Letters20 May 2008Overviews and Systematic Reviews on Low Back PainJan M. Bjordal, MPT, PhD, Atle Klovning, MD, Rodrigo Alvaro B. Lopes-Martins, MPharm, PhD, Pål-Didrik Hoff Roland, MPharm, Jon Joensen, MPT, and Lars Slørdal, MD, PhDJan M. Bjordal, MPT, PhDFrom Bergen University College, 5009 Bergen, Norway; University of Oslo, 0318 Oslo, Norway; University of São Paulo, 05508-900 São Paulo, Brazil; St. Olavs Hospital, 7006 Trondheim, Norway; University of Bergen, 5018 Bergen, Norway; and Norwegian University of Science and Technology, 7489 Trondheim, Norway.Search for more papers by this author, Atle Klovning, MDFrom Bergen University College, 5009 Bergen, Norway; University of Oslo, 0318 Oslo, Norway; University of São Paulo, 05508-900 São Paulo, Brazil; St. Olavs Hospital, 7006 Trondheim, Norway; University of Bergen, 5018 Bergen, Norway; and Norwegian University of Science and Technology, 7489 Trondheim, Norway.Search for more papers by this author, Rodrigo Alvaro B. Lopes-Martins, MPharm, PhDFrom Bergen University College, 5009 Bergen, Norway; University of Oslo, 0318 Oslo, Norway; University of São Paulo, 05508-900 São Paulo, Brazil; St. Olavs Hospital, 7006 Trondheim, Norway; University of Bergen, 5018 Bergen, Norway; and Norwegian University of Science and Technology, 7489 Trondheim, Norway.Search for more papers by this author, Pål-Didrik Hoff Roland, MPharmFrom Bergen University College, 5009 Bergen, Norway; University of Oslo, 0318 Oslo, Norway; University of São Paulo, 05508-900 São Paulo, Brazil; St. Olavs Hospital, 7006 Trondheim, Norway; University of Bergen, 5018 Bergen, Norway; and Norwegian University of Science and Technology, 7489 Trondheim, Norway.Search for more papers by this author, Jon Joensen, MPTFrom Bergen University College, 5009 Bergen, Norway; University of Oslo, 0318 Oslo, Norway; University of São Paulo, 05508-900 São Paulo, Brazil; St. Olavs Hospital, 7006 Trondheim, Norway; University of Bergen, 5018 Bergen, Norway; and Norwegian University of Science and Technology, 7489 Trondheim, Norway.Search for more papers by this author, and Lars Slørdal, MD, PhDFrom Bergen University College, 5009 Bergen, Norway; University of Oslo, 0318 Oslo, Norway; University of São Paulo, 05508-900 São Paulo, Brazil; St. Olavs Hospital, 7006 Trondheim, Norway; University of Bergen, 5018 Bergen, Norway; and Norwegian University of Science and Technology, 7489 Trondheim, Norway.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-148-10-200805200-00014 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:In a recent overview of systematic reviews and randomized trials of pharmacotherapy in low back pain, Chou and Huffman (1) concluded that there is good evidence that acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), and muscle relaxants provide moderate pain relief in acute low back pain. In the clinical practice guideline (2) in the same issue, the recommendations for acetaminophen and NSAIDs are extended to include chronic low back pain and tramadol, opioids, and benzodiazepines are recommended both in acute and chronic low back pain despite lack of “good” or even “fair” evidence. Chou and Huffman's method of reviewing ...
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