Background Lumbar disc herniation is one of the most common causes of low back pain,and the number of cases has been increasing year by year in recent years.High-quality guidelines can standardize clinical diagnosis and treatment behaviors and improve medical quality,and screening and formulating high-quality guidelines are of great significance for standardizing the clinical practice of lumbar intervertebral disc herniation.Objective To systematically evaluate the methodological quality of clinical practice guidelines and expert consensus for lumbar intervertebral disc herniation,and to analyze the high-quality guidelines and consensus recommendations,in order to provide reference for the prevention and treatment of lumbar intervertebral disc herniation.Methods Clinical practice guidelines and expert consensus on lumbar intervertebral disc herniation were searched from the establishment of each database to October 31,2023.At the same time,Dangdang.com and others were manually searched to obtain the guidelines for lumbar intervertebral disc herniation published in the form of monographs.After the consistency evaluation was passed by two researchers,the methodological quality of the included guidelines and consensus was evaluated using the AGREE Ⅱ tool,and the high-quality guidelines and consensus recommendations were analyzed.Results A total of 15 guidelines and consensus were included,and the final recommendation level of 9 guidelines was B(can be recommended after modification),and 6 guidelines and consensus were C(not recommended for the time being).Recommendations mainly include bed rest,medication,surgical treatment,etc.Conclusion The methodological quality of the clinical practice guidelines and expert consensus for lumbar intervertebral disc herniation needs to be further improved,and some treatment methods are controversial,and the recommendations of the guidelines need to be further improved and unified to optimize clinical practice.
维普
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