Nonpharmacologic and Pharmacologic Management of Acute Pain From Non-Low Back, Musculoskeletal Injuries in Adults: A Clinical Guideline From the American College of Physicians and American Academy of Family Physicians.
Publication/Presentation Date
11-3-2020
Abstract
DESCRIPTION: The American College of Physicians (ACP) and American Academy of Family Physicians (AAFP) developed this guideline to provide clinical recommendations on nonpharmacologic and pharmacologic management of acute pain from non-low back, musculoskeletal injuries in adults in the outpatient setting. The guidance is based on current best available evidence about benefits and harms, taken in the context of costs and patient values and preferences. This guideline does not address noninvasive treatment of low back pain, which is covered by a separate ACP guideline that has also been endorsed by AAFP.
METHODS: This guideline is based on a systematic evidence review on the comparative efficacy and safety of nonpharmacologic and pharmacologic management of acute pain from non-low back, musculoskeletal injuries in adults in the outpatient setting and a systematic review on the predictors of prolonged opioid use. We evaluated the following clinical outcomes using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system: pain (at ≤2 hours and at 1 to 7 days), physical function, symptom relief, treatment satisfaction, and adverse events.
TARGET AUDIENCE AND PATIENT POPULATION: The target audience is all clinicians, and the target patient population is adults with acute pain from non-low back, musculoskeletal injuries.
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Volume
173
Issue
9
First Page
739
Last Page
748
ISSN
1539-3704
Published In/Presented At
Qaseem, A., McLean, R. M., O'Gurek, D., Batur, P., Lin, K., Kansagara, D. L., Clinical Guidelines Committee of the American College of Physicians, Commission on Health of the Public and Science of the American Academy of Family Physicians, Cooney, T. G., Forciea, M. A., Crandall, C. J., Fitterman, N., Hicks, L. A., Horwitch, C., Maroto, M., McLean, R. M., Mustafa, R. A., Tufte, J., Vijan, S., & Williams, J. W., Jr (2020). Nonpharmacologic and Pharmacologic Management of Acute Pain From Non-Low Back, Musculoskeletal Injuries in Adults: A Clinical Guideline From the American College of Physicians and American Academy of Family Physicians. Annals of internal medicine, 173(9), 739–748. https://doi.org/10.7326/M19-3602
Disciplines
Medicine and Health Sciences
PubMedID
32805126
Department(s)
Department of Family Medicine
Document Type
Article