Non-operative treatments for lumbar disc herniation: an evidence-based practice guideline_Chinese Journal of Evidence-Based Medicine

Authors：

GE Long ^1,2 , LI Jing ^1,3 , SHANG Wenru ³ , XING Xin ³ , NIU Junqiang ^3,4 , MIN Kaili ⁵ , HUI Xu ^1,3 , HE Shenghua ⁶ , JIANG Hong ⁷ , JIAO Feng ⁸ , YAO Yuan ⁹ , DONG Jingshi ⁹ , XU Qian ¹⁰ , HAO Guoxiong ¹⁰ , LENG Xiangyang ¹¹ , LI Gang ¹² , LIN Dingkun ¹³ , LIU Jun ¹⁴ , MA Weihu ¹⁵ , MO Wen ¹⁶ , SHI Xiaolin ¹⁷ , SONG Min ¹⁰ , WANG Yongjun ¹⁸ , WANG Yongping ⁴ , YAO Xiaosheng ¹⁹ , YU Jie ²⁰ , ZHAN Hongsheng ²¹ , ZHU Liguo ²⁰ , XIE Xingwen ²² , XING Dan ²³ , DU Liang ²⁴ , LU Weizhong ²⁵ , GUO Ke ^1,3 , LI Zijun ^1,3 , LI Xiuxia ¹ , LI Meixuan ³ , LI Yanfei ³ , ZHANG Licun ¹⁰ ,  ZHAO Jirong ¹⁰ , YANG Kehu ^2,3

1. Department of Health Policy and Management, School of Public Health, Lanzhou University, Lanzhou 730000, P. R. China;
2. World Health Organization Collaborating Center for Guideline Implementation and Knowledge Transformation/Gansu Provincial Medical Guidelines Industry Technology Center, Lanzhou 730000, P. R. China;
3. Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, P. R. China;
4. The First Hospital of Lanzhou University, Lanzhou 730000, P. R. China;
5. The Second Clinical Medical College of Lanzhou University, Lanzhou 730000, P. R. China;
6. Shenzhen Hospital of Traditional Chinese Medicine, Shenzhen 518033, P. R. China;
7. Suzhou Affiliated Hospital of Nanjing University of Chinese Medicine, Suzhou 215000, P. R. China;
8. Guangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Guangzhou 510000, P. R. China;
9. The First Clinical Medical College of Lanzhou University, Lanzhou 730000, P. R. China;
10. Gansu University of Traditional Chinese Medicine, Lanzhou 730000, P. R. China;
11. Changchun University of Traditional Chinese Medicine, Changchun 130000, P. R. China;
12. Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250000, P. R. China;
13. Guangzhou University of Traditional Chinese Medicine, Guangzhou 510000, P. R. China;
14. The Second Hospital of Traditional Chinese Medicine of Guangdong Province, Guangzhou 510000, P. R. China;
15. Ningbo Sixth Hospital, Ningbo 315000, P. R. China;
16. Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200000, P. R. China;
17. The Second Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine, Hangzhou 310000, P. R. China;
18. Shanghai University of Traditional Chinese Medicine, Shanghai 200000, P. R. China;
19. Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang 110000, P. R. China;
20. Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100000, P. R. China;
21. Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200000, P. R. China;
22. Affiliated Hospital of Gansu University of Traditional Chinese Medicine, Lanzhou 730000, P. R. China;
23. Peking University People’s Hospital, Beijing 100000, P. R. China;
24. West China Hospital of Sichuan University, Chengdu 610041, P. R. China;
25. Chongqing Hospital of Traditional Chinese Medicine, Chongqing 404100, P. R. China;

Corresponding author：

ZHAO Jirong, Email: zhaojirong0709@163.com

Keywords：

Lumbar disc herniation; Non-operative treatments; Evidence-based practice guideline

DOI：

10.7507/1672-2531.202309143

Video：

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Lumbar disc herniation (LDH) is one of the most important causes of back and leg pain, which seriously affects the quality of life of patients. As the first-line treatment for LDH, non-operative treatment can relieve 80% to 90% of symptoms among the patients with LDH. This guideline followed Guidelines for the Formulation/Revision of Clinical Treatment Guidelines in China (2022 edition) and WHO handbook for guideline development (2014 edition) to set up guideline working group. This guideline identified fourteen clinical questions through the literature review and clinical experts’ consensus. We drafted the recommendations after systematically searching and evaluating the evidence; delphi method was adopted for expert consensus on the preliminary recommendations, finally, 19 recommendations were made to guide non-operative treatments for LDH. This guideline can provide guidance for the clinical practice of Chinese and western orthopedics practitioners.

Citation： GE Long, LI Jing, SHANG Wenru, XING Xin, NIU Junqiang, MIN Kaili, HUI Xu, HE Shenghua, JIANG Hong, JIAO Feng, YAO Yuan, DONG Jingshi, XU Qian, HAO Guoxiong, LENG Xiangyang, LI Gang, LIN Dingkun, LIU Jun, MA Weihu, MO Wen, SHI Xiaolin, SONG Min, WANG Yongjun, WANG Yongping, YAO Xiaosheng, YU Jie, ZHAN Hongsheng, ZHU Liguo, XIE Xingwen, XING Dan, DU Liang, LU Weizhong, GUO Ke, LI Zijun, LI Xiuxia, LI Meixuan, LI Yanfei, ZHANG Licun, ZHAO Jirong, YANG Kehu. Non-operative treatments for lumbar disc herniation: an evidence-based practice guideline. Chinese Journal of Evidence-Based Medicine, 2024, 24(2): 125-148. doi: 10.7507/1672-2531.202309143 Copy

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