Owens, MD, MS, was developed for the American College of Physicians' Clinical Efficacy Assessment Subcommittee and the American College of Physicians/American Pain Society Low Back Pain Guidelines Panel. Approved by the American College of Physicians Board of Regents on 14 July 2007.Approved by the American Pain Society Board Executive Committee on 18 July 2007. adults reported having low back pain lasting at least 1 whole day in the past 3 months (2), and 7.6% reported at least 1 episode of severe acute low back pain (see Glossary) within a 1-year period (3). In addition, indirect costs related to days lost from work are substantial, with approximately 2% of the U. work force compensated for back injuries each year (5).The purpose of this guideline is to present the available evidence for evaluation and management of acute and chronic low back pain (see Glossary) in primary care settings.The target audience for this guideline is all clinicians caring for patients with low (lumbar) back pain of any duration, either with or without leg pain.
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Among those who do seek medical care, pain, disability, and return to work typically improve rapidly in the first month (6).
The American College of Physicians (ACP) and the American Pain Society (APS) convened a multidisciplinary panel of experts to develop the key questions and scope used to guide the evidence report, review its results, and formulate recommendations.