additional research in the future.
ISSN:2227-9032
2227-9032
DOI:10.3390/healthcare10020246