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

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 repo..