{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T10:03:00Z","timestamp":1753869780244,"version":"3.41.2"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T00:00:00Z","timestamp":1735603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Primary health care is the gateway to low back pain (LBP) management. Effective management of LBP can reduce disability and socioeconomic burden. Standardised, accurate, and evidence\u2010based information for assertive decision\u2010making in care pathways for LBP has the potential to improve health service efficiency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe and analyse the accuracy of the information on the care pathway for the management of LBP in primary care provided by the Ministry of Health from Brazil.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Descriptive study of the accuracy of information on the care pathway for LBP in primary care based on an official protocol of the Ministry of Health from Brazil. Information on non\u2010pharmacological and pharmacological treatment, as well as health education, was extracted from the treatment protocol. The information was then compared with recent international guidelines for accuracy analysis. Each management recommendation was analysed by two independent researchers and classified as accurate, partially accurate, inaccurate or not mentioned according to the clarity and precision of the information.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The analysis revealed that 43% of the management recommendations were accurate, 30% were partially accurate, and 26% of the recommendations presented in the investigated guidelines were not mentioned in the Ministry of Health's care pathway. Pharmacological recommendations showed 50% accuracy, non\u2010pharmacological recommendations 60%, and health education recommendations 14%. Additionally, the care pathway appears to be outdated in recommending educational guidance that is not aligned with current clinical guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results indicate that, although there some aspects of the information provided by the Brazilian official management protocol align with international clinical guidelines, there are substantial gaps, especially in the areas of health education and non\u2010pharmacological interventions. This study may contribute to making more accurate information available on LBP, bringing primary care professionals in Brazil closer to evidence\u2010based recommendations.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.70035","type":"journal-article","created":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T16:39:56Z","timestamp":1735663196000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Gaps in Evidence\u2010Based Recommendations for Low Back Pain: Analysis of the Accuracy of the Care Pathway in Primary Care"],"prefix":"10.1002","volume":"23","author":[{"given":"Denis Macleam Cunha e Silva","family":"Junior","sequence":"first","affiliation":[{"name":"Master Program in Physiotherapy and Functioning Federal University of Cear\u00e1 (UFC)  Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Vit\u00f3ria Ara\u00fajo","family":"Goes","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy Federal University of Cear\u00e1 (UFC)  Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shamyr Sulyvan","family":"de Castro","sequence":"additional","affiliation":[{"name":"Master Program in Physiotherapy and Functioning Federal University of Cear\u00e1 (UFC)  Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabianna Resende","family":"de Jesus\u2010Moraleida","sequence":"additional","affiliation":[{"name":"Master Program in Physiotherapy and Functioning Federal University of Cear\u00e1 (UFC)  Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Carla Lima","family":"Nunes","sequence":"additional","affiliation":[{"name":"Master Program in Physiotherapy and Functioning Federal University of Cear\u00e1 (UFC)  Fortaleza Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,31]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2021.105227"},{"key":"e_1_2_10_3_1","unstructured":"Brasil.2010.Diretrizes para Organiza\u00e7\u00e3o das Redes de Aten\u00e7\u00e3o \u00e0 Sa\u00fade do SUS."},{"key":"e_1_2_10_4_1","unstructured":"Brasil.2021. \u201cLinhas de Cuidado Secretaria de Aten\u00e7\u00e3o Prim\u00e1ria\u201d."},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(18)30488\u20104"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00038\u2010019\u201001211\u20106"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000003174"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jebm.12582"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.2196\/13357"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(18)30489\u20106"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001663"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31825d32f5"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/gpsych\u20102022\u2010100940"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2665\u20109913(23)00098\u2010X"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2021.0304"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(18)30480\u2010X"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h444"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/PR9.0000000000000843"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102474\u201015\u2010229"},{"key":"e_1_2_10_20_1","unstructured":"Mendes E. V.n.d.. \u201cO CUIDADO DAS CONDI\u00c7\u00d5ES CR\u00d4NICAS NA ATEN\u00c7\u00c3O PRIM\u00c1RIA \u00c0 SA\u00daDE: O IMPERATIVO DA CONSOLIDA\u00c7\u00c3O DA ESTRAT\u00c9GIA DA SA\u00daDE DA FAM\u00cdLIA.\u201d."},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586\u2010018\u20105673\u20102"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.7326\/M16\u20102367"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjpt.2022.100389"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2024.12406"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2021.101247"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.7431"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.170527"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.0217"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(12)61729\u20102"},{"volume-title":"WHO Guideline for Non\u2010Surgical Management of Chronic Primary Low Back Pain in Adults in Primary and Community Care Settings","year":"2023","author":"World Health Organization","key":"e_1_2_10_30_1"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2023.02.022"}],"container-title":["Musculoskeletal Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/msc.70035","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,13]],"date-time":"2025-04-13T03:01:33Z","timestamp":1744513293000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/msc.70035"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,31]]},"references-count":30,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1002\/msc.70035"],"URL":"https:\/\/doi.org\/10.1002\/msc.70035","archive":["Portico"],"relation":{},"ISSN":["1478-2189","1557-0681"],"issn-type":[{"type":"print","value":"1478-2189"},{"type":"electronic","value":"1557-0681"}],"subject":[],"published":{"date-parts":[[2024,12,31]]},"assertion":[{"value":"2024-12-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70035"}}