Diretrizes Clínicas (guidelines)
Guidelines são documentos produzidos por grupos de experts e instituições de saúde que trazem recomendações baseadas em evidências científicas destinadas a otimizar o atendimento aos pacientes portadores de diferentes condições de saúde, avaliando os benefícios e malefícios dos tratamentos disponíveis. Eles contribuem para orientar a tomada de decisão clínica e do paciente, o estabelecimento de um padrão adequado de atendimento, informar os formuladores de políticas públicas e gestores sobre o que constitui a melhor prática e orientar a alocação de recursos em saúde. A prestação do cuidado de modo concordante com as recomendações das diretrizes clínicas resultam em melhores resultados para os pacientes e custos mais baixos. Apresentamos as diretrizes clínicas mais relevantes (AGREE II) que recomendam acupuntura e/ou outras PICS como tai chi, qigong, meditação e yoga para tratamento de condições de saúde específicas.
Dor crônica
- The National Institute for Health and Care Excellence. Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain. NICE guideline [NG193], 2021. <https://www.nice.org.uk/guidance/NG193>
- Colvin L et al. Scottish Intercollegiate Guidelines Network (SIGN). Management of chronic pain. Edinburgh: SIGN; 2019. <https://www.sign.ac.uk/our-guidelines/management-of-chronic-pain/>
Dor aguda
- Qaseem A et al. Nonpharmacologic and Pharmacologic Management of Acute Pain From Non-Low Back, Musculoskeletal Injuries in Adults: A Clinical Guideline From the American College of Physicians and American Academy of Family Physicians. Ann Intern Med. 2020 Aug 18. <https://pubmed.ncbi.nlm.nih.gov/32805126/>
Dor lombar
- World Health Organization. WHO guideline for non-surgical management of chronic primary low back pain in adults in primary and community care settings. Geneva: WHO; 2023. <https://www.who.int/publications/i/item/9789240081789>.
- George AZ et al. Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021. J Orthop Sports Phys Ther. 2021 Nov;51(11):CPG1-CPG60. <https://pubmed.ncbi.nlm.nih.gov/34719942/>.
- Foster NE et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. Lancet. 2018 Jun 9; 391(10137): 2368-2383. <https://www.ncbi.nlm.nih.gov/pubmed/29573872>.
- Qaseem A et al. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2017 Apr 4; 166(7): 514-530. <https://www.ncbi.nlm.nih.gov/pubmed/28192789>.
Osteoartrite de joelho e quadril
- Kolasinski SL et al. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis Rheumatol. 2020 Jan 6. <https://www.ncbi.nlm.nih.gov/pubmed/31908163>.
- Bannuru RR et al. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis Cartilage. 2019 Nov;27(11):1578-1589. <https://pubmed.ncbi.nlm.nih.gov/31278997/>.
- Osthoff AKR et al. 2018 EULAR recommendations for physical activity in people with inflammatory arthritis and osteoarthritis. Ann Rheum Dis. 2018 Sep;77(9):1251-1260. <https://pubmed.ncbi.nlm.nih.gov/29997112/>.
- Brosseau L et al. The Ottawa panel clinical practice guidelines for the management of knee osteoarthritis. Part one: introduction, and mind-body exercise programs. Clin Rehabil. 2017 May; 31(5): 582-595. <https://www.ncbi.nlm.nih.gov/pubmed/28183188>.
Dor no ombro
- Yu H et al. Non-invasive Management of Soft Tissue Disorders of the Shoulder: A Clinical Practice Guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Eur J Pain. 2021 May 4. <https://pubmed.ncbi.nlm.nih.gov/33942459/>.
- Hopman K et al. Australian clinical practice guidelines for the management of rotator cuff syndrome in the workplace. Port Macquarie Campus: University of New South Wales, 2013. <https://search.pedro.org.au/search-results/record-detail/36764>.
Dor de cabeça
- The National Institute for Health and Care Excellence. Headaches in over 12s: diagnosis and management. NICE guideline [CG150], 2021. <https://www.nice.org.uk/guidance/CG150>.
Dor cervical
- Côté P et al. Management of neck pain and associated disorders: A clinical practice guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration. Eur Spine J. 2016 Jul; 25(7): 2000-22. <https://www.ncbi.nlm.nih.gov/pubmed/26984876>.
Fibromialgia
- Macfarlane GJ et al. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis. 2017 Feb; 76(2): 318-328. <https://www.ncbi.nlm.nih.gov/pubmed/27377815>.
Dor oncológica
- Paice JA et al. Management of Chronic Pain in Survivors of Adult Cancers: American Society of Clinical Oncology Clinical Practice Guideline. J Clin Oncol. 2016 Sep 20; 34(27): 3325-45. <https://www.ncbi.nlm.nih.gov/pubmed/27458286>.
- Deng GE et al. Complementary therapies and integrative medicine in lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013 May; 143(5 Suppl): e420S-e436S. <https://www.ncbi.nlm.nih.gov/pubmed/23649450>.
Dor visceral
- Cox A et al. CUA guideline: Diagnosis and treatment of interstitial cystitis/bladder pain syndrome. Can Urol Assoc J. 2016 May-Jun; 10(5-6): E136-E155. <https://www.ncbi.nlm.nih.gov/pubmed/27790294>.
Dor pélvica crônica
- Engeler D et al. EAU Guidelines on Chronic Pelvic Pain. European Association of Urology. 2023. <https://uroweb.org/guidelines/chronic-pelvic-pain/chapter/introduction>.
Disfunção temporomandibular
- Busse JW et al. Management of chronic pain associated with temporomandibular disorders: a clinical practice guideline. BMJ. 2023 Dec 15; 383: e076227. <https://pubmed.ncbi.nlm.nih.gov/38101929/>.
Rinite alérgica
- Seidman MD et al. Clinical practice guideline: Allergic rhinitis. Otolaryngol Head Neck Surg. 2015 Feb;152(1 Suppl):S1-43. <https://pubmed.ncbi.nlm.nih.gov/25644617/>.
Náusea e vômito
- NICE guideline [NG192]. Caesarean birth. The National Institute for Health and Care Excellence, 2021. <https://www.nice.org.uk/guidance/ng192>.
- Greenlee H et al. Clinical practice guidelines on the evidence-based use of integrative therapies during and after breast cancer treatment. CA Cancer J Clin. 2017 May 6;67(3):194-232. <https://pubmed.ncbi.nlm.nih.gov/28436999/>.
- NICE Cancer service guideline [CSG4]. Improving supportive and palliative care for adults with cancer. The National Institute for Health and Care Excellence, 2004. <https://www.nice.org.uk/guidance/csg4>.
Insônia
- VA/DoD clinical practice guideline for the management of chronic insomnia disorder and obstructive sleep apnea (insomnia/OSA) (version 1.0). The Department of Veterans Affairs and the Department of Defense. 2019. <https://www.healthquality.va.gov/guidelines/CD/insomnia/index.asp>.
Ansiedade e Depressão em pacientes oncológicos
- Carlson LE et al. Integrative Oncology Care of Symptoms of Anxiety and Depression in Adults With Cancer: Society for Integrative Oncology-ASCO Guideline. J Clin Oncol. 2023 Aug 15:JCO2300857. <https://pubmed.ncbi.nlm.nih.gov/37582238/>.
Síntese dos tratamentos não farmacológicos. A letra A indica os que possuem o maior grau de recomendação/força da evidência.
The National Institute for Health and Care Excellence – NICE guideline [NG193]. Published date: 07 April 2021
