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. 2025 Sep 1;25:322. doi: 10.1186/s12906-025-05070-y

Table 4.

Results of the methodological quality appraisal for the clinical practice guidelines

Title Year Domain 1 Domain 2 Domain 3 Domain 4 Domain 5 Domain 6 Overall quality Recommendation of use
Traditional Chinese medicine for frozen shoulder: An evidence-based guideline 2023 100.0% 66.7% 92.7% 100.0% 58.3% 75.0% 91.7% Yes = 0; Yes with modifications = 2
American Academy of Orthopaedic Surgeons management of osteoarthritis of the knee (non-arthroplasty) evidence-based clinical practice guideline 2021 100.0% 66.7% 94.8% 100.0% 81.3% 100.0% 83.3% Yes = 1; Yes with modifications = 1
Formulation of Japanese Orthopaedic Association (JOA) clinical practice guideline for the management of low back pain - The revised 2019 edition 2022 100.0% 72.2% 66.7% 80.6% 41.7% 87.5% 75.0% Yes = 1; Yes with modifications = 1
Evidence-based clinical guidelines for multidisciplinary spine care: Diagnosis & treatment of low back pain 2020 100.0% 100.0% 95.8% 55.6% 66.7% 75.0% 91.7% Yes = 1; Yes with modifications = 1
Non-surgical interventions for lumbar spinal stenosis leading to neurogenic claudication: A clinical practice guideline 2021 100.0% 100.0% 100.0% 94.4% 100.0% 100.0% 100.0% Yes = 2; Yes with modifications = 0
VA/DoD clinical practice guideline: Diagnosis and treatment of low back pain 2022 100.0% 100.0% 88.5% 100.0% 87.5% 87.5% 91.7% Yes = 2; Yes with modifications = 0
National clinical guidelines for non-surgical treatment of patients with recent onset neck pain or cervical radiculopathy 2017 83.3% 83.3% 88.5% 97.2% 37.5% 100.0% 75.0% Yes = 1; Yes with modifications = 1
National clinical guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy 2017 94.4% 94.4% 96.9% 94.4% 33.3% 100.0% 75.0% Yes = 1; Yes with modifications = 1
Evidence Based (GRADE Approach) Korean Medicine clinical practice guidelines of manual acupuncture for the treatment of shoulder pain 2017 100.0% 94.4% 97.9% 77.8% 31.3% 75.0% 91.7% Yes = 1; Yes with modifications = 1
VA/DoD clinical practice guideline for the non-surgical management of hip & knee osteoarthritis 2020 83.3% 100.0% 87.5% 94.4% 83.3% 75.0% 91.7% Yes = 2; Yes with modifications = 0
Low back pain and sciatica in over 16s: Assessment and management 2020 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% Yes = 2; Yes with modifications = 0
Acupuncture for treatment of knee osteoarthritis: A clinical practice guideline 2023 88.9% 88.9% 83.3% 94.4% 58.3% 100.0% 75.0% Yes = 1; Yes with modifications = 1
PEER simplified chronic pain guideline: Management of chronic low back, osteoarthritic, and neuropathic pain in primary care 2022 75.0% 63.9% 76.0% 100.0% 41.7% 75.0% 58.3% Yes = 0; Yes with modifications = 2
Noninvasive treatments for acute, subacute, and chronic low back pain: A clinical practice guideline from the American College of Physicians 2017 69.4% 72.2% 87.5% 94.4% 43.8% 75.0% 66.7% Yes = 0; Yes with modifications = 2
Osteoarthritis in over 16s: Diagnosis and management 2022 100.0% 66.7% 84.4% 66.7% 35.4% 87.5% 75.0% Yes = 1; Yes with modifications = 1
Neck pain: Revision 2017 clinical practice guidelines 2017 77.8% 80.6% 91.7% 100.0% 62.5% 100.0% 83.3% Yes = 2; Yes with modifications = 0
Guideline for the management of knee and hip osteoarthritis 2018 100.0% 94.4% 85.4% 100.0% 68.8% 100.0% 91.7% Yes = 2; Yes with modifications = 0

DoD Department of Defense, VA Veterans Affairs