Slade, S. C., Kent, P., Bucknall, T., Molloy, E., Patel, Shilpa and Buchbinder, R. (2015) Barriers to primary care clinician adherence to clinical guidelines for the management of low back pain : protocol of a systematic review and meta-synthesis of qualitative studies. BMJ Open, 5 (4). e007265. doi:10.1136/bmjopen-2014-007265 ISSN 2044-6055.

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Abstract

Introduction Low back pain is the highest ranked condition contributing to years lived with disability, and is a significant economic and societal burden. Evidence-based clinical practice guidelines are designed to improve quality of care and reduce practice variation by providing graded recommendations based on the best available evidence. Studies of low back pain guideline implementation have shown no or modest effects at changing clinical practice.

Objectives To identify enablers and barriers to adherence to clinical practice guidelines for the management of low back pain.

Methods and analysis A systematic review and meta-synthesis of qualitative studies that will be conducted and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement guidelines. Eight databases will be searched using a priori inclusion/exclusion criteria. Two independent reviewers will conduct a structured review and meta-synthesis, and a third reviewer will arbitrate where there is disagreement. This protocol has been registered on PROSPERO 2014.

Ethics and dissemination Ethical approval is not required. The systematic review will be published in a peer-reviewed journal. The review will also be disseminated electronically, in print and at conferences. Updates of the review will be conducted to inform and guide healthcare translation into practice.

Item Type:	Journal Article
Subjects:	R Medicine > RD Surgery
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Backache, Back -- Diseases -- Prevention, Medical care, Osteopathic physicians
Journal or Publication Title:	BMJ Open
Publisher:	BMJ
ISSN:	2044-6055
Official Date:	21 April 2015
Dates:	Date Event 21 April 2015 Published UNSPECIFIED Available 2 March 2015 Accepted
Volume:	5
Number:	4
Article Number:	e007265
DOI:	10.1136/bmjopen-2014-007265
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)
Date of first compliant deposit:	5 October 2016
Date of first compliant Open Access:	5 October 2016

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