Royal College of General Practitioners Guidelines on bed rest in acute low back pain: A need for re-evaluation

R. Macdonald
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Abstract

Abstract A critique, originally circulated 15 years ago, of the use of evidence in guidelines concerning rest in low-back pain, is reproduced. The conceptual background against which evidence was considered is discussed with the suggestion that attempts to reconcile data and concept resulted in advice on treatment which is now being questioned. It is necessary to be vigilant lest expectations of evidence unduly influence its assessment.
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皇家全科医师学会急性腰痛卧床休息指南:需要重新评估
摘要:本文转载了一篇15年前流传的关于下背部疼痛休息指南中使用证据的评论。本文讨论了审议证据所依据的概念背景,并提出了一项建议,即试图使数据和概念相协调,从而产生了关于治疗的建议,而这一建议现在正受到质疑。有必要保持警惕,以免对证据的期望不当地影响对证据的评估。
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